Study of an Intervention to Improve Problem List Accuracy and Use — MAPLE  

Breast Cancer Clinical Trial

Official title: Making Accurate Problem Lists in the EHR

Status Active, not recruiting

Clinical Trial Summary

The aim of this study is to identify patients with problem list gaps and intervene to correct these gaps by creating clinical decision support interventions that alert providers to likely problem list gaps and offer clinicians the opportunity to correct them. The investigators will randomize the clinics that will receive the intervention and formally evaluate the study after a period of 6 months for improved problem list completeness to determine the effectiveness of our intervention.

Clinical Trial Description

The clinical problem list is a cornerstone of the problem-oriented medical record. Problem lists are used in a variety of ways throughout the process of clinical care. In addition to its use by clinicians, the problem list is also critical for decision support and quality measurement.

Patients with gaps in their problem list face significant risks. For example, if a hypothetical patient has diabetes properly documented, his clinician would receive appropriate alerts and reminders to guide care. Additionally, the patient might be included in special care management programs and the quality of care provided to him would be measured and tracked. Without diabetes on his problem list, he might receive none of these benefits.

In this study, the investigators developed an clinical decision support intervention that will identify patients with problem lists gaps. The investigators will alert providers of these likely gaps and offer providers the opportunity to correct them. ;

Study Design

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Diagnostic

Related Conditions & MeSH terms

• Anemia, Sickle Cell
• Asthma
• Attention Deficit Disorder With Hyperactivity
• Breast Cancer
• Congestive Heart Failure
• COPD
• Coronary Artery Disease
• Coronary Disease
• Diabetes
• Glaucoma
• Heart Failure
• Hemophilia
• Hypertension
• Hyperthyroidism
• Hypothyroidism
• Myasthenia Gravis
• Myocardial Ischemia
• Osteopenia
• Osteoporosis
• Renal Failure
• Renal Insufficiency
• Sickle Cell Disease
• Stroke

• NCT number: NCT01105923
• Study type: Interventional
• Source: Brigham and Women's Hospital
• Status: Active, not recruiting
• Phase: N/A
• Start date: May 2010
• Completion date: November 2017