Prospective Evaluation of Computerized Physician Order Entry in the Emergency Department (CPOE)

April 4, 2017 updated by: Steven Horng, MD, Beth Israel Deaconess Medical Center
This study will evaluate various performance metrics of emergency department operations after the implementation of computerized physician order entry in an academic emergency department.

Study Overview

Status

Withdrawn

Conditions

Intervention / Treatment

Detailed Description

The study will be a prospective before-after study comparing various operational and performance metrics before and after the implementation of a computerized physician order entry system in the emergency department.

The investigators will collect 6 month before, 6 month after of data along with a 2-4 week washout period. The investigators will also administer a computerized physician order entry survey after the study is completed. This confidential survey will be emailed to all ED nurses, residents, and attendings using RedCap. Consent will be implied if they choose to participate.

Study Type

Observational

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • United States
    • Massachusetts
      • Boston, Massachusetts, United States, 02215
        • Beth Israel Deaconess Medical Center

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Sampling Method

Non-Probability Sample

Study Population

All patients who are registered in the emergency department > 18 years of age who do not elope, left without being seen, or leave AMA.

Description

Inclusion Criteria:

  • All consecutive adult patients (Age >=18) presenting to the Emergency Department during the study period will be included in the study.

Exclusion Criteria:

  • Patients who eloped, left without being seen, or signed out against medical advice will be excluded.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Time to Antibiotics
Time Frame: 6 months
Primary outcome measure is time to antibiotics. This is defined as the time patients are registered to the time they receive their first antibiotics for patients with an ED diagnosis of pneumonia.
6 months

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Emergency Department Length of Stay
Time Frame: 6 months
Secondary outcome measure is length of stay defined as the time from patient registration to time the patients leave the emergency department.
6 months
Lab turnaround time
Time Frame: 6 months
Lab turnaround time is defined as the time it takes from when the sample is collected to when the results are entered.
6 months
Resource Utilization
Time Frame: 6 months
Resource utilization defined as the number of CBC, Chem7, and troponin tests ordered.
6 months

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Beth Israel Deaconess Medical Center

Investigators

  • Principal Investigator: Steven Horng, MD, Beth Israel Deaconess Medical Center

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

March 1, 2012

Primary Completion (Anticipated)

December 1, 2012

Study Completion (Anticipated)

December 1, 2013

Study Registration Dates

First Submitted

September 29, 2011

First Submitted That Met QC Criteria

September 30, 2011

First Posted (Estimate)

October 3, 2011

Study Record Updates

Last Update Posted (Actual)

April 5, 2017

Last Update Submitted That Met QC Criteria

April 4, 2017

Last Verified

April 1, 2017

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • 2011P000308

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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