Educational Intervention to Increase Physician Satisfaction and Effectiveness With a New Electronic Health Record
2021년 5월 27일 업데이트: The Reading Hospital and Medical Center
Interventions to Increase Physician Effectiveness and Acceptance of a Electronic Health Record System
This study was intended to test the effects of adding a one-on-one educational intervention taught by a physician to a physician during their clinical work to improve their acceptance and satisfaction with a new inpatient electronic health record and ordering system.
연구 개요
상세 설명
This study was a randomized, parallel , non- blinded controlled trial of real-time, focused educational interventions in an intervention arm compared with usual training and support in the control arm.
Improvement in performance, defined as the time between opening and closing a progress note, and number of notes completed after shift , were the primary outcomes.
Physician satisfaction was a secondary outcome.
Participants from one 550-bed Academic Independent Medical Center were invited to participate if they were full-time hospitalists or residents in internal medicine with no prior experience with the EPIC electronic health record.
연구 유형
중재적
등록 (실제)
44
단계
- 해당 없음
연락처 및 위치
이 섹션에서는 연구를 수행하는 사람들의 연락처 정보와 이 연구가 수행되는 장소에 대한 정보를 제공합니다.
연구 장소
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Pennsylvania
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West Reading, Pennsylvania, 미국, 19612
- Reading Health System
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참여기준
연구원은 적격성 기준이라는 특정 설명에 맞는 사람을 찾습니다. 이러한 기준의 몇 가지 예는 개인의 일반적인 건강 상태 또는 이전 치료입니다.
자격 기준
공부할 수 있는 나이
25년 (성인, 고령자)
건강한 자원 봉사자를 받아들입니다
예
연구 대상 성별
모두
설명
Inclusion Criteria:
- Internal Medicine physicians and resident physicians with inpatient clinical duties at the time of the EPIC electronic health record go-live (Feb 4, 2013)
Exclusion Criteria:
- Physicians whose duties did not include regular admissions and discharge of patients
- Physicians whose work was limited to teaching
- Physicians with prior experience in using EPIC systems for inpatient care .
- Physician assistants and nurse practitioners
공부 계획
이 섹션에서는 연구 설계 방법과 연구가 측정하는 내용을 포함하여 연구 계획에 대한 세부 정보를 제공합니다.
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 다른
- 할당: 무작위
- 중재 모델: 병렬 할당
- 마스킹: 없음(오픈 라벨)
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
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실험적: One-on-one physician training
One-on-one physician training Physicians in the experimental arm were visited by a instructing physician at a computer while performing clinical duties who had observed others to identify best practices.
Instructors watched subjects' work, looking for a specific tip that could be applied to the current work, then demonstrated the tip, and answered any questions the subject had about using or applying this new technique .
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Physicians in the experimental arm were visited by a instructing physician at a computer while performing clinical duties who had observed others to identify best practices.
Instructors watched subjects' work, looking for a specific tip that could be applied to the current work, then demonstrated the tip, and answered any questions the subject had about using or applying this new technique .
Usual training included online e-modules, 12 hours of classroom time, practice in the EPIC Playground, user acceptability training classes,non-physician technical support on all of the floors, and a physician-only help line.
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활성 비교기: Usual training
Usual training.
This group will get the usual specified training for learning to use our electronic health record.
Both groups received 12 hours of EPIC classroom training, exposure to the EPIC e-learning modules, user acceptability testing classes, and unlimited time on the EPIC 'playground', a site to practice on virtual patients.
All had 90 days of elbow support with an EPIC-training non-physician technician, who were visible and available on all inpatient wards, as well as access to a physician-only support line available at all hours.
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Usual training included online e-modules, 12 hours of classroom time, practice in the EPIC Playground, user acceptability training classes,non-physician technical support on all of the floors, and a physician-only help line.
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연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
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Time to complete a progress note
기간: within 1 week of note completion
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the primary outcome measure will be time to complete a progress note.
this is defined as the difference between the recorded time of opening the note and the recorded time the note was signed in the EPIC electronic health record system.
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within 1 week of note completion
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2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
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Number of notes completed after shift
기간: within 1 week of posting note
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Shifts are 7 a.m. - 7 p.m for doctors assigned to daytime work.
We defined a note completed after shift as any note with a signed time that is after 7 p.m. on the day of a shift worked.
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within 1 week of posting note
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Physician Satisfaction with EPIC Electronic Health Record
기간: at baseline, 15-20 shifts, and 35-40 shifts
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We asked the participants this question: How comfortable are you specifically using the EPIC program for inpatient practice?" at baseline, midpoint (after working 15-20 shifts), and end of the study (after working 35-40 shifts). |
at baseline, 15-20 shifts, and 35-40 shifts
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공동 작업자 및 조사자
여기에서 이 연구와 관련된 사람과 조직을 찾을 수 있습니다.
수사관
- 수석 연구원: Leena Jalota, MBBS, Reading Health System
- 연구 책임자: Anthony A Donato, MD MHPE, Reading Health System
연구 기록 날짜
이 날짜는 ClinicalTrials.gov에 대한 연구 기록 및 요약 결과 제출의 진행 상황을 추적합니다. 연구 기록 및 보고된 결과는 공개 웹사이트에 게시되기 전에 특정 품질 관리 기준을 충족하는지 확인하기 위해 국립 의학 도서관(NLM)에서 검토합니다.
연구 주요 날짜
연구 시작
2013년 1월 1일
기본 완료 (실제)
2013년 6월 1일
연구 완료 (실제)
2014년 1월 14일
연구 등록 날짜
최초 제출
2013년 12월 13일
QC 기준을 충족하는 최초 제출
2013년 12월 13일
처음 게시됨 (추정)
2013년 12월 19일
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
2021년 5월 28일
QC 기준을 충족하는 마지막 업데이트 제출
2021년 5월 27일
마지막으로 확인됨
2013년 12월 1일
추가 정보
이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .
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