Educational Intervention to Increase Physician Satisfaction and Effectiveness With a New Electronic Health Record
27 mei 2021 bijgewerkt door: 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.
Studie Overzicht
Toestand
Voltooid
Conditie
Interventie / Behandeling
Gedetailleerde beschrijving
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.
Studietype
Ingrijpend
Inschrijving (Werkelijk)
44
Fase
- Niet toepasbaar
Contacten en locaties
In dit gedeelte vindt u de contactgegevens van degenen die het onderzoek uitvoeren en informatie over waar dit onderzoek wordt uitgevoerd.
Studie Locaties
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Pennsylvania
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West Reading, Pennsylvania, Verenigde Staten, 19612
- Reading Health System
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Deelname Criteria
Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
25 jaar tot 65 jaar (Volwassen, Oudere volwassene)
Accepteert gezonde vrijwilligers
Ja
Geslachten die in aanmerking komen voor studie
Allemaal
Beschrijving
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
Studie plan
Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Ander
- Toewijzing: Gerandomiseerd
- Interventioneel model: Parallelle opdracht
- Masker: Geen (open label)
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
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Experimenteel: 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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Actieve vergelijker: 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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Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
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Time to complete a progress note
Tijdsspanne: 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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Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
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Number of notes completed after shift
Tijdsspanne: 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
Tijdsspanne: 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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Medewerkers en onderzoekers
Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.
Onderzoekers
- Hoofdonderzoeker: Leena Jalota, MBBS, Reading Health System
- Studie directeur: Anthony A Donato, MD MHPE, Reading Health System
Studie record data
Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.
Bestudeer belangrijke data
Studie start
1 januari 2013
Primaire voltooiing (Werkelijk)
1 juni 2013
Studie voltooiing (Werkelijk)
14 januari 2014
Studieregistratiedata
Eerst ingediend
13 december 2013
Eerst ingediend dat voldeed aan de QC-criteria
13 december 2013
Eerst geplaatst (Schatting)
19 december 2013
Updates van studierecords
Laatste update geplaatst (Werkelijk)
28 mei 2021
Laatste update ingediend die voldeed aan QC-criteria
27 mei 2021
Laatst geverifieerd
1 december 2013
Meer informatie
Termen gerelateerd aan deze studie
Trefwoorden
Andere studie-ID-nummers
- ReadingHMC-IRB-045-12
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