Study of an Intervention to Improve Problem List Accuracy and Use (MAPLE)
Making Accurate Problem Lists in the EHR
研究概览
地位
条件
干预/治疗
详细说明
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.
研究类型
注册 (预期的)
阶段
- 不适用
联系人和位置
学习地点
-
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Massachusetts
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Boston、Massachusetts、美国、02115
- Brigham and Women's Hospital
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-
参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
Inclusion Criteria:
- Independent healthcare provider (physician, NP, PA)
- Practices at participating site
Exclusion Criteria:
- None
学习计划
研究是如何设计的?
设计细节
- 主要用途:诊断
- 分配:随机化
- 介入模型:并行分配
- 屏蔽:无(打开标签)
武器和干预
参与者组/臂 |
干预/治疗 |
---|---|
实验性的:Receive CDS intervention
Providers in clinics that will receive the CDS alert, as their clinic was randomized into our study.
|
MAPLE is a CDS intervention within the EHR that will alert providers to problem lists gaps and present an opportunity to correct them.
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无干预:No CDS intervention
|
研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
---|---|---|
Intervention acceptance
大体时间:6 months (May 2010-Nov2010)
|
Of those providers who were shown (or who would have been shown, for the control group) the intervention, the number that added a problem across control and intervention groups.
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6 months (May 2010-Nov2010)
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
---|---|---|
Problem list prevalence
大体时间:pre and post intervention
|
Number of patients with selected problems on their problem list pre and post intervention across intervention and control groups.
|
pre and post intervention
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Problem list incidence
大体时间:pre and post intervention
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For the conditions of interest, the percent of patients that had the problem added during the study period
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pre and post intervention
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Quality improvement based on problem list accuracy/completion
大体时间:post intervention
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For those with problems added due to the intervention, the number of new triggered reminders or other clinical actions.
|
post intervention
|
合作者和调查者
调查人员
- 首席研究员:Adam Wright, PhD、Brigham and Women's Hospital
出版物和有用的链接
研究记录日期
研究主要日期
学习开始
初级完成 (实际的)
研究完成 (预期的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (估计)
研究记录更新
最后更新发布 (估计)
上次提交的符合 QC 标准的更新
最后验证
更多信息
与本研究相关的术语
其他相关的 MeSH 术语
- 精神错乱
- 心肌缺血
- 心脏疾病
- 心血管疾病
- 血管疾病
- 代谢性疾病
- 神经系统疾病
- 免疫系统疾病
- 动脉硬化
- 动脉闭塞性疾病
- 肿瘤
- 神经系统自身免疫性疾病
- 自身免疫性疾病
- 按部位分类的肿瘤
- 肾脏疾病
- 泌尿系统疾病
- 内分泌系统疾病
- 血液病
- 先天性遗传病
- 肌肉骨骼疾病
- 甲状腺疾病
- 神经肌肉疾病
- 神经退行性疾病
- 贫血
- 神经系统肿瘤
- 冠心病
- 骨骼疾病
- 注意力缺陷和破坏性行为障碍
- 神经发育障碍
- 副肿瘤综合征,神经系统
- 副肿瘤综合征
- 神经肌肉接头疾病
- 贫血,溶血性,先天性
- 贫血、溶血
- 血红蛋白病
- 心脏衰竭
- 冠状动脉疾病
- 甲减
- 肾功能不全
- 甲亢
- 注意力缺陷多动症
- 骨质疏松症
- 重症肌无力
- 贫血,镰状细胞
- 骨骼疾病,代谢
其他研究编号
- 2009P001846
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