Educational Intervention to Increase Physician Satisfaction and Effectiveness With a New Electronic Health Record
2021年5月27日 更新者：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.
研究概览
详细说明
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.
研究类型
介入性
注册 (实际的)
44
阶段
- 不适用
联系人和位置
本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。
学习地点
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Pennsylvania
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West Reading、Pennsylvania、美国、19612
- Reading Health System
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参与标准
研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。
资格标准
适合学习的年龄
25年 至 65年 (成人、年长者)
接受健康志愿者
是的
有资格学习的性别
全部
描述
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
学习计划
本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。
研究是如何设计的？
设计细节
- 主要用途：其他
- 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 |
|---|---|
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实验性的：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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有源比较器：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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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 |
|---|---|---|
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Time to complete a progress note
大体时间：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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次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Number of notes completed after shift
大体时间：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
大体时间：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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合作者和调查者
在这里您可以找到参与这项研究的人员和组织。
调查人员
- 首席研究员：Leena Jalota, MBBS、Reading Health System
- 研究主任：Anthony A Donato, MD MHPE、Reading Health System
研究记录日期
这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。
研究主要日期
学习开始
2013年1月1日
初级完成 (实际的)
2013年6月1日
研究完成 (实际的)
2014年1月14日
研究注册日期
首次提交
2013年12月13日
首先提交符合 QC 标准的
2013年12月13日
首次发布 (估计)
2013年12月19日
研究记录更新
最后更新发布 (实际的)
2021年5月28日
上次提交的符合 QC 标准的更新
2021年5月27日
最后验证
2013年12月1日
更多信息
此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.