The Effects of a Results Management System on Physician Awareness of Post-Discharge Test Results - Full Text View

Sponsors and Collaborators:	Brigham and Women's Hospital Harvard Risk Management Foundation
Information provided by:	Brigham and Women's Hospital
ClinicalTrials.gov Identifier:	NCT00146354

Purpose

This project aims to define the problem of results that return after patient discharge and to study the implementation of an Electronic Medical Record (EMR)-based system for tracking these results.

Condition	Intervention	Phase
Healthy Medical Record Systems, Computerized	Behavioral: Hospitalists Results Manager	Phase III

Drug Information available for: X-Rays

U.S. FDA Resources

Study Type:	Interventional
Study Design:	Educational/Counseling/Training, Non-Randomized, Single Blind, Active Control, Parallel Assignment, Safety/Efficacy Study
Official Title:	The Effects of a Results Management System on Physician Awareness of Post-Discharge Laboratory and Radiology Results

Further study details as provided by Brigham and Women's Hospital:

Detailed Description:

The transfer of care at hospital discharge is complex and requires the transmission of large amounts of data between inpatient physicians (hospitalists) and outpatient physicians (PCPs), including information about pending tests. Frequently, laboratory and radiology tests are not finalized until after a patient is discharged, and when the responsibility for these pending results is not clearly defined, they can be missed. Our project aims to define the problem of these post-discharge results and to study the implementation of an EMR-based system (Hospitalist Results Manager, HRM) for tracking these results on the hospitalist services at Brigham and Women’s Hospital (BWH) and Massachusetts General Hospital (MGH). The project consists of two phases: a cross-sectional study before intervention to define the epidemiology of post-discharge results, and a randomized trial of HRM to determine its effect on physician awareness of these results.

Eligibility

Ages Eligible for Study:	18 Years and older
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	Yes

Criteria

Inclusion Criteria:

Admitted under enrolled study Attendings at the two study locations
Patient had test result finalized after discharge and prior to subsequent admission

Exclusion Criteria:

Test result noted in discharge summary
Test result not clinically actionable

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00146354

Locations

United States, Massachusetts
Brigham and Women's Hospital
Boston, Massachusetts, United States, 02120
Massachusetts General Hospital
Boston, Massachusetts, United States, 02114

Sponsors and Collaborators

Brigham and Women's Hospital

Harvard Risk Management Foundation

Investigators

Principal Investigator:

Tejal K Gandhi, MD, MPH

Brigham and Women's Hospital

More Information

Study ID Numbers:	2003P000551
Study First Received:	September 2, 2005
Last Updated:	March 1, 2007
ClinicalTrials.gov Identifier:	NCT00146354
Health Authority:	United States: Institutional Review Board

Keywords provided by Brigham and Women's Hospital:

Electronic Medical Record
Electronic Results Tracking
Patient Safety
Post-Discharge Test Results

Study placed in the following topic categories:

Healthy

ClinicalTrials.gov processed this record on January 16, 2009