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Improving the Quality of Patient Care by Using a Clinical Expert System.
This study is currently recruiting participants.
Verified by Dr. Margarete Fischer-Bosch-Institut für Klinische Pharmakologie (IKP) am Robert-Bosch-Krankenhaus (RBK), July 2008
First Received: January 31, 2007   Last Updated: July 21, 2008   History of Changes
Sponsored by: Dr. Margarete Fischer-Bosch-Institut für Klinische Pharmakologie (IKP) am Robert-Bosch-Krankenhaus (RBK)
Information provided by: Dr. Margarete Fischer-Bosch-Institut für Klinische Pharmakologie (IKP) am Robert-Bosch-Krankenhaus (RBK)
ClinicalTrials.gov Identifier: NCT00430755
  Purpose

Aim:

To investigate the quality of history taking with or without an knowledge based interview system.

Patients:

400 inpatients presenting at the RBK for the first time and treated in the departments of nephrology and department of hematology/oncology.

Methods:

The information obtained either by an knowledge based system or by conventional history taking is compared by the patient, by the physician and by independent reviewers. Study endpoint is the percentage of histories missing clinically significant information.

Study procedure After informed consent of the patients the procedure of history taking is performed by the physician according to the guidelines of the RBK. Within 2 days thereafter the patient is interviewed with help of the CLEOS system with the support of a study nurse. The physician will be informed about the results immediately after completion of the questionnaire. Both the patient and the treating physician will rate the comparative quality of the two histories by means of a questionnaire. In addition, the relevance of the differences of the information obtained by the two systems is rated by an independent reviewer.


Condition Intervention
Hypertension
Diabetes
Hypercholesterolemia
Vasculitis
Coronary Heart Diseases
Procedure: Computer-assisted history

Genetics Home Reference related topics: hypercholesterolemia
MedlinePlus related topics: Cholesterol Coronary Artery Disease Heart Diseases High Blood Pressure Vasculitis
U.S. FDA Resources
Study Type: Interventional
Study Design: Diagnostic, Non-Randomized, Open Label, Uncontrolled, Crossover Assignment, Efficacy Study
Official Title: Quality Assessment for History Taking With or Without an Knowledge Based Interview System.

Further study details as provided by Dr. Margarete Fischer-Bosch-Institut für Klinische Pharmakologie (IKP) am Robert-Bosch-Krankenhaus (RBK):

Primary Outcome Measures:
  • Completeness of Co-morbidities. [ Time Frame: During demission ] [ Designated as safety issue: No ]
  • Completeness of evaluation of cardiovascular risk factors. [ Time Frame: During demission ] [ Designated as safety issue: No ]
  • Completeness of information of previous vaccinations. [ Time Frame: During demission ] [ Designated as safety issue: No ]

Estimated Enrollment: 1000
Study Start Date: August 2005
Estimated Study Completion Date: December 2007
Estimated Primary Completion Date: December 2008 (Final data collection date for primary outcome measure)
Intervention Details:
    Procedure: Computer-assisted history
    Methods Description of the software program - The program tested in this study consisted of a data acquisition [history-taking] component and a data analysis component. The data acquisition component was constructed on the basis of established principles of pathophysiology. Medical knowledge was formalized as software algorithms that were machine-readable by representing the knowledge as branched chain decision trees.
  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • All inpatients in a hospital environment

Exclusion Criteria:

  • Inability to give an informed consent
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00430755

Contacts
Contact: Dominik M Alscher, MD +4971181010 ext 5458 dominik.alscher@rbk.de

Locations
Germany
Robert-Bosch-Hospital Recruiting
Stuttgart, Germany, 70376
Sponsors and Collaborators
Dr. Margarete Fischer-Bosch-Institut für Klinische Pharmakologie (IKP) am Robert-Bosch-Krankenhaus (RBK)
Investigators
Principal Investigator: Dominik M Alscher, MD Dr. Margarete Fischer-Bosch-Institut für Klinische Pharmakologie (IKP) am Robert-Bosch-Krankenhaus (RBK)
  More Information

No publications provided

Responsible Party: Robert Bosch Foundation ( Robert Bosch Hospital )
Study ID Numbers: RBK080
Study First Received: January 31, 2007
Last Updated: July 21, 2008
ClinicalTrials.gov Identifier: NCT00430755     History of Changes
Health Authority: Germany: Ethics Commission

Study placed in the following topic categories:
Arterial Occlusive Diseases
Metabolic Diseases
Heart Diseases
Vasculitis
Hyperlipidemias
Myocardial Ischemia
Diabetes Mellitus
Vascular Diseases
Ischemia
Arteriosclerosis
Coronary Disease
Metabolic Disorder
Hypercholesterolemia
Dyslipidemias
Coronary Artery Disease
Lipid Metabolism Disorders
Hypertension

Additional relevant MeSH terms:
Arterial Occlusive Diseases
Metabolic Diseases
Heart Diseases
Vasculitis
Hyperlipidemias
Myocardial Ischemia
Vascular Diseases
Arteriosclerosis
Coronary Disease
Cardiovascular Diseases
Hypercholesterolemia
Coronary Artery Disease
Dyslipidemias
Lipid Metabolism Disorders
Hypertension

ClinicalTrials.gov processed this record on May 07, 2009