Health services research Other
Conditions
Interventions
This study consists of two substudies (inpatient and outpatient studies), each of which are non-randomised intervention studies with before and after comparison. The outpatient study also includes an
Sponsors
University College London
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Study 1 clinician inclusion criteria: Any interested clinicians who have their own clinic list at UCLH and see outpatients, who consent to be part of the study. A subset of at least five clinicians will be purposively sampled to include a range of specialties for the observation substudy, and they will undergo observed consultations. Study 1 patient inclusion criteria: All outpatients seen by the clinician from 2 months before being consented until 2 months after the MiADE system is switched on for included clinicians. For clinicians selected for observation (at least 5), the researchers will observe at least two consultations from one or more clinics before and two consultations from one or more clinics after the MiADE system is switched on will be observed. Hence the minimum number of observed consultations will be 20. Study 2 clinician inclusion criteria: All clinicians within interested inpatient teams at UCLH. Study 2 patient inclusion criteria: All inpatients managed under the care of a participating team during the study period.
Exclusion criteria
Exclusion criteria: There are no patient exclusions. If patients are unable to give written consent, the study will be discussed with a consultee who will be asked to give advice as to whether the patient would wish to be included in the study. A decision on whether or not to include the patient in the study will be based on a best interests assessment.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Study 1 (outpatient): Number of structured entries for diagnoses, medication and allergies recorded by the clinician in outpatient consultations; Timepoint(s): Comparison before and after switching on the MiADE system Study 2 (inpatient): The proportion of ICD-10 coded billing diagnoses for which a similar SNOMED CT concept is present in the problem list for inpatients, evaluated at the point of discharge; Timepoint(s): Comparison before and after switching on the MiADE system | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. The proportion of structured data items suggested by MiADE that are accepted by the clinician for entry into the structured record during the period that the MiADE system is active 2. The distribution of computing time required per consultation note during the period that the MiADE system is active 3. Clinician and patient perceptions of structured data recording in electronic health records and the MiADE system: quantitative measures from categorical survey responses and qualitative measures from interviews and free-text survey responses, at least 2 weeks after the MiADE system has been switched on | — |
Countries
England, United Kingdom
Outcome results
None listed