Improving Pediatric Safety and Quality With Health Care Information Technology

Improving Pediatric Safety and Quality With Health Care IT

Status

Completed

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT00134823

Enrollment

5420

Registered

2005-08-25

Start date

2005-03-31

Completion date

2008-09-30

Last updated

2011-07-21

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Medical Records Systems, Computerized, Medication Errors, Patient Safety, Quality Improvement

Keywords

Parent Experience of Care, Quality Improvement, Medication Errors, Abnormal Lab Values, Guideline Adherence

Brief summary

This study includes four projects aimed to improve the quality and safety of pediatric care through the implementation of four clinical decision support services in the electronic health record (EHR). The four projects will measure the effect of each clinical decision support feature including: weight-based dosing; smart forms for chronic conditions; guideline reminders; and a results manager to track abnormal lab result follow-up. Hypothesis: Implementation of the clinical decision support features will decrease medication errors and adverse drug events, assist physicians in adhering to clinical practice guidelines and protocols for certain chronic illnesses, improve physician follow-up for abnormal lab results, and overall improve the safety and quality of pediatric clinical practice.

Detailed description

please see description above

Interventions

OTHERweight based dosing decision support

weight based dosing decision support

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Eligibility

Sex/Gender

ALL

Healthy volunteers

Inclusion criteria

* Partners-affiliated pediatric practice providers utilizing Longitudinal Medical Record (LMR), which is an electronic health record system. Also the parents of the patients of the above noted pediatric providers.

Exclusion criteria

* Non-Partners providers, or Partners providers who do not use LMR. Parents of patients not seen by Partners-affiliated pediatric providers who use LMR.

Design outcomes

Primary

Measure	Time frame	Description
Impact on rates of medication errors	1 year	difference in weight related medication prescribing errors by drug class

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026