Heart Failure
Conditions
Brief summary
The objective of this proposal is to develop, implement, and test the effectiveness of a computerized clinical decision support system for hospitalized patients with heart failure. Aim 1: Develop an electronic health record (EHR) based search method that uses both structured data and natural language processing of unstructured text to identify hospitalized patients with heart failure while they are still in the hospital. Aim 2: Develop and test the usability of an electronic health record (EHR) based clinical decision support system (CDSS) to support delivery of evidence-based care to hospitalized heart failure patients using human computer interaction methods. Aim 3: Assess the effect of an electronic health record (EHR) based clinical decision support system (CDSS) on processes of care for heart failure patients who are hospitalized for other causes. As part of the evaluation, we will test two implementation strategies, one of which will introduce the CDSS as an interruptive alert to providers, the second of which will introduce the CDSS as part of a provider checklist that exists on the side of the screen for each patient.
Interventions
OTHERSide Bar Non Interruptive Provider Checklist
Noninterruptive alert that sits in the checklist
OTHERPop Up Interruption Alert
Traditional Pop Up Alert used in Epic
Sponsors
NYU Langone Health
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients hospitalized 2 years prior and 18 months after the time of implementation of the Computerized clinical decision support systems (CDSS) in the (Electronic Health Record (EHR).
Exclusion criteria
* Patients on the obstetrical service, who died during hospitalization, or on hospice care.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Percent of Patients with a Secondary Diagnoses of Heart Failure | 90 Days | These patients will also have had of left ventricular function (LV) Assessment either prior to or during the hospitalization or planned for post discharge |
| Percentage of patients with a secondary diagnosis of heart failure and LV systolic dysfunction who have been prescribed an Angiotensin-converting enzyme (ACE) inhibitor or Angiotensin II receptor blockers (ARB) | 90 Days | — |
Countries
United States
Outcome results
None listed