Automated Versus Conventional Hospital Discharge Summaries and Prescriptions
NCT ID: NCT00670865
Last Updated: 2010-04-16
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
209 participants
INTERVENTIONAL
2008-05-31
2008-07-31
Brief Summary
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Detailed Description
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Communication between hospital and community physicians is essential to this process, and has traditionally been accomplished by a dictated discharge summary. Previous studies have shown that while dictated discharge summaries can be inaccurate, incomplete, or untimely, computer generated summaries are produced more quickly and accurately. Moreover, database-generated discharge summaries are preferred by physicians in the community.
We have designed a web-based computer program with quality assurance features that automatically generates timely discharge summaries. We aim to study this program over a 2 month period on our general medicine unit by means of a randomized controlled trial. Our hypothesis is that community physicians will prefer the computer generated summaries, over the standard dictated summaries. If effective, our system could be implemented more widely, and would stand to improve communication with community physicians, continuity of care, and patient safety.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
HEALTH_SERVICES_RESEARCH
NONE
Study Groups
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eDischarge
The eDischarge arm will consist of two teams on the General Internal Medicine ward at St. Michael's Hospital who have been randomly assigned to use the electronic discharge summary program.
Electronic discharge summary system
The customized electronic discharge summary program will be used to generate patient discharge summaries.
Traditional
The traditional arm will consist of two teams on the General Internal Medicine ward at St. Michael's Hospital who have been randomly assigned to use "traditional," dictated discharge summaries.
No interventions assigned to this group
Interventions
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Electronic discharge summary system
The customized electronic discharge summary program will be used to generate patient discharge summaries.
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
* Death during admission
* Remains in hospital past dates specified in study protocol
ALL
No
Sponsors
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Unity Health Toronto
OTHER
Responsible Party
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St. Michael's Hospital
Principal Investigators
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David M Maslove, MD
Role: PRINCIPAL_INVESTIGATOR
Unity Health Toronto
Chaim M Bell, MD, PhD, FRCPC
Role: PRINCIPAL_INVESTIGATOR
St. Michael's Hospital; University of Toronto
Locations
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St. Michael's Hospital
Toronto, Ontario, Canada
Countries
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References
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van Walraven C, Laupacis A, Seth R, Wells G. Dictated versus database-generated discharge summaries: a randomized clinical trial. CMAJ. 1999 Feb 9;160(3):319-26.
van Walraven C, Seth R, Austin PC, Laupacis A. Effect of discharge summary availability during post-discharge visits on hospital readmission. J Gen Intern Med. 2002 Mar;17(3):186-92. doi: 10.1046/j.1525-1497.2002.10741.x.
Kripalani S, LeFevre F, Phillips CO, Williams MV, Basaviah P, Baker DW. Deficits in communication and information transfer between hospital-based and primary care physicians: implications for patient safety and continuity of care. JAMA. 2007 Feb 28;297(8):831-41. doi: 10.1001/jama.297.8.831.
Maslove DM, Leiter RE, Griesman J, Arnott C, Mourad O, Chow CM, Bell CM. Electronic versus dictated hospital discharge summaries: a randomized controlled trial. J Gen Intern Med. 2009 Sep;24(9):995-1001. doi: 10.1007/s11606-009-1053-2. Epub 2009 Jul 16.
Other Identifiers
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07-364
Identifier Type: -
Identifier Source: org_study_id
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