Problem Specific Templates for Electronic Hospital Documentation

NCT ID: NCT01958723

Last Updated: 2015-04-13

Basic Information

• Recruitment Status: COMPLETED
• Total Enrollment: 10 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2013-11-30
• Study Completion Date: 2014-07-31

Brief Summary

The emergence of electronic documentation has led to multiple new challenges for physicians. Despite positive expectations, many physicians have received electronic health systems with mixed results. Review of current literature has identified the following reasons for concern: increased time required for documentation, deteriorating quality of notes, mindless use of copy-and-paste functions, and fragmentation of clinical work from poorly designed computing workflows. The study of template use has not been done in a large scale or with clear outcome measurements. The purpose of this study is to examine the effects of Problem Specific Templates on quality, accuracy, and efficiency of physician documentation practices.

Detailed Description

This is a prospective cohort study, which will examine the effects of Problem Specific Templates on quality, accuracy, and efficiency of physician documentation practices. The Hospitalist physicians will be the subjects. All physicians of the Hospital Medicine Service will be invited to participate. For the intervention, participating Hospitalists will be trained on the use of templates for 20 common hospital problems. Once trained, the Hospitalists will be asked to use these templates for a one-month period. Pre-intervention and post-intervention medical records will be compared using chart reviews, validated document assessment instruments, physician surveys, and electronic medical record time auditing.

Conditions

Quality/Accuracy of Physician Documentation; Efficiency of Physician Documentation

Study Design

• Observational Model Type: COHORT
• Study Time Perspective: PROSPECTIVE

Study Groups

Hospitalists

Introduction of Problem Specific Templates

Hospitalists

Intervention Type: OTHER

Introduction of Problem Specific Templates

Interventions

Hospitalists

Introduction of Problem Specific Templates

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Physicians: All physicians of the Hospital Medicine Service will be invited to participate

Exclusion Criteria

• Any invited physicians who refuse to consent

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 70 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

University of Florida

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Raj Mehta, M.D.

Role: PRINCIPAL_INVESTIGATOR

University of Florida

Robert Leverence, M.D.

Role: STUDY_CHAIR

University of Florida

Locations

University of Florida

Gainesville, Florida, United States

Countries

United States

Other Identifiers

201300232

Identifier Type: -

Identifier Source: org_study_id