Health Information Technology in Heart Failure Care

NCT ID: NCT02858674

Last Updated: 2019-11-08

Study Results

Results pending

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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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

958 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-04-01

Study Completion Date

2018-03-31

Brief Summary

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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.

Detailed Description

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Conditions

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Heart Failure

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

SINGLE

Participants

Study Groups

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Active Alerting Mechanism

Traditional Pop Up Alert used in Epic

Group Type EXPERIMENTAL

Pop Up Interruption Alert

Intervention Type OTHER

Traditional Pop Up Alert used in Epic

Passive Alerting Mechanism

Noninterruptive alert that sits in the checklist

Group Type ACTIVE_COMPARATOR

Side Bar Non Interruptive Provider Checklist

Intervention Type OTHER

Noninterruptive alert that sits in the checklist

Interventions

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Pop Up Interruption Alert

Traditional Pop Up Alert used in Epic

Intervention Type OTHER

Side Bar Non Interruptive Provider Checklist

Noninterruptive alert that sits in the checklist

Intervention Type OTHER

Eligibility Criteria

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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.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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NYU Langone Health

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Saul Blecker, MD

Role: PRINCIPAL_INVESTIGATOR

New York University Medical School

Locations

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New York University School of Medicine

New York, New York, United States

Site Status

Countries

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United States

References

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Blecker S, Austrian JS, Horwitz LI, Kuperman G, Shelley D, Ferrauiola M, Katz SD. Interrupting providers with clinical decision support to improve care for heart failure. Int J Med Inform. 2019 Nov;131:103956. doi: 10.1016/j.ijmedinf.2019.103956. Epub 2019 Sep 4.

Reference Type DERIVED
PMID: 31525580 (View on PubMed)

Other Identifiers

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14-01555

Identifier Type: -

Identifier Source: org_study_id

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