Computerized Decision Support System Linked to Electronic Health Records to Improve Patient Care in a General Hospital (CODES)

I.R.C.C.S Ospedale Galeazzi-Sant'Ambrogio

Status: Completed

Conditions: Physician's Role

Treatments: Other: Medilogy Decision Support System (MediDSS)

Study type: Interventional

Funder types: Other

Identifiers

NCT02577198

C41J11000110008

Details and patient eligibility

About

Computerized decision support systems (CDSSs) are information technology-based software that provide health professionals with actionable, patient-specific recommendations or guidelines for disease diagnosis, treatment, and management at the point-of-care. CDSSs may be integrated with patient electronic health records (EHRs) and evidence-based knowledge.

Full description

The investigators designed a pragmatic randomized controlled trial to evaluate the effectiveness of patient-specific, point-of-care reminders on clinical practice and the quality of care. The investigators hypothesize that these reminders can increase clinician adherence to guidelines and, eventually, improve the quality of care offered to hospitalized patients. The results of the investigators study will contribute to the current understanding of the effectiveness of CDSSs in primary care and hospital settings.

Enrollment: 6,479 patients

Sex: All

Volunteers: No Healthy Volunteers

Inclusion criteria

All of the patients admitted into the internal medicine departments of the Azienda Ospedaliera di Desio e Vimercate during the study period.

Exclusion criteria

None

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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6,479 participants in 2 patient groups

Intervention

Experimental group

Description:

Electronic Health Records with computerised decision support system activated Medilogy Decision Support System (MediDSS)

Treatment:

Other: Medilogy Decision Support System (MediDSS)

Control

Other group

Description:

Electronic Health Records with computerised decision support system silenced Medilogy Decision Support System (MediDSS) silenced

Treatment:

Other: Medilogy Decision Support System (MediDSS)