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Health Information Technology in Heart Failure Care

NYU Langone Health logo

NYU Langone Health

Status

Completed

Conditions

Heart Failure

Treatments

Other: Pop Up Interruption Alert
Other: Side Bar Non Interruptive Provider Checklist

Study type

Interventional

Funder types

Other

Identifiers

NCT02858674
14-01555

Details and patient eligibility

About

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.

Enrollment

958 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

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.

Trial design

Primary purpose

Supportive Care

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Single Blind

958 participants in 2 patient groups

Active Alerting Mechanism
Experimental group
Description:
Traditional Pop Up Alert used in Epic
Treatment:
Other: Pop Up Interruption Alert
Passive Alerting Mechanism
Active Comparator group
Description:
Noninterruptive alert that sits in the checklist
Treatment:
Other: Side Bar Non Interruptive Provider Checklist

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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