Usability of a Perioperative Medication-Related Clinical Decision Support Application

Mass General Brigham

Status: Completed

Conditions: Perioperative Medication Errors; Perioperative Adverse Medication Events

Treatments: Other: Electronic Clinical Decision Support Application

Study type: Interventional

Funder types: Other

Identifiers

NCT04988737

2020P000210

Details and patient eligibility

About

The goal of this study is to compare the usability of a novel, medication-related clinical decision support (CDS) application to the current standard medication administration and documentation workflow. The study will occur in a simulation setting, using a manikin and test patient data - no actual patients will participate. Forty clinician participants will be randomly assigned to either the CDS group (who will complete simulation tasks using the CDS prototype) or the Control group (who will complete simulation tasks using the standard medication administration workflow).

Enrollment: 40 patients

Sex: All

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Anesthesia Clinicians including attending anesthesiologists, Certified Registered Nurse Anesthetists (CRNAs), and house staff (residents and fellows)

Exclusion criteria

• Study Staff
• Medical Students

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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40 participants in 2 patient groups

CDS Group

Experimental group

Description:

Clinicians complete tasks using the CDS prototype. Briefly, the clinician scans the barcode on the syringe label immediately prior to medication administration. The scan triggers the CDS to display a dosing window with pertinent patient-specific information and/or alert(s) when necessary to prevent a medication error (ME) prior to the medication being administered. Medication data are then sent from the CDS application to the patient's anesthesia record for automatic documentation in real-time, eliminating the need to manually document the medication in the Anesthesia Information Management System (AIMS). When necessary, the CDS application generates alerts to prevent medication errors. Upon receiving an alert, the anesthesia clinician may accept the alert and revise the action that generated the alert, or override the alert and continue with the planned action.

Treatment:

Other: Electronic Clinical Decision Support Application

Control Group

No Intervention group

Description:

Clinicians complete tasks using the conventional medication administration and documentation workflow in anesthesia.