This study includes four projects aimed to improve quality and safety of pediatric care through the implementation of four clinical decision support services in the electronic health record (EHR). The four projects will measure the effect of each clinical decision support feature including: weight-based dosing; smart forms for chronic conditions; guideline reminders; and a results manager to track abnormal lab result follow-up.

Hypothesis: Implementation of the clinical decision support features will decrease medication errors and adverse drug events, assist physicians in adhering to clinical practice guidelines and protocols for certain chronic illnesses, improve physician follow-up for abnormal lab results, and overall improve the safety and quality of pediatric clinical practice.

Condition	Intervention
MEDICATION ERRORS MEDICAL RECORDS SYSTEMS, COMPUTERIZED PATIENT SAFETY QUALITY IMPROVEMENT	Device: Weight-based Dosing  Device: Smart Forms  Device: Results Manager  Device: Guideline Reminders

Further Study Details: 

Primary Outcomes: 1. Impact on rates of medication errors, adverse drug events, and potential adverse drug events.; 2. Influence on physician guideline adherence for chronic conditions.; 3. Influence on the rate of follow-up procedures, provider satisfaction, and patient satisfaction related to follow-up procedures.; 4. Impact of diagnosis-based medication recommendations on generic prescribing and guideline adherence.
Expected Total Enrollment:  5420

Genders Eligible for Study:  Both

Criteria

Inclusion Criteria:

• Partners-affiliated pediatric practice providers utilizing Longitudinal Medical Record (LMR), which is an electronic health record system. Also the parents of the patients of the above noted pediatric providers.

Exclusion Criteria:

• Non-Partners providers, or Partners providers who do not use LMR. Parents of patients not seen by Partners-affiliated pediatric providers who use LMR.

Please refer to this study by ClinicalTrials.gov identifier  NCT00134823

Meghan Backus, BA      617-724-9530    mbackus@partners.org

Massachusetts
      Massachusetts General Hospital/Partners HealthCare, Boston,  Massachusetts,  02114,  United States; Recruiting

Study chairs or principal investigators

Timothy G Ferris, MD, MPH,  Principal Investigator,  Massachusetts General Hospital, Partners Healthcare System Inc.   

Study ID Numbers:  2004-P-002027; HS015002-01
Last Updated:  August 24, 2005
Record first received:  August 23, 2005
ClinicalTrials.gov Identifier:  NCT00134823
Health Authority: United States: Institutional Review Board
ClinicalTrials.gov processed this record on 2005-08-30