NCT02577198

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

Implementing an Evidence-based Computerized Decision Support System Linked to Electronic Health Records to Improve Patient Care in a General Hospital

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 6,479 (actual)
• Sponsor: I.R.C.C.S Ospedale Galeazzi-Sant'Ambrogio · Academic / Other
• Sex: All
• Age: —
• Healthy volunteers: Not accepted

Summary

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.

Detailed 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.

Conditions

• Physician's Role

Interventions

Type	Name	Description
OTHER	Medilogy Decision Support System (MediDSS)	Italian translation of Evidence-Based Medicine electronic Decision Support (EBMeDS), a set of rules (scripts) based on Evidence Based Medicine guidelines and applied to structured health data. MediDSS further includes knowledge from Swedish, Finnish, INteraction X-referencing (SFINX), a drug-drug interaction database containing concise evidence-based information of about 18,000 drug interactions and adverse events. MediDSS is integrated with local reminders.

Timeline

• Start date: 2015-11-01
• Primary completion: 2016-12-01
• Completion: 2017-01-01
• First posted: 2015-10-16
• Last updated: 2017-01-30

Locations

1 site across 1 country: Italy