Making Accurate Problem Lists in the EHR
The clinical problem list is a cornerstone of the problem-oriented medical record. Problem
lists are used in a variety of ways throughout the process of clinical care. In addition to
its use by clinicians, the problem list is also critical for decision support and quality
measurement.
Patients with gaps in their problem list face significant risks. For example, if a
hypothetical patient has diabetes properly documented, his clinician would receive
appropriate alerts and reminders to guide care. Additionally, the patient might be included
in special care management programs and the quality of care provided to him would be
measured and tracked. Without diabetes on his problem list, he might receive none of these
benefits.
In this study, the investigators developed an clinical decision support intervention that
will identify patients with problem lists gaps. The investigators will alert providers of
these likely gaps and offer providers the opportunity to correct them.
Interventional
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Diagnostic
Intervention acceptance
Of those providers who were shown (or who would have been shown, for the control group) the intervention, the number that added a problem across control and intervention groups.
6 months (May 2010-Nov2010)
No
Adam Wright, PhD
Principal Investigator
Brigham and Women's Hospital
United States: Institutional Review Board
2009P001846
NCT01105923
May 2010
November 2010
Name | Location |
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Brigham and Women's Hospital | Boston, Massachusetts 02115 |