Skip to main content
OpenTrials
Completed

NCT Number: NCT02577198

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

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.

Completed

Looking for future studies?

Notify Me

Key information

Conditions

Physician's Role

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Ospedale di Vimercate

Vimercate, Lombardy, Italy

About this study

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.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

All of the patients admitted into the internal medicine departments of the Azienda Ospedaliera di Desio e Vimercate during the study period.

Exclusion criteria

None

Treatment and study plan

Medilogy Decision Support System (MediDSS)

Other

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.

Primary outcomes

  1. Resolution rates

    Time frame: 12 months

    Rate at which the medical problems, which are detected by the MediDSS software and reported through the reminders, are resolved (resolution rates).

Secondary outcomes

  1. in-hospital mortality

    Time frame: 12 months

  2. length of hospital stay

    Time frame: 12 months

Sponsors and collaborators

Lead sponsor

I.R.C.C.S Ospedale Galeazzi-Sant'Ambrogio

Other

Collaborators

  • University of Milan

Registry information

Official study title

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

Acronym: CODES

Important dates

Study start
2015
Primary completion
2016
Study completion
2017
First posted
Oct 16, 2015
Registry last updated
Jan 30, 2017

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Related clinical trials

Published trials that share one or more normalized conditions with this study.