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Completed

NCT Number: NCT02015702

Educational Intervention to Increase Physician Satisfaction and Effectiveness With a New Electronic Health Record

This study was intended to test the effects of adding a one-on-one educational intervention taught by a physician to a physician during their clinical work to improve their acceptance and satisfaction with a new inpatient electronic health record and ordering system.

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Key information

Conditions

Attitude of Health Personnel

Age range

25 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Reading Health System

West Reading, Pennsylvania, 19612, United States

About this study

This study was a randomized, parallel , non- blinded controlled trial of real-time, focused educational interventions in an intervention arm compared with usual training and support in the control arm. Improvement in performance, defined as the time between opening and closing a progress note, and number of notes completed after shift , were the primary outcomes. Physician satisfaction was a secondary outcome. Participants from one 550-bed Academic Independent Medical Center were invited to participate if they were full-time hospitalists or residents in internal medicine with no prior experience with the EPIC electronic health record.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Internal Medicine physicians and resident physicians with inpatient clinical duties at the time of the EPIC electronic health record go-live (Feb 4, 2013)

Exclusion criteria

  • Physicians whose duties did not include regular admissions and discharge of patients
  • Physicians whose work was limited to teaching
  • Physicians with prior experience in using EPIC systems for inpatient care .
  • Physician assistants and nurse practitioners

Treatment and study plan

One-on-one physician training

Other

Physicians in the experimental arm were visited by a instructing physician at a computer while performing clinical duties who had observed others to identify best practices. Instructors watched subjects' work, looking for a specific tip that could be applied to the current work, then demonstrated the tip, and answered any questions the subject had about using or applying this new technique .

Usual training

Other

Usual training included online e-modules, 12 hours of classroom time, practice in the EPIC Playground, user acceptability training classes,non-physician technical support on all of the floors, and a physician-only help line.

Primary outcomes

  1. Time to complete a progress note

    Time frame: within 1 week of note completion

    the primary outcome measure will be time to complete a progress note. this is defined as the difference between the recorded time of opening the note and the recorded time the note was signed in the EPIC electronic health record system.

Secondary outcomes

  1. Number of notes completed after shift

    Time frame: within 1 week of posting note

    Shifts are 7 a.m. - 7 p.m for doctors assigned to daytime work. We defined a note completed after shift as any note with a signed time that is after 7 p.m. on the day of a shift worked.

  2. Physician Satisfaction with EPIC Electronic Health Record

    Time frame: at baseline, 15-20 shifts, and 35-40 shifts

    We asked the participants this question:

    How comfortable are you specifically using the EPIC program for inpatient practice?" at baseline, midpoint (after working 15-20 shifts), and end of the study (after working 35-40 shifts).

Sponsors and collaborators

Lead sponsor

The Reading Hospital and Medical Center

Other

Registry information

Official study title

Interventions to Increase Physician Effectiveness and Acceptance of a Electronic Health Record System

Important dates

Study start
2013
Primary completion
2013
Study completion
2014
First posted
Dec 19, 2013
Registry last updated
May 28, 2021

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.

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