Prognosticating Outcomes and Nudging Decisions With Electronic Records in the ICU Trial
Completed · Not applicable
Conditions studied: Critical Illness
In brief
This is a pragmatic, stepped-wedge, cluster randomized trial testing the real-world effectiveness of two different electronic health record (EHR) behavioral interventions in improving a number of patient- and family-centered processes and outcomes of care among seriously ill hospitalized patients. The investigators hypothesize that outcomes can be improved without raising costs by requiring intensive care unit clinicians to (i) document a prognostic estimate and (ii) provide a justification if they choose not to offer patients the option of comfort-oriented care. To test this hypothesis the investigators will conduct a 33-month trial at 17 intensive care units in 10 hospitals using the same Cerner EHR within Atrium Health System.
Key facts
- Study ID
- NCT03139838
- Run by
- University of Pennsylvania
- People needed
- 3500
- Starts
- 2018-02-01
- Expected to finish
- 2022-06-30
- Last updated by the study team
- 2022-08-08
Who can join
Age: 18 and older. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- ≥18 years old; AND
- Admitted to 1 of the 17 participating ICUs; AND
- Receipt of continuous mechanical ventilation for ≥ 48 hours (without interruption); AND
- ≥ 1 life-limiting illness present on admission (ICD-9/10 code or discrete medical history data from EHR in prior 12 months):
- Chronic obstructive pulmonary disease
- Cirrhosis
- Congestive heart failure
- Dementia (all types)
- End-stage renal disease
- Hematologic malignancy
- Metastatic malignancy
- Motor neuron disease
- Pulmonary fibrosis
- Solid organ malignancy
You may not qualify if…
- Patients younger than 18 years old are excluded.
Where it is running
- Carolinas HealthCare System Stanly — Albemarle, North Carolina, United States
- Carolinas HealthCare System, NorthEast — Charlotte, North Carolina, United States
- Carolinas Medical Center — Charlotte, North Carolina, United States
- Atrium Health CMC-Mercy — Charlotte, North Carolina, United States
- Atrium Health Pineville — Charlotte, North Carolina, United States
- Atrium Health University City — Charlotte, North Carolina, United States
- Atrium Health Lincoln — Lincolnton, North Carolina, United States
- Atrium Health Union — Monroe, North Carolina, United States
- Carolinas HealthCare System Blue Ridge-Morganton — Morganton, North Carolina, United States
- Atrium Health Cleveland — Shelby, North Carolina, United States
Full record on ClinicalTrials.gov
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