Targeted EHR-based Communication of Diagnostic Uncertainty in the ED

Conditions

• Diagnostic Uncertainty

Eligibility Criteria

Sex

ALL

Age

18 Years - N/A

Healthy Volunteers

Not accepted

Interventions

• Targeted EHR-based Communication of Diagnostic Uncertainty (TECU) — BEHAVIORAL
  The Targeted EHR-based Communication about Uncertainty (TECU) strategy will be activated in the electronic health record (Epic) every time an ED clinician enters an uncertain diagnosis for a patient being discharged, and will notify the clinician to counsel the patient about uncertainty while additionally triggering automated 1) insertion and printing of the patient handout and 2) provision of a hyperlink for the clinician-facing checklist to guide the discharge conversation.

Study Details

The goal of the clinical trial is to evaluate the preliminary effectiveness and the implementation feasibility of the Targeted EHR-based Communication about Uncertainty (TECU) strategy in improving the quality of care transitions from the emergency department (ED) to home. The overall specific aims related to the trial are to test the preliminary effectiveness of TECU compared to standard of care in reducing patient uncertainty and return ED visits and evaluate the adoption of TECU, exploring patient and clinician barriers and facilitators to TECU implementation.

Key Dates

Start date

Nov 5, 2024

Status verified

Apr 2025

Primary completion

Oct 31, 2026

Completion

Jul 1, 2027

Study Design

Enrollment

300 participants (estimated)

Allocation

NON_RANDOMIZED

Intervention model

SEQUENTIAL

Primary purpose

HEALTH_SERVICES_RESEARCH

Arms

• No Intervention: Pre-TECU Implementation
  No intervention administered.
• Experimental: Post-TECU Implementation
  When an ED clinician enters an uncertain diagnosis for a patient being discharged, the TECU BPA will notify the clinician to counsel the patient about uncertainty while additionally triggering automated 1) insertion and printing of the patient handout and 2) provision of a hyperlink for the clinician-facing checklist to guide the discharge conversation.

Primary Outcome Measure

Uncertainty Scale (U-Scale) [ Time Frame: enrollment ]

Central Contacts

• Kristin L Rising, MD, MS
  2673031359
  [email protected]
• Amanda MB Doty, MS
  2155034619
  [email protected]

Locations (1)

Find similar trials in Philadelphia, PA