Status:
NOT_YET_RECRUITING
Pilot Deployment of ePNa Into Epic EHR
Lead Sponsor:
Nathan Dean
Collaborating Sponsors:
Agency for Healthcare Research and Quality (AHRQ)
Vanderbilt University
Conditions:
Pneumonia
Eligibility:
All Genders
18+ years
Phase:
NA
Brief Summary
Intermountain Health has developed a electronic decision support tool to help doctors provide the best care for pneumonia. The purpose of this study is to enhance the existing tool (called ePneumonia ...
Detailed Description
This study as funded by the AHRQ (Agency for Healthcare Research and Quality) involves making the current ePNa system a "SMART on FHIR" compatible application that will enable the same core software a...
Eligibility Criteria
Inclusion
- For the baseline database and assessment of clinical outcomes, all data will be pulled from the Epic Clarity data warehouse.
- 2500 patients that presented to the Vanderbilt and Wilson county EDs who are \>= 18 years old will be identified by ICD-10 codes for pneumonia or acute respiratory failure or sepsis with secondary pneumonia codes for the baseline database.
- An additional 2500 patients that presented to the Vanderbilt and Wilson county EDs who are \>= 18 years old will be identified by having had conventional PA (posteroanterior) and lateral or portable CXRs (chest X-rays), independent of ICD-10 codes.
- During the one year pilot trial, patients seen in the 2 EDs, who are \>= 18 years old will be identified by ICD(International Classification of Diseases)-10 codes for pneumonia or acute respiratory failure or sepsis with secondary pneumonia codes (estimated to comprise 1800 patients).
Exclusion
- For all above patients:
- Patients seen with a history of recent trauma.
- Subsequent episodes of pneumonia from the same patient within the study period.
- Patients directly admitted to hospice/comfort care.
- Patients admitted to a non-study hospital for further care.
- Patients transferred from outside hospitals.
- For the groups selected by ICD-10 pneumonia codes, an additional exclusion is:
- • Patients without radiographic evidence of pneumonia or with clear radiographic evidence for an alternative diagnosis.
Key Trial Info
Start Date :
February 1 2025
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
June 30 2026
Estimated Enrollment :
6917 Patients enrolled
Trial Details
Trial ID
NCT06008314
Start Date
February 1 2025
End Date
June 30 2026
Last Update
September 28 2023
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