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N/A N=149 Health Services Research

Patient Centered Evaluation of Computerized Patient Records System

Electronic Medical Records

Enrolled (actual)
149
Serious AEs
Results posted
Nov 2015
Primary outcome: Primary: Change in Patient's Satisfaction, Change in Provider's Satisfaction (Mean/SD) — -0.033; 0.032; -0.018; 0.077 units on a scale — p=>0.05

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Physician training in patient-centered emr use (Behavioral)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
VA Office of Research and Development
Primary completion
Feb 2013

Outcome Measures

OutcomeResultp-value
PRIMARY
Change in Patient's Satisfaction, Change in Provider's Satisfaction (Mean/SD)
-0.033; 0.032; -0.018; 0.077; 0.0101; 0.095 >0.05
PRIMARY
Change in Patient's Satisfaction, Change in Provider's Satisfaction (Median/Range)
0; 0; 0; 0; 0; 0 >0.05
PRIMARY
Change in Patient Engagement
2.9; -1.4; -1.6 >0.05
PRIMARY
Change in Total Number of EMR Mouse Click Per Visit (Mean/SD)
-1.22 <0.05 sig
PRIMARY
Change in Total Number of EMR Mouse Click Per Visit (Median/Range)
-2 <0.05 sig
PRIMARY
Change in EMR Mouse Click Per Minute Per Visit (Mean/SD)
-0.089 <0.05 sig
PRIMARY
Change in EMR Mouse Click Per Minute Per Visit (Median/Range)
0.005

Summary

The VHA is a leader in electronic medical records (EMR) use for patient care. It is believed that EMR use by doctors will improve patient-centeredness of visits, and improve clinical care. The proposed study will determine how doctors should use the EMR during patient consultations. We will also develop a training program to improve doctors ability to communicate with patients while using EMR.

Eligibility Criteria

Inclusion Criteria

  • Adult (age>18) male and female patients from participating study providers' practices who have an established a doctor-patient relationship with their provider and require a minimum of 2 primary care clinic visits/year based on historical clinic data.

Exclusion Criteria

  • Patients with significant communication disability (severe speech and hearing impairment, severe dementia, or a mental health condition resulting in a non-communicative patient);
  • patients are considered mentally incompetent to provide informed written consent;
  • a life expectancy of less than 1 year.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00935584). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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