N/A
N=60,893
(CONCERN) Clinical Decision Support (CDS) System
Hospital Acquired Condition
Bottom Line
View on ClinicalTrials.gov: NCT03911687 ↗Enrolled (actual)
60,893
Serious AEs
0.0%
Results posted
May 2025
Primary outcome: Primary: In-hospital Mortalities — 181; 265 Participants
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- CONCERN CDS system notification (Behavioral)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Columbia University
- Primary completion
- Oct 2022
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY In-hospital Mortalities |
181; 265 | — |
| PRIMARY Average Length of Hospital Stay |
6.6; 7.2 | — |
| SECONDARY Number of Cardiac Arrests |
123; 128 | — |
| SECONDARY Number of Hospital Acquired Sepsis |
1,461; 1,578 | — |
| SECONDARY Number of Unanticipated Transfers to ICU |
505; 377 | — |
| SECONDARY Number of Hospital Readmissions |
2,544; 2,234 | — |
Summary
There are patients who die or have a bad outcome in the hospital and this could be prevented. Data in the nurses' notes could be used by computers to tell the rest of the care team that a patient is not doing well and that they should act more quickly. This project will build and evaluate a computer system that makes it easier for the care team to see and understand that data and act quickly to save patients. The aims of this study is to answer the questions, what is the level of provider use of the CONCERN CDS notification system (called CONCERN SMARTapp) and resulting impact on selected patient outcomes? Specifically, the study has 1) validated desired thresholds for the CONCERN CDS system and 2) integrated the CONCERN CDS system for early warning of risky patient states within CDS tools.
In this portion of the study (aim 3), the investigator will implement and evaluate the CONCERN CDS system on primary outcomes of in-hospital mortality and length of stay and secondary outcomes of cardiac arrest, unanticipated transfers to the intensive care unit, and 30-day hospital readmission rates.
Eligibility Criteria
Study inclusion criteria for patients:
- Inpatients with a stay of at least 24 hours on one of our study units
Study exclusion criteria for patients:
- Inpatients with less than 24 hours on one of our study units
- Patients less than 18 years of age
- Hospice patients
- Did not have a hospital encounter, patients not on one of our study units.
Definition of Study Units:
A clinical unit is considered a CONCERN Study unit if it meets the following criteria:
- A general medical or surgical acute care or critical care unit
The following clinical units are NOT considered CONCERN Study units:
- Pediatric or Neonatal units
- Hospice units
- Emergency Department
- Oncology units
- Obstetrician (OB)/labor and delivery units
- Behavioral/psych units
- Observational units
- Operating room
- Pre-op
- Post-op/Post Anesthesia Care Unit (PACU)
- Same day surgical units
- Plastics units
- Virtual departments in EHR database.
Data sourced from ClinicalTrials.gov (NCT03911687). 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.