Targeted EHR-based Communication of Diagnostic Uncertainty in the ED

Description

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.

Conditions

Diagnostic Uncertainty

Study Overview

Study Details

Study overview

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.

Targeted EHR-based Communication of Diagnostic Uncertainty (TECU) in the ED: An Effectiveness Implementation Trial

Targeted EHR-based Communication of Diagnostic Uncertainty in the ED

Condition
Diagnostic Uncertainty
Intervention / Treatment

-

Contacts and Locations

Philadelphia

Thomas Jefferson University, Philadelphia, Pennsylvania, United States, 19107

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • * age 18 years or older
  • * English language speaking
  • * assigned a symptom-based diagnosis in the EHR clinical impression
  • * planned for discharge from the ED during the enrollment visit
  • * able to complete follow up assessments in 2 and 30 days
  • * TECU best practice advisory (BPA) electronic health record alert activates during their discharge process
  • * under the age of 18 years
  • * non-English speaking
  • * clinically unstable, psychologically impaired or intoxicated, or otherwise unable to provide informed consent as judged by research staff member
  • * admitted to hospital
  • * unable to complete follow up in 2 and 30 days
  • * previously enrolled in this study (during a prior ED visit)

Ages Eligible for Study

18 Years to

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

No

Collaborators and Investigators

Thomas Jefferson University,

Kristin L Rising, MD, MS, PRINCIPAL_INVESTIGATOR, Thomas Jefferson University

Study Record Dates

2027-07-01