Testing Pediatric Rheumatology Diagnostic Decision Support in Clinical Use
| Status: | Not yet recruiting |
|---|---|
| Healthy: | No |
| Age Range: | 25 - Any |
| Updated: | 5/30/2018 |
| Start Date: | September 1, 2018 |
| End Date: | December 31, 2019 |
| Contact: | Lauren Robertson |
| Email: | lauren.robertson@childrens.harvard.edu |
| Phone: | (617)-919-6160 |
Boston Children's Hospital
Boston Children's Hospital resources include SimulConsult which is a decision support tool
available for use of BCH provider through the library portal. It is offered along other
resources on that webpage (UpToDate, Micromedex, and VisualDx). See addendum 1.
Recently, a pediatric rheumatology arm was added to the expertise of SimulConsult, guided by
our co-PI, Dr. Robert Sundel. As this tool is being offered and used, the investigators would
like to assess metric of performance of this tool in enhancing participant trainees knowledge
about the work up of patients with a potential rheumatologic disorder. See also
www.ncbi.nlm.gov/pubmed/27964737 The investigators are conducting a clinical research to
assess improvement in the clinical performance of study participants evaluating patients with
a potential rheumatologic disorder. The intervention involved in using a computerized
decision support tool already available in the Boston Children's Hospital domain. The outcome
will be comparing this performance to that of an attending physician as the gold standard. We
will assess the study participants performance across two locations: Emergency Department and
Rheumatology clinic. Care to patients remains unchanged, as the workup plan and care is
provided by an attending across both domains.
The investigators main hypothesis is that using a decision support tool will result in a
higher agreement rate between study participants' differential diagnosis and work up plan
compared with the gold standard (attending differential diagnosis and research plan).
available for use of BCH provider through the library portal. It is offered along other
resources on that webpage (UpToDate, Micromedex, and VisualDx). See addendum 1.
Recently, a pediatric rheumatology arm was added to the expertise of SimulConsult, guided by
our co-PI, Dr. Robert Sundel. As this tool is being offered and used, the investigators would
like to assess metric of performance of this tool in enhancing participant trainees knowledge
about the work up of patients with a potential rheumatologic disorder. See also
www.ncbi.nlm.gov/pubmed/27964737 The investigators are conducting a clinical research to
assess improvement in the clinical performance of study participants evaluating patients with
a potential rheumatologic disorder. The intervention involved in using a computerized
decision support tool already available in the Boston Children's Hospital domain. The outcome
will be comparing this performance to that of an attending physician as the gold standard. We
will assess the study participants performance across two locations: Emergency Department and
Rheumatology clinic. Care to patients remains unchanged, as the workup plan and care is
provided by an attending across both domains.
The investigators main hypothesis is that using a decision support tool will result in a
higher agreement rate between study participants' differential diagnosis and work up plan
compared with the gold standard (attending differential diagnosis and research plan).
Boston Children's Hospital resources include SimulConsult which is a decision support tool
available for use of BCH provider through the library portal. It is offered along other
resources on that webpage (UpToDate, Micromedex, and VisualDx). See addendum 1.
Recently, a pediatric rheumatology arm was added to the expertise of SimulConsult, guided by
our co-PI, Dr. Robert Sundel. As this tool is being offered and used, the investigators would
like to assess metric of performance of this tool in enhancing study participants (trainees)
knowledge about the work up of patients with a potential rheumatologic disorder. See also
www.ncbi.nlm.gov/pubmed/27964737 The investigators are conducting a clinical research to
assess improvement in the clinical performance of trainees evaluating patients with a
potential rheumatologic disorder. The intervention involved in using a computerized decision
support tool already available in the Boston Children's Hospital domain. The outcome will be
comparing this performance to that of an attending physician as the gold standard. The
investigators will assess the study participants performance across two locations: Emergency
Department and Rheumatology clinic. Care to patients remains unchanged, as the workup plan
and care is provided by an attending across both domains.
Our main hypothesis is that using a decision support tool will result in a higher agreement
rate between study participants' differential diagnosis and work up plan compared with the
gold standard (attending differential diagnosis and research plan).
available for use of BCH provider through the library portal. It is offered along other
resources on that webpage (UpToDate, Micromedex, and VisualDx). See addendum 1.
Recently, a pediatric rheumatology arm was added to the expertise of SimulConsult, guided by
our co-PI, Dr. Robert Sundel. As this tool is being offered and used, the investigators would
like to assess metric of performance of this tool in enhancing study participants (trainees)
knowledge about the work up of patients with a potential rheumatologic disorder. See also
www.ncbi.nlm.gov/pubmed/27964737 The investigators are conducting a clinical research to
assess improvement in the clinical performance of trainees evaluating patients with a
potential rheumatologic disorder. The intervention involved in using a computerized decision
support tool already available in the Boston Children's Hospital domain. The outcome will be
comparing this performance to that of an attending physician as the gold standard. The
investigators will assess the study participants performance across two locations: Emergency
Department and Rheumatology clinic. Care to patients remains unchanged, as the workup plan
and care is provided by an attending across both domains.
Our main hypothesis is that using a decision support tool will result in a higher agreement
rate between study participants' differential diagnosis and work up plan compared with the
gold standard (attending differential diagnosis and research plan).
Inclusion Criteria:
A trainee at Boston Children's residency program (pediatrics, emergency medicine, pediatric
emergency medicine, pediatric rheumatology)
Exclusion Criteria:
Opting out of the study (optional at any stage)
We found this trial at
1
site
300 Longwood Ave
Boston, Massachusetts 02115
Boston, Massachusetts 02115
(617) 355-6000
Phone: 617-919-1526
Boston Children's Hospital Boston Children's Hospital is a 395-bed comprehensive center for pediatric health care....
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