This trial is active, not recruiting.

Conditions attention deficit disorder with hyperactivity, asthma, copd, breast cancer, coronary artery disease, congestive heart failure, diabetes, glaucoma, hemophilia, hypertension, hyperthyroidism, hypothyroidism, myasthenia gravis, osteoporosis, osteopenia, renal failure, renal insufficiency, sickle cell disease, stroke
Treatment maple
Sponsor Brigham and Women's Hospital
Start date May 2010
End date November 2010
Trial size 140 participants
Trial identifier NCT01105923, 2009P001846


The aim of this study is to identify patients with problem list gaps and intervene to correct these gaps by creating clinical decision support interventions that alert providers to likely problem list gaps and offer clinicians the opportunity to correct them. The investigators will randomize the clinics that will receive the intervention and formally evaluate the study after a period of 6 months for improved problem list completeness to determine the effectiveness of our intervention.

United States No locations recruiting
Other countries No locations recruiting

Study Design

Allocation randomized
Endpoint classification efficacy study
Intervention model parallel assignment
Masking open label
Primary purpose diagnostic
Providers in clinics that will receive the CDS alert, as their clinic was randomized into our study.
MAPLE is a CDS intervention within the EHR that will alert providers to problem lists gaps and present an opportunity to correct them.
(No Intervention)

Primary Outcomes

Intervention acceptance
time frame: 6 months (May 2010-Nov2010)

Secondary Outcomes

Problem list prevalence
time frame: pre and post intervention
Problem list incidence
time frame: pre and post intervention
Quality improvement based on problem list accuracy/completion
time frame: post intervention

Eligibility Criteria

Male or female participants at least 18 years old.

Inclusion Criteria: - Independent healthcare provider (physician, NP, PA) - Practices at participating site Exclusion Criteria: - None

Additional Information

Official title Making Accurate Problem Lists in the EHR
Principal investigator Adam Wright, PhD
Description The clinical problem list is a cornerstone of the problem-oriented medical record. Problem lists are used in a variety of ways throughout the process of clinical care. In addition to its use by clinicians, the problem list is also critical for decision support and quality measurement. Patients with gaps in their problem list face significant risks. For example, if a hypothetical patient has diabetes properly documented, his clinician would receive appropriate alerts and reminders to guide care. Additionally, the patient might be included in special care management programs and the quality of care provided to him would be measured and tracked. Without diabetes on his problem list, he might receive none of these benefits. In this study, the investigators developed an clinical decision support intervention that will identify patients with problem lists gaps. The investigators will alert providers of these likely gaps and offer providers the opportunity to correct them.
Trial information was received from ClinicalTrials.gov and was last updated in January 2015.
Information provided to ClinicalTrials.gov by Brigham and Women's Hospital.