Mobile-izing Medicine: The Effect of Accessible Clinical Practice Guidelines on the Quality of Hospital Care

Last registered on June 11, 2015

Pre-Trial

Trial Information

General Information

Title
Mobile-izing Medicine: The Effect of Accessible Clinical Practice Guidelines on the Quality of Hospital Care
RCT ID
AEARCTR-0000719
Initial registration date
June 11, 2015

Initial registration date is when the trial was registered.

It corresponds to when the registration was submitted to the Registry to be reviewed for publication.

First published
June 11, 2015, 10:18 PM EDT

First published corresponds to when the trial was first made public on the Registry after being reviewed.

Locations

Primary Investigator

Affiliation
UC Berkeley

Other Primary Investigator(s)

PI Affiliation
MIT
PI Affiliation
University of Pennsylvania
PI Affiliation
UC Berkeley

Additional Trial Information

Status
In development
Start date
2015-09-01
End date
2016-06-01
Secondary IDs
Abstract
Lack of adherence to clinical practice guidelines is an important source of preventable medical errors. Nevertheless, lack of adherence to such guidelines, and clinical error more generally, is widespread in health care delivery today. One potential barrier to adherence is the fact that these guidelines are typically inaccessible at the point of care, precisely when they are most needed. The expansion of IT systems (e.g. electronic health records) in health care settings, as well as the propagation of mobile devices, has created a plausible way to overcome this barrier. In this study we assess the impact of electronic access to practice guidelines to improve care, using the case of a mobile-based application called AgileMD. To do so, we assess adoption of the tool, use of the tool and, ultimately, clinical outcomes.
External Link(s)

Registration Citation

Citation
Brot-Goldberg, Zarek et al. 2015. "Mobile-izing Medicine: The Effect of Accessible Clinical Practice Guidelines on the Quality of Hospital Care." AEA RCT Registry. June 11. https://doi.org/10.1257/rct.719-1.0
Former Citation
Brot-Goldberg, Zarek et al. 2015. "Mobile-izing Medicine: The Effect of Accessible Clinical Practice Guidelines on the Quality of Hospital Care." AEA RCT Registry. June 11. https://www.socialscienceregistry.org/trials/719/history/4410
Sponsors & Partners

There is information in this trial unavailable to the public. Use the button below to request access.

Request Information
Experimental Details

Interventions

Intervention(s)
Intervention Start Date
2016-01-01
Intervention End Date
2016-01-31

Primary Outcomes

Primary Outcomes (end points)
Take-up of AgileMD software; Adherence to clinical practice guidelines; Measures of relevant health status

[More information to be added]
Primary Outcomes (explanation)

Secondary Outcomes

Secondary Outcomes (end points)
Secondary Outcomes (explanation)

Experimental Design

Experimental Design
Experimental design still in development, contingent on analysis of pre-experiment data.
Experimental Design Details
Randomization Method
Randomization done by computer (once experimental design decided)
Randomization Unit
Hospital staff who are potential users of information technology (hospitalists, physician's assistants, etc.)
Was the treatment clustered?
Yes

Experiment Characteristics

Sample size: planned number of clusters
127 staff members
Sample size: planned number of observations
11,303 patients or 101,727 staff encounters
Sample size (or number of clusters) by treatment arms
67 staff pushed nudge to use software
60 staff control

[numbers not final]
Minimum detectable effect size for main outcomes (accounting for sample design and clustering)
IRB

Institutional Review Boards (IRBs)

IRB Name
IRB Approval Date
IRB Approval Number

Post-Trial

Post Trial Information

Study Withdrawal

There is information in this trial unavailable to the public. Use the button below to request access.

Request Information

Intervention

Is the intervention completed?
No
Data Collection Complete
Data Publication

Data Publication

Is public data available?
No

Program Files

Program Files
Reports, Papers & Other Materials

Relevant Paper(s)

Reports & Other Materials