ParentLink: Better and Safer Emergency Care for Children

• Sponsor: Boston Children's Hospital (Other)
• Overall Status: Completed
• CT.gov ID: NCT00457600
• Collaborator: South Shore Hospital (Other)
• Enrollment: 3,000
• Locations: 2
• Duration (Months): 13
• Patients Per Site: 1500
• Patients Per Site Per Month: 115.6

Study Details

Study Description

Brief Summary

The emergency department (ED) constitutes a high-risk environment for errors and poor quality of care. Pediatric patients are at increased risk of medical errors. We postulate that implementation of a patient-centered health information technology - ParentLink - can address system-level deficiencies and the unique "just-in-time" information needs of ED physicians and the parents of ill children. The proposed work delivers an innovative product - an electronic interface linked to a pediatric knowledge base that integrates parent-derived data with best practices for safe and effective emergency care across common pediatric disease conditions: otitis media, urinary tract infections, asthma, and head trauma. The study has two aims, the first of which addresses critical gaps in data capture: to evaluate the completeness and accuracy of information on symptoms, disease condition, medications and allergies generated by parents using ParentLink versus information documented by ED physicians and nurses, using structured telephone interviews as a gold standard. The second aim measures the ParentLink's impact on ED patient safety and quality, specifically: a) the error rate for ordering and prescribing of medications during ED care, and b) the percent of ED visits that adhere to national evidence-based guidelines. Parentlink will be rigorously evaluated in a clinical trial at two diverse ED sites and will use a sequential, non-randomized observational design with two intervention and two control periods to measure the effects of ParentLink on data capture and safety and quality of patient care.

Condition or Disease	Intervention/Treatment	Phase
Otitis Media; Urinary Tract Infection; Asthma; Head Injury	Procedure: patient-driven health IT product

Study Design

• Study Type: Observational
• Observational Model: Defined Population
• Time Perspective: Prospective
• Official Title: ParentLink: Better and Safer Emergency Care for Children
• Study Start Date: Jun 1, 2005
• Study Completion Date: Jul 1, 2006

Outcome Measures

Primary Outcome Measures

Eligibility Criteria

Criteria

• Ages Eligible for Study: N/A to 12 Years
• Sexes Eligible for Study: All
• Accepts Healthy Volunteers: No

Inclusion Criteria:

• Age less than 12 years with head trauma

• Age less than 12 years with ear pain

• Ages less than 12 years with concern for UTI

• 1 year - 12 years with asthma history and respiratory chief complaint

• 3 months - 2 years with fever

• Parent speaks English or Spanish

• Triage status is non-emergent

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	Children's Hospital Boston	Boston	Massachusetts	United States	02115
2	South Shore Hospital	Weymouth	Massachusetts	United States	02190

Sponsors and Collaborators

• Boston Children's Hospital
• South Shore Hospital

Investigators

• Principal Investigator: Stephen C Porter, MD, Boston Children's Hospital

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.

• ClinicalTrials.gov Identifier: NCT00457600
• Other Study ID Numbers: CHB-R01HS014947
• First Posted: Apr 6, 2007
• Last Update Posted: Apr 6, 2007
• Last Verified: Jan 1, 2007

• Keywords provided by , ,: information technology; emergency department; medication error; quality of care; patient-centered care
• Additional relevant MeSH terms: Urinary Tract Infections; Otitis Media; Craniocerebral Trauma; Emergencies

Study Results

No Results Posted as of Apr 6, 2007