Clinical trial · Interventional
Study of an Intervention to Improve Problem List Accuracy and Use
Making Accurate Problem Lists in the EHR
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Summary
Brief summary (as posted)
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.
Conditions
Conditions (19)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Asthma | — | UNRESOLVED | — |
| Attention Deficit Disorder With Hyperactivity | — | UNRESOLVED | — |
| Breast Cancer | Malignant Breast Neoplasm | CURATED_EXACT | 0.92 |
| Congestive Heart Failure | — | UNRESOLVED | — |
| COPD | — | UNRESOLVED | — |
| Coronary Artery Disease | — | UNRESOLVED | — |
| Diabetes | — | UNRESOLVED | — |
| Glaucoma | — | UNRESOLVED | — |
| Hemophilia | — | UNRESOLVED | — |
| Hypertension | — | UNRESOLVED | — |
| Hyperthyroidism | — | UNRESOLVED | — |
Interventions
Interventions (1)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| MAPLE | Other | — | UNRESOLVED |
Design
Arms and outcomes
Arms (2)
- type
- EXPERIMENTAL
- label
- Receive CDS intervention
- description
- Providers in clinics that will receive the CDS alert, as their clinic was randomized into our study.
- interventionNames
- Other: MAPLE
- type
- NO_INTERVENTION
- label
- No CDS intervention
Primary outcomes (1)
- measure
- Intervention acceptance
- timeFrame
- 6 months (May 2010-Nov2010)
- description
- Of those providers who were shown (or who would have been shown, for the control group) the intervention, the number that added a problem across control and intervention groups.
Secondary outcomes (3)
Eligibility
Eligibility (as posted)
- Sex
- All
- Minimum age
- 18 Years
Show eligibility criteria text
Inclusion Criteria: * Independent healthcare provider (physician, NP, PA) * Practices at participating site Exclusion Criteria: * None
References
Publications (1)
- DERIVEDWright A, Pang J, Feblowitz JC, Maloney FL, Wilcox AR, McLoughlin KS, Ramelson H, Schneider L, Bates DW. Improving completeness of electronic problem lists through clinical decision support: a randomized, controlled trial. J Am Med Inform Assoc. 2012 Jul-Aug;19(4):555-61. doi: 10.1136/amiajnl-2011-000521. Epub 2012 Jan 3. PMID 22215056