Clinical trial · Interventional
Advancing Health Information Exchange (HIE) During Inter-hospital Transfer (IHT) to Improve Patient Outcomes
- 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)
Sub-optimal transfer of clinical information during inter-hospital transfer (IHT, the transfer of patients between acute care hospitals) is common and can lead to patient harm. To address this problem, the investigators will use key stakeholder input to refine and implement an interoperable health information exchange platform that integrates with the electronic health record and improves the reliability of and access to necessary clinical information in three use cases involving transfer of patients between sending and receiving hospitals with varying levels of affiliation and health record integration. The investigators will assess the effect of this intervention on frequency of medical errors, evaluate the use and usability of this platform from the perspective of those that interact with it, and use these results to develop a dissemination plan to spread implementation and use of this platform across other similar institutions.
Conditions
Conditions (16)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Arrythmia | — | UNRESOLVED | — |
| Asthma | — | UNRESOLVED | — |
| Cardiac Event | — | UNRESOLVED | — |
| COPD Exacerbation | — | UNRESOLVED | — |
| Critical Illness | — | UNRESOLVED | — |
| Gastrointestinal Diseases | — | UNRESOLVED | — |
| Heart Failure | — | UNRESOLVED | — |
| Hematologic Diseases | — | UNRESOLVED | — |
| Infections | — | UNRESOLVED | — |
| Neurologic Disorder | — |
Interventions
Interventions (1)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| Health Information Exchange (HIE) platform | Other | — | UNRESOLVED |
Design
Arms and outcomes
Arms (2)
- type
- NO_INTERVENTION
- label
- Baseline
- description
- The baseline arm will include all included patient transfers from the 3 participating transfer hospitals to the 1 accepting hospital during the 1-year pre-intervention phase. They will not receive any intervention, but rather usual care
- type
- EXPERIMENTAL
- label
- Intervention
- description
- The intervention arm will include all included patient transfers from the 3 participating transfer hospitals to the 1 accepting hospital during the 1-year intervention phase. They will receive the intervention, which will include utilization of the developed health information exchange platform to transfer clinical information between transferring and accepting hospital. The intervention will not interact directly with the patient, but rather their clinical data.
- interventionNames
- Other: Health Information Exchange (HIE) platform
Primary outcomes (1)
- measure
- Total clinician-reported medical errors
Eligibility
Eligibility (as posted)
- Sex
- All
- Minimum age
- 18 Years
Show eligibility criteria text
Inclusion Criteria: * Age greater than or equal to 18 years old * Transferred from one of the 3 included transferring hospitals (Brigham and Women's Faulkner Hospital, South Shore Hospital, Milford Regional Medical Center) * Admitted to the general medical, cardiology, oncology, and/or ICU services at Brigham and Women's Hospital Exclusion Criteria: * Age \< 18 years old * Transferred from a different acute care hospital than the 3 included hospitals * Admitted through the ER * Direct admission from home/clinic * Admitted to a service other than general medicine, cardiology, oncology or ICU at Brigham and Women's Hospital
References
Publications (0)
Data not yet available