Condition: Medical Errors · Electronic Medical Records · Sponsor: Columbia University
Newborns in the neonatal intensive care unit (NICU) are at high risk for wrong-patient errors. Effective 2019, The Joint Commission requires that health systems adopt distinct methods of newborn identification as part of its National Patient Safety Goals. Displaying patient photographs in the electronic health record (EHR) is a promising strategy to improve identification of children and adults, but is unlikely to be effective for identifying newborns. This study assesses the use of Pictographs as a "photo equivalent" for improving identification of newborns in the NICU. This multi-site, two-arm, parallel group, cluster randomized controlled trial will test the effectiveness of Pictographs for preventing wrong-patient order errors in the NICU. Pictographs consist of three elements: 1) pictorial symbols of easy-to-remember objects (e.g., rainbow, lion); 2) the infant's given name (when available); and 3) a color-coded border indicating the infant's sex. The study will be conducted at three academic medical centers that utilize Epic EHR. All parents or guardians will be asked to select a unique Pictograph for each infant admitted to the NICU to be displayed on the isolette and in the EHR for the duration of the infant's hospital stay. All clinicians with the authority to place electronic orders in the study NICUs will be randomly assigned to either the intervention arm (Pictographs displayed in the EHR) or the control arm (no Pictographs displayed in the EHR). The main hypothe…
This description comes directly from the study's public registry record.
Jason Adelman, MD, MS · 646-317-4803 · jsa2163@cumc.columbia.edu
Tony Lin, MD · (917) 628-6522 · akl17@cumc.columbia.edu
Always discuss trial participation with your own doctor first.
| Johns Hopkins Medicine | Baltimore, Maryland, United States | Not Yet Recruiting |
| Brigham and Women's Hospital | Boston, Massachusetts, United States | Completed |
| New York-Presbyterian Hospital | New York, New York, United States | Recruiting |
| Montefiore Medical Center | The Bronx, New York, United States | Active Not Recruiting |
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Source record: clinicaltrials.gov/study/NCT03960099