Ignite Creation Date:
2024-10-26 @ 3:42 PM
Last Modification Date:
2024-10-26 @ 3:42 PM
Study NCT ID:
NCT06641063
Status:
RECRUITING
Last Update Posted:
None
First Post:
2024-10-11
Brief Title:
Impact of a Standardized Obstetrics Note Template
Sponsor:
None
Organization:
None
Study Overview
Official Title:
Examining the Impact of a Standardized Obstetrics Note Template on Provider Satisfaction Efficiency and Perceived Comprehensiveness
Status:
RECRUITING
Status Verified Date:
2024-10
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
No
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The purpose of this study is to evaluate the effectiveness of a new standardized obstetrics note template on the quality efficiency and provider-perceived comprehensiveness of clinical documentation in a healthcare setting The investigators aim to determine whether implementing standardized templates improves the completeness clarity and accuracy of clinical notes while reducing the time required for healthcare providers to review and document patient encounters
Detailed Description:
Clinical documentation is a critical component of patient care influencing communication among healthcare providers continuity of care and overall patient outcomes Variability in note writing can lead to incomplete or unclear documentation which may compromise patient safety Standardized note writing templates have the potential to enhance the quality and efficiency of clinical documentation as well as improve overall provider satisfaction Research has shown that structured documentation can improve provider efficiency and decrease documentation time However little is studied about the implementation of standardized prenatal care visit notes and provider perception of the comprehensiveness of prenatal care and provider satisfaction
The investigators study aims to evaluate pre- and post-intervention comparison of questionnaire responses to evaluate changes in the perceived quality and efficiency of clinical documentation Questionnaires are good for gathering data about abstract ideas or concepts that are otherwise difficult to quantify such as opinions attitudes and beliefs A baseline survey on the current feelings in regards to documentation practices will be collected followed by the implementation of standardized note writing templates Post-intervention surveys of the residents will then be gathered to assess the impact of the templates To ensure an accurate assessment of stakeholders a response rate of at least 60 at least 7 is recommended
This is a pilot longitudinal 4-timepoint panel design monthly survey of Post Graduate Year PGY1-4 Obstetrics and Gynecology OBGYN residents The goal of this project is to provide a quality improvement evaluation of the benefits of a new standardized note template for prenatal care visits Online surveys will be delivered via the Qualtrics survey platform to all residents in the Flushing Hospital Medical Center FHMC OBGYN residency program over the course of a 3 month quality improvement initiative Data will be collected at baseline immediately prior to the implementation of the note template 1-month 2-months and 3-months
Primary Outcomes
Reduce provider effort in reviewing and documenting prenatal records
Improve standardization of the documentation and review of prenatal records
Decrease the time to review patient charts for patient encounters
Secondary Outcomes
Increase confidence in the comprehensiveness of prenatal records
Increase confidence in the accuracy of prenatal records
Increase provider satisfaction with the process of reviewing and documenting prenatal records
Procedures
1 Baseline Data Collection
o The baseline survey will be administered to all residents prior to implementation of the standardized note template
2 Intervention
A training session for all healthcare providers on how to use the standardized templates will be provided during noon conference following baseline survey administration and prior to day one of implementation
The template will be implemented for a predefined period of 3 months during which the template will be used by all residents for all prenatal encounters
3 Intervention Evaluation Data Collection
o Monthly survey administration will occur during noon-conference during the implementation period at 1-month 2-months and 3-months post implementation The survey will be delivered online via Qualtrics and made accessible to residents during noon-conference via Quick Response QR codes and survey links
4 Data Management and Analysis
After data collection all survey responses will be immediately de-identified and assigned a unique subject identifier Subjects will be identified only based on this number and not based on any other personal information or demographic characteristic
To test our primary hypotheses the investigators will conduct a series of unadjusted and adjusted ie controlling for training year repeated measures Analysis of Variances ANOVAs to evaluate change over time in provider effort time confidence and satisfaction
All analyses will be conducted using Statistical Analysis System SAS 94 and an alpha level of 05 will denote statistical significance
Potential Risks and Benefits
Risks There are minimal risks associated with this study Participants may experience a learning curve while adapting to the new templates which could temporarily affect their documentation time
Benefits The study may demonstrate improvements in clinical documentation quality and efficiency ultimately enhancing patient care and provider satisfaction
Confidentiality All data collected will be de-identified to protect participant confidentiality Data will be stored securely and only accessible to the research team
Informed Consent Informed consent will be obtained from all participants prior to their inclusion in the study Participants will be informed about the studys purpose procedures risks and benefits
The investigators study aims to evaluate pre- and post-intervention comparison of questionnaire responses to evaluate changes in the perceived quality and efficiency of clinical documentation Questionnaires are good for gathering data about abstract ideas or concepts that are otherwise difficult to quantify such as opinions attitudes and beliefs A baseline survey on the current feelings in regards to documentation practices will be collected followed by the implementation of standardized note writing templates Post-intervention surveys of the residents will then be gathered to assess the impact of the templates To ensure an accurate assessment of stakeholders a response rate of at least 60 at least 7 is recommended
This is a pilot longitudinal 4-timepoint panel design monthly survey of Post Graduate Year PGY1-4 Obstetrics and Gynecology OBGYN residents The goal of this project is to provide a quality improvement evaluation of the benefits of a new standardized note template for prenatal care visits Online surveys will be delivered via the Qualtrics survey platform to all residents in the Flushing Hospital Medical Center FHMC OBGYN residency program over the course of a 3 month quality improvement initiative Data will be collected at baseline immediately prior to the implementation of the note template 1-month 2-months and 3-months
Primary Outcomes
Reduce provider effort in reviewing and documenting prenatal records
Improve standardization of the documentation and review of prenatal records
Decrease the time to review patient charts for patient encounters
Secondary Outcomes
Increase confidence in the comprehensiveness of prenatal records
Increase confidence in the accuracy of prenatal records
Increase provider satisfaction with the process of reviewing and documenting prenatal records
Procedures
1 Baseline Data Collection
o The baseline survey will be administered to all residents prior to implementation of the standardized note template
2 Intervention
A training session for all healthcare providers on how to use the standardized templates will be provided during noon conference following baseline survey administration and prior to day one of implementation
The template will be implemented for a predefined period of 3 months during which the template will be used by all residents for all prenatal encounters
3 Intervention Evaluation Data Collection
o Monthly survey administration will occur during noon-conference during the implementation period at 1-month 2-months and 3-months post implementation The survey will be delivered online via Qualtrics and made accessible to residents during noon-conference via Quick Response QR codes and survey links
4 Data Management and Analysis
After data collection all survey responses will be immediately de-identified and assigned a unique subject identifier Subjects will be identified only based on this number and not based on any other personal information or demographic characteristic
To test our primary hypotheses the investigators will conduct a series of unadjusted and adjusted ie controlling for training year repeated measures Analysis of Variances ANOVAs to evaluate change over time in provider effort time confidence and satisfaction
All analyses will be conducted using Statistical Analysis System SAS 94 and an alpha level of 05 will denote statistical significance
Potential Risks and Benefits
Risks There are minimal risks associated with this study Participants may experience a learning curve while adapting to the new templates which could temporarily affect their documentation time
Benefits The study may demonstrate improvements in clinical documentation quality and efficiency ultimately enhancing patient care and provider satisfaction
Confidentiality All data collected will be de-identified to protect participant confidentiality Data will be stored securely and only accessible to the research team
Informed Consent Informed consent will be obtained from all participants prior to their inclusion in the study Participants will be informed about the studys purpose procedures risks and benefits
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None