Framing for Electronic Health Records
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial aims to determine how different messages influence individuals to check their electronic health records (EHRs) and report any mistakes. It tests whether messages emphasizing positive or negative outcomes increase the likelihood of record review. Participants will receive various types of messages or none at all, then check their EHRs for errors. This trial suits individuals who have accessed their patient portal and reviewed their EHRs in the past year. As an unphased trial, it offers a unique opportunity to contribute to enhancing patient communication and healthcare accuracy.
Do I need to stop my current medications for this trial?
The trial does not specify whether you need to stop taking your current medications, but it seems unlikely since the study focuses on reviewing electronic health records.
What prior data suggests that this method of framing messages is safe for patients?
Previous studies have shown that electronic health records (EHRs) make healthcare safer by reducing errors like medication mistakes and infections. Research also indicates that EHRs improve communication among healthcare providers, leading to fewer medical errors and a safer system for patients.
This trial examines how different messages might influence how people review their EHRs. The focus is on communication, not a drug or medical procedure. The trial is labeled "Not Applicable" in terms of phases, indicating fewer safety concerns compared to medical trials. Participants will safely review their health records and answer surveys.12345Why are researchers excited about this trial?
Researchers are excited about this trial because it explores how different ways of framing messages can encourage patients to review their Electronic Health Records (EHRs) for potential errors. Unlike traditional approaches that may not emphasize patient engagement, this trial uses psychological framing techniques to motivate action. By testing various message styles—like focusing on personal health risks or the well-being of loved ones—researchers aim to identify which approach most effectively prompts patients to identify and report errors in their EHRs. This could lead to better health outcomes by increasing patient involvement and reducing preventable mistakes in medical records.
What evidence suggests that this trial's treatments could be effective for improving patient engagement with electronic health records?
This trial will compare different ways of framing messages to encourage participants to review their electronic health records (EHRs). Studies have shown that the presentation of information can greatly influence people's actions. In this trial, some participants will receive messages emphasizing the risks of not checking their EHRs, such as potential errors leading to severe health consequences. Other participants will receive messages highlighting the benefits of reviewing EHRs, such as acting as their own best advocate and improving health outcomes. Both methods aim to encourage people to spot and report any errors, ultimately enhancing overall health.678910
Who Is on the Research Team?
Ryan Raimi, PhD
Principal Investigator
The University of Texas at Dallas
Are You a Good Fit for This Trial?
This trial is for individuals who use electronic health records (EHRs). Participants should be willing to review their EHRs and answer surveys about their experience. There are no specific inclusion or exclusion criteria provided, suggesting the study may be open to a broad range of EHR users.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Initial Survey
Participants complete a short survey about trust, distrust, and privacy concerns
EHR Review
Participants log into their patient portal and review their EHRs
Final Survey
Participants complete a survey about their healthcare provider, patient portals, EHR errors, and demographic information
Follow-up
Participants are monitored for their engagement in EHR error discovery and reporting
What Are the Treatments Tested in This Trial?
Interventions
- Framing
Trial Overview
The study tests how different ways of presenting messages about errors in EHRs affect patient engagement. It looks at whether emphasizing positive or negative outcomes influences patients' willingness to review and report errors in their own EHRs.
How Is the Trial Designed?
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Treatment groups
Active Control
The participants in this arm will receive the following message using the term "errors", encouraging them to review their EHRs and report any potential errors: "If you review your medical record, there is a 20% risk of having an error in your EHR. Taking no action could lead to severe health-related consequences and occasionally be deadly. Act now and save yourself from experiencing the preventable negative consequences of having a potential error in your EHR."
The participants in this arm will receive the following message using the term "errors", encouraging them to review their EHRs and report any potential errors: "If you review your medical record, there is a 20% risk of having an error in your EHR. This is a great opportunity to act as your own best advocate, check your EHRs to identify any potential errors, and improve your health outcomes."
The participants in this arm will receive the following message using the term "errors", encouraging them to review their EHRs and report any potential errors: "If you review your medical record, there is a 20% risk of having an error in your EHR. Such errors can also affect those close to us not just ourselves. This is a great opportunity to act in the interest of your loved ones by improving your health outcomes via checking your EHRs to identify any potential errors. Your loved ones will thank you for prioritizing your safety."
The participants in this arm will not receive any message, encouraging them to review their EHRs and report any potential errors.
The participants in this arm will receive the following message using the term "errors", encouraging them to review their EHRs and report any potential errors: "If you review your medical record, there is a 20% risk of having an error in your EHR. Such errors can also affect those close to us not just ourselves. Taking no action could lead to severe health-related consequences and occasionally be deadly. Act now and save your loved ones from experiencing the preventable negative consequences of having a potential error in your EHR. Your loved ones will thank you for prioritizing your safety."
The participants in this arm will receive the following message using the term "unintended mistakes", encouraging them to review their EHRs and report any potential errors: "If you review your medical record, there is a 20% risk of having an unintended mistake in your EHR. This is a great opportunity to act as your own best advocate, check your EHRs to identify any potential unintended mistakes, and improve your health outcomes."
The participants in this arm will receive the following message using the term "unintended mistakes", encouraging them to review their EHRs and report any potential errors: "If you review your medical record, there is a 20% risk of having an unintended mistake in your EHR. Taking no action could lead to severe health-related consequences and occasionally be deadly. Act now and save yourself from experiencing the preventable negative consequences of having a potential unintended mistake in your EHR."
The participants in this arm will receive the following message using the term "unintended mistakes", encouraging them to review their EHRs and report any potential errors: "If you review your medical record, there is a 20% risk of having an unintended mistake in your EHR. Such unintended mistakes can also affect those close to us not just ourselves. This is a great opportunity to act in the interest of your loved ones by improving your health outcomes via checking your EHRs to identify any potential unintended mistakes. Your loved ones will thank you for prioritizing your safety."
The participants in this arm will receive the following message using the term "unintended mistakes", encouraging them to review their EHRs and report any potential errors: "If you review your medical record, there is a 20% risk of having an unintended mistake in your EHR. Such unintended mistakes can also affect those close to us not just ourselves. Taking no action could lead to severe health-related consequences and occasionally be deadly. Act now and save your loved ones from experiencing the preventable negative consequences of having a potential unintended mistake in your EHR. Your loved ones will thank you for prioritizing your safety."
The participants in this arm will receive the following message using the term "inaccuracies", encouraging them to review their EHRs and report any potential errors: "If you review your medical record, there is a 20% risk of having an e inaccuracy in your EHR. Taking no action could lead to severe health-related consequences and occasionally be deadly. Act now and save yourself from experiencing the preventable negative consequences of having a potential inaccuracy in your EHR."
The participants in this arm will receive the following message using the term "inaccuracies", encouraging them to review their EHRs and report any potential errors: "If you review your medical record, there is a 20% risk of having an inaccuracy in your EHR. This is a great opportunity to act as your own best advocate, check your EHRs to identify any potential inaccuracies, and improve your health outcomes."
The participants in this arm will receive the following message using the term "inaccuracies", encouraging them to review their EHRs and report any potential errors: "If you review your medical record, there is a 20% risk of having an inaccuracy in your EHR. Such inaccuracies can also affect those close to us not just ourselves. This is a great opportunity to act in the interest of your loved ones by improving your health outcomes via checking your EHRs to identify any potential inaccuracies. Your loved ones will thank you for prioritizing your safety."
The participants in this arm will receive the following message using the term "inaccuracies", encouraging them to review their EHRs and report any potential errors: "If you review your medical record, there is a 20% risk of having an inaccuracy in your EHR. Such inaccuracies can also affect those close to us not just ourselves. Taking no action could lead to severe health-related consequences and occasionally be deadly. Act now and save your loved ones from experiencing the preventable negative consequences of having a potential inaccuracy in your EHR. Your loved ones will thank you for prioritizing your safety."
Find a Clinic Near You
Who Is Running the Clinical Trial?
The University of Texas at Dallas
Lead Sponsor
Virginia Polytechnic Institute and State University
Collaborator
University of Pennsylvania
Collaborator
Citations
A Qualitative Analysis of the Impact of Electronic Health ...
This study aims to explore the lived experiences of clinicians, to assess the role of EHR in improving the quality and safety of healthcare.
Study Details | NCT07206550 | The Role of Framing and ...
The first goal of our research is to understand the effects of different wordings of certain messages on patients' engagement in reviewing their electronic ...
Use of electronic medical records in the digital healthcare ...
The frequency of EMR use is higher and attitudes towards EMR are more favorable among physicians than among nurses. EMR use is effective in the communication ...
Enhancing Uploads of Health Data in the Electronic ...
Results The results show that a PFS has a positive effect on uploading (OR 4.276, P=.015). Although there was no effect regarding the length of ...
Digital Health Records: Improving Efficiency and Patient Care
This access to complete patient histories helps reduce the likelihood of medical errors, such as prescribing incorrect medications or dosages.
The Impact of Patient Access to Electronic Health Records on ...
The primary goal of EHRs is to improve the efficiency, quality, and safety of patient care regimen by facilitating accurate and timely access to ...
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bmcmedinformdecismak.biomedcentral.com
bmcmedinformdecismak.biomedcentral.com/articles/10.1186/s12911-016-0299-yThe impact of electronic records on patient safety: a qualitative ...
The study adds to an emerging but limited evidence base that has reported potential negative impacts of electronic systems upon patient safety.
Impact of Implementing Electronic Nursing Records on ...
Studies have confirmed that EHRs improve patient safety by reducing medication errors, falls, and infections. They have also enhanced data ...
Association of Electronic Health Record Use Above ...
Association of Electronic Health Record Use Above Meaningful Use Thresholds With Hospital Quality and Safety Outcomes.
The Impact of Electronic Health Records on Patient Safety ...
Better care coordination and fewer medical mistakes are two additional benefits of EHRs that aid communication among healthcare practitioners.
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