Medical Note Access for Hospitalized Children

Recruiting at 2 trial locations

Overseen By Kristina Singh-Verdeflor

Age: 18+

Sex: Any

Trial Phase: Academic

Sponsor: University of Wisconsin, Madison

Disqualifiers: Children 12+, Abuse/neglect, others

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: Unknown

630 Participants Needed

Trial Summary

Will I have to stop taking my current medications?

The trial information does not specify whether participants need to stop taking their current medications.

What data supports the effectiveness of the treatment Access to medical notes for hospitalized children?

Research shows that when hospitalized patients, including children, have access to their medical notes, they feel more informed about their condition, experience less anxiety, and engage more in their care. This suggests that sharing medical notes can be beneficial for patients and their families. ^{1 2 3 4 5}

How is the treatment of accessing medical notes for hospitalized children different from other treatments?

This treatment is unique because it involves giving parents and caregivers real-time access to their child's medical notes during hospitalization, which is not a standard practice in pediatric care. This approach aims to improve communication and engagement between healthcare providers and families, unlike traditional treatments that focus solely on medical interventions. ^{1 2 5 6 7}

What is the purpose of this trial?

This study will test if giving parents access to their child's medical notes on a bedside tablet: * helps them get more involved in their care * helps identify safety concerns Parents of hospitalized children will be randomly assigned to either use the Bedside Notes tool or follow usual care. To see if this approach improves care and safety, researchers will measure: * note access * parent-reported safety concerns * overall experiences

Research Team

Michelle Kelly, MD, PhD

Principal Investigator

University of Wisconsin, Madison

Eligibility Criteria

This trial is for parents of children who are currently hospitalized. It aims to see if giving these parents access to their child's medical notes can increase involvement in care and help spot safety issues.

Exclusion Criteria

Parents of children admitted for suspected abuse or neglect

Anticipated discharge within 24 hours

Parents unable to give written informed consent

Timeline

Screening

Participants are screened for eligibility to participate in the trial

1-2 weeks

Intervention

Parents are provided with a tablet to access their child's medical notes during hospitalization

2 to 7 days

Continuous access during hospitalization

Follow-up

Participants are monitored for safety and effectiveness after the intervention

1-2 weeks

Treatment Details

Interventions

• Access to medical notes

Trial Overview The study compares the outcomes of two groups: one with access to a Bedside Notes tool on a tablet, which displays the child's medical notes, and another group that receives usual care without this tool.

Participant Groups

Group I: Access to notes on a tablet Experimental Treatment 1 Intervention

Participants will be provided a tablet and will be able to access their child's medical notes while in the hospital.

Group II: Care as usual Active Control 1 Intervention

Participants will not have access to a table to view their child's medical notes while in the hospital.

Who Is Running the Clinical Trial?

University of Wisconsin, Madison

Lead Sponsor

Trials

1,249

Recruited

3,255,000+

Agency for Healthcare Research and Quality (AHRQ)

Collaborator

Trials

415

Recruited

6,777,000+

Pediatric Research in Inpatient Settings (PRIS) Network

Collaborator

Trials

2

Recruited

33,000+

References

1. United States pubmed.ncbi.nlm.nih.gov

Parent Perspectives on Sharing Pediatric Hospitalization Clinical Notes. [2023]

2. United States pubmed.ncbi.nlm.nih.gov

Parent Perspectives on Pediatric Inpatient OpenNotes. [2021]

3. United States pubmed.ncbi.nlm.nih.gov

Sharing Clinical Notes with Hospitalized Patients via an Acute Care Portal. [2019]

4. United States pubmed.ncbi.nlm.nih.gov

An Educational Intervention to Improve Inpatient Documentation of High-risk Diagnoses by Pediatric Residents. [2020]

5. England pubmed.ncbi.nlm.nih.gov

Preserving privacy for pediatric patients and families: use of confidential note types in pediatric ambulatory care. [2021]

6. United States pubmed.ncbi.nlm.nih.gov

Use of a Pediatric Admission Booklet Significantly Improves the Comprehensiveness of Admission Documentation: A Quality Improvement Project. [2022]

7. Germany pubmed.ncbi.nlm.nih.gov

The Value of OpenNotes for Pediatric Patients, Their Families and Impact on the Patient-Physician Relationship. [2022]