School of Medicine, University of Michigan, Ann Arbor, Michigan 48109, USA.
Emerg Med J. 2010 Oct;27(10):786-7. doi: 10.1136/emj.2009.081299. Epub 2010 Jun 1.
Experience with a novel method of notifying investigators about research subjects in a university-based emergency department (ED) is reported.
An automated paging system was linked to the electronic medical record to identify inclusion criteria and notify investigators at the time of ED triage. The rate of study enrolment 2 months before and after implementation of the automated system was compared and the time from triage completion to investigator notification was assessed.
During the first 2-month period, 1/17 eligible patients were identified by staff. During the second 2-month period, 1/7 eligible patients were identified by staff while the automated paging system recognised 7/7 eligible patients, an absolute increase of 94.5%. The median time from completion of triage to automated notification of investigators was 0 min.
Automated paging using the electronic medical record has the potential to improve enrolment in clinical research studies by improving the speed and sensitivity of identifying eligible subjects.
本文报告了一种在大学急诊部（ED）中通知研究对象的新方法的经验。
将自动传呼系统与电子病历连接起来，以确定纳入标准，并在 ED 分诊时通知研究人员。比较了在自动系统实施前后 2 个月的研究纳入率，并评估了从分诊完成到通知研究人员的时间。
在第一个 2 个月期间，工作人员发现了 1/17 名符合条件的患者。在第二个 2 个月期间，工作人员发现了 1/7 名符合条件的患者，而自动传呼系统识别出了 7/7 名符合条件的患者，绝对增加了 94.5%。从分诊完成到自动通知研究人员的中位数时间为 0 分钟。
使用电子病历的自动传呼有可能通过提高识别合格受试者的速度和敏感性来提高临床研究的纳入率。
