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NCT02798354 · ClinicalTrials.gov registry record · NA
Reducing Diagnostic Errors in Primary Care Pediatrics (Project RedDE)
A NA study of Diagnostic Errors, sponsored by Montefiore Medical Center.
- Completed
- Registry status
- NA
- Development phase
- 13,853
- Enrollment target
- 1
- Study location
NCT02798354: Completed NA study of Diagnostic Errors, sponsored by Montefiore Medical Center.
NCT02798354 is a NA study of Diagnostic Errors that has completed, run by Montefiore Medical Center. The registered enrollment target is 13,853 participants, above the 1,403-participant average among 58,714 other NA trials with a reported enrollment target (887% higher). The trial reports 1 study location across 1 state. According to ClinicalTrials.gov, the official US trial registry.
The verdict
NCT02798354, a NA study of Diagnostic Errors, has completed, sponsored by Montefiore Medical Center.
- COMPLETED
- Registry status
- NA
- Development phase
- 13,853 participants
- Enrollment target
- 1
- Study location
Study Summary
The proposal will focus on 3 specific, high-risk, pediatric ambulatory diagnostic errors each representing a unique dimension of diagnostic assessment: evaluation of symptoms, evaluation of signs and follow-up of diagnostic tests. Adolescent depression (i.e. symptoms) affects nearly 10% of teenagers, is misdiagnosed in almost 75% of adolescents and causes significant morbidity. Pediatric elevated blood pressure (signs) is misdiagnosed in 74-87% of patients, often due to inaccurate application of blood pressure parameters that change based on age, gender and height. Actionable pediatric laboratory values (diagnostic tests) are potentially delayed up to 26% of the time in preliminary investigations and 7-65% in adults, leading to harm and malpractice claims. The investigators propose to conduct a multisite, prospective, stepped wedge cluster randomized trial testing a quality improvement collaborative (QIC) intervention within the American Academy of Pediatrics' Quality Improvement Innovation Networks (QuIIN) to reduce the incidence of pediatric primary care diagnostic errors. QuIIN is a national network of over 300 primary care practices, ranging from tertiary care academic medical centers to single practitioner private practices, interested in and experienced with QICs. Because many processes are likely to be common across diagnostic errors in outpatient settings, a multifaceted intervention, such as a QIC, has a high likelihood of success and broad applicability across populations. Preparatory inquiries to QuIIN primary care providers suggest high interest in reducing these 3 diagnostic errors and provider agreement with randomization to evaluate diagnostic error interventions. Practices will be randomized to one of three groups, with each group collecting retrospective baseline data on one error above, and then intervening to reduce that error during the first eight months. Each group will concurrently collect control data on an error they are not intervening on
Primary Outcome
Patients \>=11 years old with documentation of major depression or subsyndromal depression diagnoses in the medical record
Conditions Studied
Interventions
- BEHAVIORAL Quality Improvement Collaborative
Study Locations (1)
Illinois
- American Academy of Pediatrics - Elk Grove Village
Trial Details
| Field | Value |
|---|---|
| Enrollment Target | 13,853 participants |
| Start Date | 2015-06-01 |
| Est. Completion | 2017-10-31 |
| Phase | NA |
What the finished NCT02798354 record still lists
NCT02798354 is an interventional study that assigns participants to a tested intervention. Its 13,853 participants enrollment target places it among the larger protocols in the corpus, above the 1,403-participant average among 58,714 other NA trials with a reported enrollment target (887% higher).
The record links to 1 condition, with Diagnostic Errors appearing as the primary indexed condition, and to 1 intervention - of which Quality Improvement Collaborative is the first listed.
NCT02798354 reports a single indexed study location in Illinois.
Frequently Asked Questions
What is clinical trial NCT02798354 about?
NCT02798354 is a clinical study titled "Reducing Diagnostic Errors in Primary Care Pediatrics (Project RedDE)". The proposal will focus on 3 specific, high-risk, pediatric ambulatory diagnostic errors each representing a unique dimension of diagnostic assessment: evaluation of symptoms, evaluation of signs and follow-up of diagnostic tests. Adolescent depression (i.e. symptoms) affects nearly 10% of teenagers...
What is the current status of trial NCT02798354?
This trial is currently completed. It is a NA study. The enrollment target is 13,853 participants. The study started on 2015-06-01. Estimated completion is 2017-10-31.
What conditions does trial NCT02798354 study?
This clinical trial studies the following conditions: Diagnostic Errors.
What interventions are being tested in trial NCT02798354?
The interventions under investigation include: Quality Improvement Collaborative (BEHAVIORAL).
Who is sponsoring clinical trial NCT02798354?
This trial is sponsored by Montefiore Medical Center, which has 345 total clinical trials registered on ClinicalTrials.gov.
Where is trial NCT02798354 being conducted?
This trial has 1 study location across Illinois. Contact the study sites directly through ClinicalTrials.gov for enrollment availability.
Learn More About Clinical Trials
How this trial's enrollment target compares
Where NCT02798354's enrollment target sits among peer trials
13,853 13th of 2000 higher than 1,988 of 2,000 other NA trials
participants (enrollment target), bucketed by value
Each bar is a band; taller bars hold more other NA trials. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count and share, and where it sits relative to this entry.
Source ClinicalTrials.gov registry export · 2026-08-08
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