[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100562868":3},{"organization":4,"armGroups":7,"interventions":19,"overallOfficials":29,"centralContacts":34,"locations":44,"responsibleParty":65,"collaborators":68,"id":74,"slug":75,"hasResults":76,"nctId":77,"briefTitle":78,"officialTitle":79,"acronym":80,"eligibilityCriteria":81,"healthyVolunteers":82,"sex":83,"minAge":84,"maxAge":85,"enrollmentInfo":86,"targetDuration":89,"studyType":90,"phases":10,"briefSummary":91,"conditions":92,"keywords":94,"overallStatus":46,"whyStopped":10,"lastUpdateSubmitDate":99,"lastUpdatePostDateStruct":100,"startDateStruct":103,"completionDateStruct":105,"leadSponsor":107,"locationsCount":108},{"fullName":5,"class":6},"Rush University Medical Center","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Patients with disabilities",null,"Cases with disabilities are patients aged 3 - 89 years old with one or more of 26 diagnoses prone to error and and have the following secondary (or primary) diagnoses (using associated ICD-10 codes)\n\nMobility impairments: Spinal cord diseases, Spinal cord injuries, Injury to spinal cord nerves, Multiple sclerosis, Cerebral palsy, Dependence on enabling machines or devices, Need for caregiver related to mobility impairments\n\nSevere Vision impairments:\n\nSevere Hearing impairments:\n\nMental health: Person history mental and behavioral disorders, Major Depression, Severe bipolar disorder, Severe schizophrenia, Paranoia, Psychosis\n\nIntellectual Disabilities:\n\nAutism",[13],"Behavioral: Electonic health record prompts with education",{"label":15,"type":10,"description":16,"interventionNames":17},"Patients without disabilities","Patients without disabilities are patients age 3-89 with one or more of 26 diagnoses prone to error and without the following secondary (or primary) diagnoses: Mobility impairments: Spinal cord diseases, Spinal cord injuries, Injury to spinal cord nerves, Multiple sclerosis, Cerebral palsy, Dependence on enabling machines or devices, Need for caregiver related to mobility impairments\n\nSevere Vision impairments:\n\nSevere Hearing impairments:\n\nMental health: Person history mental and behavioral disorders, Major Depression, Severe bipolar disorder, Severe schizophrenia, Paranoia, Psychosis\n\nIntellectual Disabilities:\n\nAutism",[18],"Other: Standard of care",[20,25],{"type":21,"name":22,"description":23,"armGroupLabels":24,"otherNames":10},"BEHAVIORAL","Electonic health record prompts with education","1. . A baseline description of patients aged ≥ 3 to 89 years old with one or more of 26 diagnoses prone to error was developed to compare cases of patients with specific disabilities (major mobility impairments, severe mental health concerns, severe visual impairments, severe hearing loss, and IDD) versus cases of patients without the specific disabilities who have these diagnoses.\n2. Initial manual chart reviews on PWDs with specific diagnoses of sepsis and metastatic breast cancer with two of the disability groups, patients with intellectual disabilities and\u002For autism and with severe mental illness were done.\n3. We analyzed mammogram usage and factors related to usage among women ≥ 40 years old with IDD and with severe mental health issues\n\n3\\) We are working on algorithms to identify providers whose female patients age \\> 40 years old to encourage outreach and to identify the patients needing mammograms for outreach. Developing educational materials for both providers and patients.",[9],{"type":6,"name":26,"description":27,"armGroupLabels":28,"otherNames":10},"Standard of care","Patients without disabilities will receive standard care related to electronic health record prompts, alerts, and decision supports.",[15],[30],{"name":31,"affiliation":32,"role":33},"Sarah H Ailey, PhD RN","Rush University College of Nursing","PRINCIPAL_INVESTIGATOR",[35,40],{"name":36,"role":37,"phone":38,"phoneExt":10,"email":39},"Director Research Affairs","CONTACT","312-942-3554","Jennifer_Garcia@rush.edu",{"name":41,"role":37,"phone":42,"phoneExt":10,"email":43},"Tricia J Johnson, PhD","312-942-7107","Tricia_J_Johnson@rush.edu",[45],{"facility":5,"status":46,"city":47,"state":48,"zip":49,"country":50,"countryCode":51,"cosmosGeoPoint":52,"geoPoint":57,"contacts":58},"RECRUITING","Chicago","Illinois","60612","United States","US",{"type":53,"coordinates":54},"Point",[55,56],-87.65005,41.85003,{"lat":56,"lon":55},[59,62],{"name":31,"role":37,"phone":60,"phoneExt":10,"email":61},"3129423383","Sarah_H_Ailey@rush.edu",{"name":63,"role":37,"phone":64,"phoneExt":10,"email":10},"Director Sponsored programs, CRA","312 942-3554",{"type":33,"investigatorFullName":66,"investigatorTitle":67,"investigatorAffiliation":5,"oldNameTitle":10,"oldOrganization":10},"Sarah Ailey","Professor",[69,72],{"name":70,"class":71},"St. John Fisher College","UNKNOWN",{"name":73,"class":6},"University of Minnesota","100562868","end-diagnostic-overshadowing-100562868",false,"NCT06608758","End Diagnostic Overshadowing","End Diagnostic Overshadowing: Understanding and Reducing Diagnostic Error in Patients With Disabilities","EDO","Inclusion Criteria:\n\n• Patients aged 3-89 who received billed charges\n\nExclusion Criteria:\n\n* Patients under age 3 or over age 89.\n* Patients with secondary diagnosis of dementia as the population is already known to be at increased risk of diagnostic error",true,"ALL","3 Years","89 Years",{"count":87,"type":88},120000,"ESTIMATED","4 Years","OBSERVATIONAL","The goal of this study is to address the critical issue of diagnostic overshadowing by applying the Collective Impact Model40 to co-produce our End Diagnostic Overshadowing program with academic, health systems, health professional, PWDs, family members, and community stakeholders. Through this work, we will identify and address mechanisms that contribute to diagnostic overshadowing and diagnostic errors among people with disabilities. The main questions to answer are whether knowledge about diagnostic errors and confidence will improve with health care providers and professionals involved in diagnostic provesses, whether developed algorithms to identify patients at risk of diagnpstic error will be used, whether there will be change in time to diagnostic evaluation for PWD from the specified 5 population groups and with the specified diagnoses prone to error, and whether changes in usage of CPT Evaluation and Management codes will occur.",[93],"Disabilities Multiple",[95,96,97,98],"Disabilities","Diagnostic error","Diagnostic overshadowing","Algorithms","2026-08-03",{"date":101,"type":102},"2026-08-05","ACTUAL",{"date":104,"type":102},"2024-11-22",{"date":106,"type":88},"2029-07-31",{"name":5,"class":6},1]