Using Pictographs to Prevent Wrong-Patient Errors in NICUs
Official title: Assessing the Effectiveness of Pictographs for Preventing Wrong-Patient Errors in Neonatal Intensive Care Units: A Randomized Controlled Trial
Run by Columbia University · NCT03960099 · Data updated 2026-11-12
This study is testing if using special visual symbols with babies' names can help doctors in NICUs avoid making mistakes about which patient is which.
Quick facts
| Study type | Interventional |
|---|---|
| Sex | All |
| Enrollment | 6250 (estimated) |
| Sponsor | Columbia University Academic / other |
| Locations | 4 sites (Baltimore, Maryland and 3 other locations) |
| Status | Recruiting |
| Started | March 16, 2022 |
| Main results expected | June 30, 2027 |
| Study ends | June 30, 2028 |
| Registry record updated | March 16, 2026 |
| Trial ID | NCT03960099 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates for this study are all infants receiving care in participating NICUs during the study period.
✕Probably not a fit
Patients who are not receiving care in the NICUs during the study period will not benefit from this intervention.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This clinical trial evaluates the effectiveness of Pictographs, which are visual symbols combined with an infant's name and a color-coded border, in reducing wrong-patient errors in neonatal intensive care units (NICUs). The study employs a multi-site, two-arm, parallel group, cluster randomized controlled design, comparing clinicians who view Pictographs in electronic health records (EHR) to those who do not. The primary goal is to determine if the use of Pictographs leads to a significant decrease in wrong-patient order errors. Additionally, the study will analyze the effectiveness of Pictographs specifically for siblings of multiple births in the NICU.
Why it matters
Potential benefit: If successful, this approach could significantly reduce the incidence of wrong-patient errors in NICUs, enhancing patient safety.
How similar studies have gone: Other studies have shown promise in using visual aids for patient identification, but this specific approach with Pictographs is novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * All infants receiving care in the study NICUs for whom an order was placed during the study period. * All clinicians with the authority to place electronic orders in the NICU and who placed electronic orders during the study period. Exclusion Criteria: * None
Where it's running
-
New York-Presbyterian Hospital
New York, New York, United States Recruiting -
Johns Hopkins Medicine
Baltimore, Maryland, United States Not yet recruiting -
Brigham and Women's Hospital
Boston, Massachusetts, United States Completed -
Montefiore Medical Center
The Bronx, New York, United States Active not recruiting
Study contacts
- Principal investigator: Jason Adelman, MD, MS — Columbia University
- Study coordinator: Jason Adelman, MD, MS
- Email: jsa2163@cumc.columbia.edu
- Phone: 646-317-4803
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.