Clinical trial Recruiting at 1 site Interventional

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 typeInterventional
SexAll
Enrollment6250 (estimated)
SponsorColumbia University
Academic / other
Locations4 sites (Baltimore, Maryland and 3 other locations)
StatusRecruiting
StartedMarch 16, 2022
Main results expectedJune 30, 2027
Study endsJune 30, 2028
Registry record updatedMarch 16, 2026
Trial IDNCT03960099 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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.