Evaluating the Effectiveness of the Acute Respiratory Infection Smart Form

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To evaluate the effectiveness of the Acute Respiratory Infection Smart...

Brief Summary

Official Title: “Evaluating Smart Forms and Quality Dashboards in an EHR: Effectiveness of the Acute Respiratory Infection Smart Form”

To evaluate the effectiveness of the Acute Respiratory Infection Smart Form

  • Study Type: Interventional
  • Study Design: Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
  • Study Primary Completion Date: May 2006

Detailed Clinical Trial Description

Specific Aim 1: To design and implement an integrated documentation-based clinical decision support and physician feedback system, provided in an electronic health record (EHR), to improve the management of patients with acute medical conditions.

Hypothesis 1: A documentation-based clinical decision support tool (CDSS) "smart form" physician feedback system, can be designed and implemented to facilitate documentation and physician order-entry, provide individualized, evidence-based recommendations for the management of patients acute respiratory infections (ARIs), and are usable by primary care physicians.

Specific Aim 2: To determine the effectiveness of documentation-based CDSS and physician feedback on documentation and the clinical management of patients respiratory tract infections.

Hypothesis 2A: A documentation-based CDSS "smart form" will increase the documentation of important clinical data in patients with ARI when compared to usual practice.

Hypothesis 2B: A documentation-based CDSS "smart form" will increase adherence with guidelines for the management of patients with ARI when compared to usual practice.

Intervention(s) in this Clinical Trial

  • Behavioral: Smart Form
    • Computer Decision Support System

Arms, Groups and Cohorts in this Clinical Trial

  • Other: 1
    • Intervention
  • No Intervention: 2
    • Control

Outcome Measures for this Clinical Trial

Primary Measures

  • Antibiotic prescribing rates
    • Time Frame: 9 months
      Safety Issue?: No

Secondary Measures

  • Appropriateness of antibiotic prescribing, re-visit rates, antibiotic costs, use of antibiotics, all-cause antibiotic use, quality of documentation
    • Time Frame: 9 months
      Safety Issue?: No

Criteria for Participation in this Clinical Trial

Inclusion Criteria:

  • Acute Respiratory Infection visit

Exclusion Criteria:

  • Any patients who are not part of a panel of a participating physician

Gender Eligibility for this Clinical Trial: Both

Minimum Age for this Clinical Trial: 18 Years

Maximum Age for this Clinical Trial: N/A

Are Healthy Volunteers Accepted for this Clinical Trial?: No

Clinical Trial Investigator Information

Lead Investigator: Agency for Healthcare Research and Quality (AHRQ) U.S. Fed

Overall Clinical Trial Officials and Contacts

Blackford Middleton, MD, MPH, MSc Principal Investigator Partners Healthcare Systems Inc  

Additional Information

Information obtained from ClinicalTrials.gov on February 12, 2012

Link to the current ClinicalTrials.gov record. http://clinicaltrials.gov/show/NCT00235040

Study ID Number: R01HS015169-1

ClinicalTrials.gov Identifier: NCT00235040

Health Authority: United States: Federal Government

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The URL of this page is:
http://clinicaltrialsfeeds.org/clinical-trials/show/NCT00235040