Back to resultsReduction in Clinical Variance Using Targeted Design Changes in Computerized Provider Order Entry Order (CPOE) Sets
Primary Purpose
Asthma Exacerbation
Status
Completed
Phase
Phase 3
Locations
United States
Study Type
Interventional
Intervention
Evidence Based Intervention to order set
Sponsored by
About this trial
This is an interventional health services research trial for Asthma Exacerbation focused on measuring Asthma, Children, CPOE, Decision Support, Framing, Heuristic, Order Sets
Eligibility Criteria
Inclusion Criteria:
- All patients admitted using an acute asthma exacerbation order set.
Exclusion Criteria:
- Patients who did not have either an admission or discharge diagnosis of asthma exacerbation.
- In addition, patients admitted to the intensive care unit directly or transferred to the intensive care unit within 24-hours were excluded from analysis.
- Finally, patients were excluded from analysis if asthma was not the presenting problem.
Sites / Locations
- Cincinnati Children's Hospital Medical Center
Arms of the Study
Arm 1
Arm 2
Arm Type
No Intervention
Active Comparator
Arm Label
Baseline Period
Post Intervention Period
Arm Description
Patients in the baseline period were cared for using the standard historical electronic order set.
Patients in the Post intervention period were cared for with evidence-bsed modified order set changes
Outcomes
Primary Outcome Measures
Reduced variation from in evidence-based care through integrating evidence into the clinician workflow in the EMR system.
Secondary Outcome Measures
Full Information
NCT ID
NCT00952471
First Posted
July 24, 2009
Last Updated
May 19, 2015
Sponsor
Brian Jacobs
Collaborators
Siemens Medical
1. Study Identification
Unique Protocol Identification Number
NCT00952471
Brief Title
Reduction in Clinical Variance Using Targeted Design Changes in Computerized Provider Order Entry Order (CPOE) Sets
Official Title
Reduction in Clinical Variance Using Targeted Design Changes in Computerized Provider Order Entry Order (CPOE) Sets
Study Type
Interventional
2. Study Status
Record Verification Date
May 2015
Overall Recruitment Status
Completed
Study Start Date
September 2004 (undefined)
Primary Completion Date
December 2006 (Actual)
Study Completion Date
December 2006 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor-Investigator
Name of the Sponsor
Brian Jacobs
Collaborators
Siemens Medical
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
Selective redesign of order sets using different ways to frame the order and physician decision-making in a computerized provider order entry system could increase adherence to evidence-based care and reduce population-specific variance.
Detailed Description
Variance in ordering of care can be characterized as the lack of uniform use of specific treatments by clinicians for a given medical condition. Unwarranted variance in healthcare has been associated with prolonged length of stay, diminished health and increased cost. Practice variation in the management of asthma can be significant and few investigators have evaluated strategies to reduce this variation. We hypothesized that selective redesign of order sets using different ways to frame the order and physician decision-making in a computerized provider order entry system could increase adherence to evidence-based care and reduce population-specific variance.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Asthma Exacerbation
Keywords
Asthma, Children, CPOE, Decision Support, Framing, Heuristic, Order Sets
7. Study Design
Primary Purpose
Health Services Research
Study Phase
Phase 3
Interventional Study Model
Factorial Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
458 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Baseline Period
Arm Type
No Intervention
Arm Description
Patients in the baseline period were cared for using the standard historical electronic order set.
Arm Title
Post Intervention Period
Arm Type
Active Comparator
Arm Description
Patients in the Post intervention period were cared for with evidence-bsed modified order set changes
Intervention Type
Other
Intervention Name(s)
Evidence Based Intervention to order set
Intervention Description
The order set was altered to include evidence based care items
Primary Outcome Measure Information:
Title
Reduced variation from in evidence-based care through integrating evidence into the clinician workflow in the EMR system.
Time Frame
2 years
10. Eligibility
Sex
All
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
All patients admitted using an acute asthma exacerbation order set.
Exclusion Criteria:
Patients who did not have either an admission or discharge diagnosis of asthma exacerbation.
In addition, patients admitted to the intensive care unit directly or transferred to the intensive care unit within 24-hours were excluded from analysis.
Finally, patients were excluded from analysis if asthma was not the presenting problem.
Facility Information:
Facility Name
Cincinnati Children's Hospital Medical Center
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45229
Country
United States
12. IPD Sharing Statement
Learn more about this trial
Reduction in Clinical Variance Using Targeted Design Changes in Computerized Provider Order Entry Order (CPOE) Sets
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