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Evaluating the Effectiveness of the Acute Respiratory Infection Smart Form

Primary Purpose

Respiratory Tract Infections

Status
Completed
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Smart Form
Sponsored by
Agency for Healthcare Research and Quality (AHRQ)
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Respiratory Tract Infections focused on measuring Upper Respiratory Infections, Respiratory Tract Infections, Tree Number C01.539.739, Tree Number C08.730, Unique ID D012141

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Acute Respiratory Infection visit Exclusion Criteria: Any patients who are not part of a panel of a participating physician

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Other

    No Intervention

    Arm Label

    1

    2

    Arm Description

    Intervention

    Control

    Outcomes

    Primary Outcome Measures

    Antibiotic prescribing rates

    Secondary Outcome Measures

    Appropriateness of antibiotic prescribing, re-visit rates, antibiotic costs, use of antibiotics, all-cause antibiotic use, quality of documentation

    Full Information

    First Posted
    October 6, 2005
    Last Updated
    January 24, 2012
    Sponsor
    Agency for Healthcare Research and Quality (AHRQ)
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00235040
    Brief Title
    Evaluating the Effectiveness of the Acute Respiratory Infection Smart Form
    Official Title
    Evaluating Smart Forms and Quality Dashboards in an EHR: Effectiveness of the Acute Respiratory Infection Smart Form
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    January 2012
    Overall Recruitment Status
    Completed
    Study Start Date
    November 2005 (undefined)
    Primary Completion Date
    May 2006 (Actual)
    Study Completion Date
    August 2007 (Actual)

    3. Sponsor/Collaborators

    Name of the Sponsor
    Agency for Healthcare Research and Quality (AHRQ)

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    To evaluate the effectiveness of the Acute Respiratory Infection Smart Form
    Detailed 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.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Respiratory Tract Infections
    Keywords
    Upper Respiratory Infections, Respiratory Tract Infections, Tree Number C01.539.739, Tree Number C08.730, Unique ID D012141

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Not Applicable
    Interventional Study Model
    Parallel Assignment
    Masking
    None (Open Label)
    Allocation
    Randomized
    Enrollment
    18257 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    1
    Arm Type
    Other
    Arm Description
    Intervention
    Arm Title
    2
    Arm Type
    No Intervention
    Arm Description
    Control
    Intervention Type
    Behavioral
    Intervention Name(s)
    Smart Form
    Intervention Description
    Computer Decision Support System
    Primary Outcome Measure Information:
    Title
    Antibiotic prescribing rates
    Time Frame
    9 months
    Secondary Outcome Measure Information:
    Title
    Appropriateness of antibiotic prescribing, re-visit rates, antibiotic costs, use of antibiotics, all-cause antibiotic use, quality of documentation
    Time Frame
    9 months

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Acute Respiratory Infection visit Exclusion Criteria: Any patients who are not part of a panel of a participating physician
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Blackford Middleton, MD, MPH, MSc
    Organizational Affiliation
    Partners Healthcare Systems Inc
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Citations:
    PubMed Identifier
    22610494
    Citation
    Linder JA, Schnipper JL, Middleton B. Method of electronic health record documentation and quality of primary care. J Am Med Inform Assoc. 2012 Nov-Dec;19(6):1019-24. doi: 10.1136/amiajnl-2011-000788. Epub 2012 May 19.
    Results Reference
    derived

    Learn more about this trial

    Evaluating the Effectiveness of the Acute Respiratory Infection Smart Form

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