Impact of Best Practice Alerts in Cardiology Outpatient Clinics
Primary Purpose
Hypertension, Atrial Fibrillation
Status
Completed
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Best Practice Alert based in the Electronic Medical Record
Sponsored by
About this trial
This is an interventional health services research trial for Hypertension
Eligibility Criteria
Inclusion Criteria:
- all patients seen routinely by cardiologists at Duke
Exclusion Criteria:
- none
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm Type
Other
Other
Other
Arm Label
Atrial Fibrillation BPA
Hypertension BPA
Atrial Fibrillation and Hypertension BPA
Arm Description
The alert will notify providers when patients with atrial fibrillation are not on anticoagulation
The alert will notify providers when patients have elevated blood pressure
Providers in this arm will receive both alerts
Outcomes
Primary Outcome Measures
Rates of anticoagulation among patients with atrial fibrillation
Rates of hypertension control among patients seen by cardiology
Secondary Outcome Measures
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT02436421
Brief Title
Impact of Best Practice Alerts in Cardiology Outpatient Clinics
Official Title
Impact of Best Practice Alerts in Cardiology Outpatient Clinics
Study Type
Interventional
2. Study Status
Record Verification Date
November 2016
Overall Recruitment Status
Completed
Study Start Date
June 2015 (undefined)
Primary Completion Date
August 2016 (Actual)
Study Completion Date
August 2016 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Duke University
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
This quality improvement intervention seeks to implement two Best Practice Alerts (BPAs) for use in cardiology clinics while simultaneously evaluating the impact of each BPA- one for patients with uncontrolled blood pressure and one for patients with atrial fibrillation not on anticoagulation.
Detailed Description
Best Practice Alerts based will be created for hypertension and atrial fibrillation. Outpatient cardiology providers will be randomly allocated into one of three groups. The first group will receive the BPA for hypertension alone. The second group will receive the BPA for atrial fibrillation alone. The final group will receive both BPAs. The rate of blood pressure control for all patients and anticoagulation in patients with atrial fibrillation in each group will be evaluated prior to and after the implementation of the BPAs to determine the effect of the BPA.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hypertension, Atrial Fibrillation
7. Study Design
Primary Purpose
Health Services Research
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Outcomes Assessor
Allocation
Randomized
Enrollment
7000 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Atrial Fibrillation BPA
Arm Type
Other
Arm Description
The alert will notify providers when patients with atrial fibrillation are not on anticoagulation
Arm Title
Hypertension BPA
Arm Type
Other
Arm Description
The alert will notify providers when patients have elevated blood pressure
Arm Title
Atrial Fibrillation and Hypertension BPA
Arm Type
Other
Arm Description
Providers in this arm will receive both alerts
Intervention Type
Other
Intervention Name(s)
Best Practice Alert based in the Electronic Medical Record
Primary Outcome Measure Information:
Title
Rates of anticoagulation among patients with atrial fibrillation
Time Frame
1 year
Title
Rates of hypertension control among patients seen by cardiology
Time Frame
1 year
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
99 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
all patients seen routinely by cardiologists at Duke
Exclusion Criteria:
none
12. IPD Sharing Statement
Learn more about this trial
Impact of Best Practice Alerts in Cardiology Outpatient Clinics
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