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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
Duke University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional health services research trial for Hypertension

Eligibility Criteria

18 Years - 99 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

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

    First Posted
    May 4, 2015
    Last Updated
    November 29, 2016
    Sponsor
    Duke University
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    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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