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Evaluating the Effectiveness of the Acute Respiratory Infection Smart Form

This study has been completed.
Sponsor:
Information provided by:
Agency for Healthcare Research and Quality (AHRQ)
ClinicalTrials.gov Identifier:
NCT00235040
First received: October 6, 2005
Last updated: January 24, 2012
Last verified: January 2012
History of Changes
  Purpose

To evaluate the effectiveness of the Acute Respiratory Infection Smart Form


Condition Intervention
Respiratory Tract Infections
 Behavioral: Smart Form

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: Evaluating Smart Forms and Quality Dashboards in an EHR: Effectiveness of the Acute Respiratory Infection Smart Form

Resource links provided by NLM:

MedlinePlus related topics: Antibiotics
U.S. FDA Resources

Further study details as provided by Agency for Healthcare Research and Quality (AHRQ):

Primary Outcome Measures:
  • Antibiotic prescribing rates [ Time Frame: 9 months ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Appropriateness of antibiotic prescribing, re-visit rates, antibiotic costs, use of antibiotics, all-cause antibiotic use, quality of documentation [ Time Frame: 9 months ] [ Designated as safety issue: No ]

Enrollment: 18257
Study Start Date: November 2005
Study Completion Date: August 2007
Primary Completion Date: May 2006 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1
Intervention
 Behavioral: Smart Form
Computer Decision Support System
No Intervention: 2
Control
 Behavioral: Smart Form
Computer Decision Support System

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.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

Acute Respiratory Infection visit

Exclusion Criteria:

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

  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00235040

Sponsors and Collaborators
Agency for Healthcare Research and Quality (AHRQ)
Investigators
Principal Investigator: Blackford Middleton, MD, MPH, MSc Partners Healthcare Systems Inc
  More Information

No publications provided by Agency for Healthcare Research and Quality (AHRQ)

Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):

Responsible Party: Blackford Middleton, M.D., M.P.H, M.Sc., Partners Healthcare Systems, Inc.
ClinicalTrials.gov Identifier: NCT00235040     History of Changes
Other Study ID Numbers: R01HS015169-1, R01 HS015169
Study First Received: October 6, 2005
Last Updated: January 24, 2012
Health Authority: United States: Federal Government

Keywords provided by Agency for Healthcare Research and Quality (AHRQ):
Upper Respiratory Infections
Respiratory Tract Infections
Tree Number C01.539.739
Tree Number C08.730
Unique ID D012141

Additional relevant MeSH terms:
Respiratory Tract Infections
Infection
Respiratory Tract Diseases

ClinicalTrials.gov processed this record on May 16, 2013