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Improving Quality With Outpatient Decision Support

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00225628
Recruitment Status : Completed
First Posted : September 26, 2005
Last Update Posted : September 26, 2005
Information provided by:
Agency for Healthcare Research and Quality (AHRQ)

Brief Summary:
Assesses physician compliance with paper-based and electronic guidelines, reminders, and alerts for outpatient settings. Target areas for the reminders and alerts are disease management, medication management, and interpretation of abnormal test results.

Condition or disease Intervention/treatment Phase
Diabetes Mellitus Coronary Artery Disease Osteoporosis Hypertension Hyperlipidemia Behavioral: Computerized Reminders Medications Monitoring Behavioral: Computerized Test Results Management Application Behavioral: Computerized Reminders Hypertension Management Behavioral: Computerized Reminders Osteoporosis Screening and Mgt Not Applicable

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Study Type : Interventional  (Clinical Trial)
Enrollment : 3000 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Prevention
Official Title: Improving Quality With Outpatient Decision Support
Study Start Date : September 2000
Study Completion Date : December 2006

Primary Outcome Measures :
  1. 1) Compliance to guidelines regarding the outpatient laboratory monitoring of prescription medication regiments
  2. 2) Compliance to guidelines regarding the follow-up of abnormal test results, including critically abnormal test results, abnormal cholesterol, abnormal HbA1c, abnormal pap smears and abnormal mammogram
  3. 3) Compliance to guidelines regarding the management of hypertension in the general ambulatory population and amongst ethnic minority groups
  4. 4) Compliance to guidelines regarding the screening and management of osteoporosis

Secondary Outcome Measures :
  1. 1) Patient satisfaction regarding communication with physicians
  2. 2) Physician satisfaction regarding follow-up of abnormal test results

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • All physicians in on-site and satellite adult outpatient clinics with the Brigham and Women's Hospital and Massachusetts General Hospital.
  • All practices must have adopted our home-grown electronic health record system, the Longitudinal Medical Record, for at least 24 months prior to the start of each intervention trial.

Exclusion Criteria:

  • None

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00225628

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United States, Massachusetts
Brigham and Women's Hospital
Boston, Massachusetts, United States, 02472
Sponsors and Collaborators
Agency for Healthcare Research and Quality (AHRQ)
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Principal Investigator: David W Bates, MD MSc Brigham and Women's Hospital

Publications of Results:

Other Publications:
Publications automatically indexed to this study by Identifier (NCT Number):
Layout table for additonal information Identifier: NCT00225628    
Other Study ID Numbers: 5U18HS011046 ( U.S. AHRQ Grant/Contract )
First Posted: September 26, 2005    Key Record Dates
Last Update Posted: September 26, 2005
Last Verified: September 2005
Keywords provided by Agency for Healthcare Research and Quality (AHRQ):
Computerized clinical decision support
Patient Safety
Quality of Care
Electronic Medical Records
Chronic Disease Management
Drug Monitoring
Guideline Adherence
Reminder Systems
Additional relevant MeSH terms:
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Coronary Artery Disease
Vascular Diseases
Cardiovascular Diseases
Coronary Disease
Myocardial Ischemia
Heart Diseases
Arterial Occlusive Diseases
Bone Diseases, Metabolic
Bone Diseases
Musculoskeletal Diseases
Metabolic Diseases
Lipid Metabolism Disorders