Evidence-based Laboratory Test Order Sets in Primary Care
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|ClinicalTrials.gov Identifier: NCT02950142|
Recruitment Status : Active, not recruiting
First Posted : October 31, 2016
Last Update Posted : October 11, 2018
|Condition or disease||Intervention/treatment||Phase|
|Diabetes Mellitus Hypertension Cardiovascular Diseases Fatigue Anemia Liver Diseases Medication Monitoring Gout Chronic Kidney Diseases Lung Embolism Acute Coronary Syndrome Diarrhea Thyroid Diseases Sexually Transmitted Diseases Rheumatoid Arthritis Obesity General Check-up||Other: CPOE with order sets for lab testing Other: CPOE without order sets for lab testing||Not Applicable|
Cluster randomised controlled trial in Belgian primary care practices. Participants will be primary care physicians working in primary care practices affiliated to one of three collaborating laboratories in the Leuven, Ghent or Antwerp regions.
Primary care practices will be allocated and randomized to either the intervention or control group. Physicians in PCPs randomized to the intervention will be offered order sets based on indication when using the CPOE for ordering laboratory tests. The effect of order sets will be analyzed for 17 common indications for ordering laboratory tests in Belgian primary care: diabetes mellitus, hypertension, cardiovascular disease, general check-up, unexplained fatigue, anemia, liver pathology, medication monitoring, gout, chronic kidney disease, lung embolism, acute coronary syndrome, diarrhea, thyroid disease, sexually transmitted disease, rheumatoid arthritis and obesity.
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||288 participants|
|Intervention Model:||Parallel Assignment|
|Official Title:||The Effect of Evidence-based Order Sets Within a CPOE System on the Quantity and Quality of Laboratory Test Ordering in Family Practice: a Cluster Randomised Trial|
|Actual Study Start Date :||December 1, 2017|
|Actual Primary Completion Date :||June 1, 2018|
|Estimated Study Completion Date :||October 1, 2020|
Experimental: CPOE with order sets
Physicians who use CPOE including order sets for large range of indications.
Other: CPOE with order sets for lab testing
CPOE including series of recommended tests ordered per indication
Other Name: CPOE with order sets for laboratory testing
Active Comparator: CPOE without order sets
Physicians who use CPOE without order sets.
Other: CPOE without order sets for lab testing
Other Name: CPOE without order sets for laboratory testing
- Appropriateness [ Time Frame: 3 months ]number of appropriate tests for 17 study indications
- Missed or delayed diagnoses [ Time Frame: 1 year ]Incidence of missed or delayed diagnoses after laboratory test
- Laboratory test volume [ Time Frame: 1 year ]Total volume of ordered laboratory tests
- Downstream or cascade clinical activities [ Time Frame: 1 year ]All downstream or cascade clinical activities as a result of abnormal test result
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 ClinicalTrials.gov identifier (NCT number): NCT02950142
|Academic Centre for General Practice|
|Leuven, Belgium, B-3000|