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Evaluating the Effectiveness of the Acute Respiratory Infection Smart Form

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ClinicalTrials.gov Identifier: NCT00235040
Recruitment Status : Completed
First Posted : October 10, 2005
Last Update Posted : January 26, 2012
Sponsor:
Information provided by:
Agency for Healthcare Research and Quality (AHRQ)

Brief Summary:
To evaluate the effectiveness of the Acute Respiratory Infection Smart Form

Condition or disease Intervention/treatment
Respiratory Tract Infections Behavioral: Smart Form

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.


Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 18257 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Evaluating Smart Forms and Quality Dashboards in an EHR: Effectiveness of the Acute Respiratory Infection Smart Form
Study Start Date : November 2005
Primary Completion Date : May 2006
Study Completion Date : August 2007

Arm Intervention/treatment
1
Intervention
Behavioral: Smart Form
Computer Decision Support System
No Intervention: 2
Control
Behavioral: Smart Form
Computer Decision Support System



Primary Outcome Measures :
  1. Antibiotic prescribing rates [ Time Frame: 9 months ]

Secondary Outcome Measures :
  1. Appropriateness of antibiotic prescribing, re-visit rates, antibiotic costs, use of antibiotics, all-cause antibiotic use, quality of documentation [ Time Frame: 9 months ]


Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
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


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 ClinicalTrials.gov identifier (NCT number): NCT00235040


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

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
R01HS015169 ( U.S. AHRQ Grant/Contract )
First Posted: October 10, 2005    Key Record Dates
Last Update Posted: January 26, 2012
Last Verified: January 2012

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:
Infection
Communicable Diseases
Respiratory Tract Infections
Respiratory Tract Diseases