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A Trial of Point of Care Information in Ambulatory Pediatrics

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: NCT00368823
Recruitment Status : Completed
First Posted : August 29, 2006
Last Update Posted : August 29, 2006
Agency for Healthcare Research and Quality (AHRQ)
Information provided by:
University of Washington

Brief Summary:
Does presentation of clinical evidence for decision making at point-of-care improve prescribing patterns in ambulatory pediatrics?

Condition or disease Intervention/treatment Phase
Acute Otitis Media Allergic Rhinitis Sinusitis Constipation Pharyngitis Croup Urticaria Bronchiolitis Device: Electronic point-of-care delivery system Phase 3

Detailed Description:
We showed previously that an electronic prescription writer and decision support system improved pediatric prescribing behavior for otitis media in an academic clinic setting. This study assessed whether point-of-care evidence delivery could demonstrate similar effects for a wide range of other common pediatric conditions. We performed a randomized controlled trial in a teaching clinic/clinical practice site and a primary care pediatric clinic serving a rural and semi-urban patient mix. There were 36 providers at the teaching clinic/practice site, and 8 providers at the private primary pediatric clinic, and an evidence-based message system presented real time evidence to providers based on prescribing practices for acute otitis media, allergic rhinitis, sinusitis, constipation, pharyngitis, croup, urticaria, and bronchiolitis. We measured the proportion of prescriptions dispensed in accordance with evidence.

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Study Type : Interventional  (Clinical Trial)
Enrollment : 44 participants
Allocation: Randomized
Intervention Model: Factorial Assignment
Masking: Double
Primary Purpose: Treatment
Official Title: A Randomized Clinical Trial to Improve Prescribing Patterns in Ambulatory Pediatrics
Study Start Date : November 1999
Study Completion Date : December 2003

Resource links provided by the National Library of Medicine

Primary Outcome Measures :
  1. prescribing practices for acute otitis media,
  2. allergic rhinitis,
  3. sinusitis,
  4. constipation,
  5. pharyngitis,
  6. croup,
  7. urticaria,
  8. bronchiolitis

Information from the National Library of Medicine

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Ages Eligible for Study:   Child, Adult, Older Adult
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes

Inclusion Criteria: The 44 clinical providers at the two participating clinics. -

Exclusion Criteria: Study investigators


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): NCT00368823

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United States, Washington
Roosevelt Pediatric Clinic
Seattle, Washington, United States
Skagit Valley Pediatrics
Skagit Valley, Washington, United States
Sponsors and Collaborators
University of Washington
Agency for Healthcare Research and Quality (AHRQ)
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Principal Investigator: Robert L Davis, MD, MPH University of Washington

Layout table for additonal information Identifier: NCT00368823    
Other Study ID Numbers: HS10516-03
First Posted: August 29, 2006    Key Record Dates
Last Update Posted: August 29, 2006
Last Verified: August 2006
Keywords provided by University of Washington:
point of care
evidence based medicine
Additional relevant MeSH terms:
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Rhinitis, Allergic
Otitis Media
Nose Diseases
Respiratory Tract Diseases
Respiratory Tract Infections
Otorhinolaryngologic Diseases
Signs and Symptoms, Digestive
Signs and Symptoms
Respiratory Hypersensitivity
Hypersensitivity, Immediate
Immune System Diseases
Bronchial Diseases
Lung Diseases, Obstructive
Lung Diseases
Ear Diseases
Skin Diseases, Vascular
Skin Diseases
Paranasal Sinus Diseases
Pharyngeal Diseases
Stomatognathic Diseases