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Improving Quality With Outpatient Decision Support

This study has been completed.
Information provided by:
Agency for Healthcare Research and Quality (AHRQ) Identifier:
First received: September 22, 2005
Last updated: September 23, 2005
Last verified: September 2005
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 Intervention
Diabetes Mellitus
Coronary Artery Disease
Behavioral: Computerized Reminders Medications Monitoring
Behavioral: Computerized Test Results Management Application
Behavioral: Computerized Reminders Hypertension Management
Behavioral: Computerized Reminders Osteoporosis Screening and Mgt

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Prevention
Official Title: Improving Quality With Outpatient Decision Support

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

Primary Outcome Measures:
  • 1) Compliance to guidelines regarding the outpatient laboratory monitoring of prescription medication regiments
  • 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) Compliance to guidelines regarding the management of hypertension in the general ambulatory population and amongst ethnic minority groups
  • 4) Compliance to guidelines regarding the screening and management of osteoporosis

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

Estimated Enrollment: 3000
Study Start Date: September 2000
Estimated Study Completion Date: December 2006
  Show Detailed Description


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

  Contacts and Locations
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Please refer to this study by its identifier: NCT00225628

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


Publications automatically indexed to this study by Identifier (NCT Number): Identifier: NCT00225628     History of Changes
Other Study ID Numbers: 5U18HS011046 ( US NIH Grant/Contract Award Number )
Study First Received: September 22, 2005
Last Updated: September 23, 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:
Diabetes Mellitus
Coronary Artery Disease
Myocardial Ischemia
Coronary Disease
Glucose Metabolism Disorders
Metabolic Diseases
Endocrine System Diseases
Heart Diseases
Cardiovascular Diseases
Arterial Occlusive Diseases
Vascular Diseases
Bone Diseases, Metabolic
Bone Diseases
Musculoskeletal Diseases
Lipid Metabolism Disorders processed this record on May 25, 2017