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Improving Quality With Outpatient Decision Support

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ClinicalTrials.gov Identifier: NCT00225628
Recruitment Status : Completed
First Posted : September 26, 2005
Last Update Posted : September 26, 2005
Sponsor:
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

  Show Detailed Description

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


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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:

  • 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:


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): NCT00225628


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

Publications of Results:

Other Publications:
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
ClinicalTrials.gov Identifier: NCT00225628     History of Changes
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:
Diabetes Mellitus
Coronary Artery Disease
Myocardial Ischemia
Coronary Disease
Osteoporosis
Hyperlipidemias
Hyperlipoproteinemias
Glucose Metabolism Disorders
Metabolic Diseases
Endocrine System Diseases
Heart Diseases
Cardiovascular Diseases
Arteriosclerosis
Arterial Occlusive Diseases
Vascular Diseases
Bone Diseases, Metabolic
Bone Diseases
Musculoskeletal Diseases
Dyslipidemias
Lipid Metabolism Disorders