Impact of Best Practice Alerts in Cardiology Outpatient Clinics

Not Applicable

Completed

• Conditions: Atrial Fibrillation; Hypertension
• Interventions: Other: Best Practice Alert based in the Electronic Medical Record

• Registration Number: NCT02436421
• Lead Sponsor: Duke University

Brief Summary

This quality improvement intervention seeks to implement two Best Practice Alerts (BPAs) for use in cardiology clinics while simultaneously evaluating the impact of each BPA- one for patients with uncontrolled blood pressure and one for patients with atrial fibrillation not on anticoagulation.

Detailed Description

Best Practice Alerts based will be created for hypertension and atrial fibrillation. Outpatient cardiology providers will be randomly allocated into one of three groups. The first group will receive the BPA for hypertension alone. The second group will receive the BPA for atrial fibrillation alone. The final group will receive both BPAs. The rate of blood pressure control for all patients and anticoagulation in patients with atrial fibrillation in each group will be evaluated prior to and after the implementation of the BPAs to determine the effect of the BPA.

Study Timeline

• Study First Submitted: 2015-05-04
• Study First Submitted QC: 2015-05-04
• Study First Posted: 2015-05-06
• Study Start: 2015-06
• Primary Completion: 2016-08
• Study Completion: 2016-08
• Status Verified: 2016-11
• Last Update Submitted: 2016-11-29
• Last Update Posted: 2016-11-30

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 7000

Inclusion Criteria

• all patients seen routinely by cardiologists at Duke

Exclusion Criteria

• none

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Hypertension BPA	Best Practice Alert based in the Electronic Medical Record	The alert will notify providers when patients have elevated blood pressure
Atrial Fibrillation BPA	Best Practice Alert based in the Electronic Medical Record	The alert will notify providers when patients with atrial fibrillation are not on anticoagulation
Atrial Fibrillation and Hypertension BPA	Best Practice Alert based in the Electronic Medical Record	Providers in this arm will receive both alerts

Primary Outcome Measures

Name	Time	Method
Rates of hypertension control among patients seen by cardiology	1 year
Rates of anticoagulation among patients with atrial fibrillation	1 year