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An Implementation Model for Clinical Decision Support for Heart Failure Prescribing

Not Applicable
Completed
Conditions
Decision Support Systems, Clinical
Heart Failure
Registration Number
NCT04028557
Lead Sponsor
University of Colorado, Denver
Brief Summary

The objective of this proposal is to compare clinical outcomes, implementation metrics (i.e., patient reach and clinician adoption), and clinician preferences of two designs (customized vs. commercial) of a clinical decision support (CDS). Beta blocker prescribing for patients with heart failure will be used as a test case. The best practices in CDS design, including the user-centered design will be incorporated into the customized CDS and compared to a commercially-available CDS in the electronic health record using a cluster randomized trial.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
118
Inclusion Criteria
  • Prescribing primary care clinicians at University of Colorado Health (UCHealth) who provide care for patients with heart failure and reduced ejection fraction
Exclusion Criteria
  • None

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Change in prescription of Beta blocker (BB)6 months post CDS implementation

Number of prescriptions of an evidence based BB during a primary care office visit.

Secondary Outcome Measures
NameTimeMethod
Factors Influencing Clinician Adoption of the CDS per Qualitative Interviews6 months post CDS implementation

Clinician-reported factors that influence adoption of the CDS.

Clinician Adoption6 months post CDS implementation

The proportion of CDS who were not outright dismissed by the clinician.

Patient Reach6 months post CDS implementation

The proportion of unique patients with heart failure who were seen by primary care and not taking an evidence based BB who the CDS fired for.

Trial Locations

Locations (1)

University of Colorado Health

🇺🇸

Aurora, Colorado, United States

University of Colorado Health
🇺🇸Aurora, Colorado, United States

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