An Implementation Model for Clinical Decision Support for Heart Failure Prescribing
- Conditions
- Decision Support Systems, ClinicalHeart 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
- Prescribing primary care clinicians at University of Colorado Health (UCHealth) who provide care for patients with heart failure and reduced ejection fraction
- None
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Primary Outcome Measures
Name Time Method 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
Name Time Method Factors Influencing Clinician Adoption of the CDS per Qualitative Interviews 6 months post CDS implementation Clinician-reported factors that influence adoption of the CDS.
Clinician Adoption 6 months post CDS implementation The proportion of CDS who were not outright dismissed by the clinician.
Patient Reach 6 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.
Related Research Topics
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Trial Locations
- Locations (1)
University of Colorado Health
🇺🇸Aurora, Colorado, United States
University of Colorado Health🇺🇸Aurora, Colorado, United States