A Trial of Point of Care Information in Ambulatory Pediatrics

Phase 3

Completed

• Conditions: Pharyngitis; Urticaria; Allergic Rhinitis; Acute Otitis Media; Sinusitis; Croup; Constipation; Bronchiolitis

• Registration Number: NCT00368823
• Lead Sponsor: University of Washington

Brief Summary

Does presentation of clinical evidence for decision making at point-of-care improve prescribing patterns in ambulatory pediatrics?

Detailed Description

We showed previously that an electronic prescription writer and decision support system improved pediatric prescribing behavior for otitis media in an academic clinic setting. This study assessed whether point-of-care evidence delivery could demonstrate similar effects for a wide range of other common pediatric conditions. We performed a randomized controlled trial in a teaching clinic/clinical practice site and a primary care pediatric clinic serving a rural and semi-urban patient mix. There were 36 providers at the teaching clinic/practice site, and 8 providers at the private primary pediatric clinic, and an evidence-based message system presented real time evidence to providers based on prescribing practices for acute otitis media, allergic rhinitis, sinusitis, constipation, pharyngitis, croup, urticaria, and bronchiolitis. We measured the proportion of prescriptions dispensed in accordance with evidence.

Study Timeline

• Study Start: 1999-11
• Study Completion: 2003-12
• Status Verified: 2006-08
• Study First Submitted: 2006-08-24
• Study First Submitted QC: 2006-08-24
• Last Update Submitted: 2006-08-24
• Study First Posted: 2006-08-29
• Last Update Posted: 2006-08-29

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 44

Inclusion Criteria

The 44 clinical providers at the two participating clinics. -

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Exclusion Criteria

Study investigators

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: FACTORIAL

Primary Outcome Measures

Name	Time	Method
prescribing practices for acute otitis media,
allergic rhinitis,
constipation,
bronchiolitis
pharyngitis,
croup,
sinusitis,
urticaria,

Trial Locations

Locations (2)

Roosevelt Pediatric Clinic; 🇺🇸 Seattle, Washington, United States

Skagit Valley Pediatrics; 🇺🇸 Skagit Valley, Washington, United States