Reduction in Clinical Variance Using Targeted Design Changes in Computerized Provider Order Entry Order (CPOE) Sets
试验速览
- 阶段
- 3 期
- 状态
- 已完成
- 发起方
- 入组人数
- 458
- 试验地点
- 1
- 主要终点
- Reduced variation from in evidence-based care through integrating evidence into the clinician workflow in the EMR system.
研究概览
简要总结
Selective redesign of order sets using different ways to frame the order and physician decision-making in a computerized provider order entry system could increase adherence to evidence-based care and reduce population-specific variance.
详细描述
Variance in ordering of care can be characterized as the lack of uniform use of specific treatments by clinicians for a given medical condition. Unwarranted variance in healthcare has been associated with prolonged length of stay, diminished health and increased cost. Practice variation in the management of asthma can be significant and few investigators have evaluated strategies to reduce this variation. We hypothesized that selective redesign of order sets using different ways to frame the order and physician decision-making in a computerized provider order entry system could increase adherence to evidence-based care and reduce population-specific variance.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Factorial
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •All patients admitted using an acute asthma exacerbation order set.
排除标准
- •Patients who did not have either an admission or discharge diagnosis of asthma exacerbation.
- •In addition, patients admitted to the intensive care unit directly or transferred to the intensive care unit within 24-hours were excluded from analysis.
- •Finally, patients were excluded from analysis if asthma was not the presenting problem.
研究组 & 干预措施
Baseline Period
Patients in the baseline period were cared for using the standard historical electronic order set.
Post Intervention Period
Patients in the Post intervention period were cared for with evidence-bsed modified order set changes
干预措施: Evidence Based Intervention to order set (Other)
结局指标
主要结局
Reduced variation from in evidence-based care through integrating evidence into the clinician workflow in the EMR system.
时间窗: 2 years
次要结局
未报告次要终点
研究者
Brian Jacobs
MD
Children's National Research Institute