Development and Validation of an Integrated Implementation Model for Clinical Decision Support for Heart Failure Prescribing
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 118
- 试验地点
- 1
- 主要终点
- Change in prescription of Beta blocker (BB)
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Single (Care Provider)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Study subjects are providers
- •Inclusion Criteria:
- •Prescribing primary care clinicians at University of Colorado Health (UCHealth) who provide care for patients with heart failure and reduced ejection fraction
排除标准
- 未提供
研究组 & 干预措施
Customized CDS
The customized CDS will be designed and implemented with comprehensive application of known best practice principles in CDS design. The recommendation will be to initiate an evidence-based beta blocker for heart failure.
干预措施: Decision Support Systems, Clinical (Other)
Commercial CDS
The commercial CDS is available to all institutions using the Epic electronic health record vendor, but violates some CDS design best practices, notably not being tailored to the end users of a given health system. The recommendation will be to initiate an evidence-based beta blocker for heart failure.
干预措施: Decision Support Systems, Clinical (Other)
结局指标
主要结局
Change in prescription of Beta blocker (BB)
时间窗: 6 months post CDS implementation
Number of prescriptions of an evidence based BB during a primary care office visit.
次要结局
- Factors Influencing Clinician Adoption of the CDS per Qualitative Interviews(6 months post CDS implementation)
- Clinician Adoption(6 months post CDS implementation)
- Patient Reach(6 months post CDS implementation)