The Effect of Evidence-based Order Sets Within a CPOE System on the Quantity and Quality of Laboratory Test Ordering in Family Practice: a Cluster Randomised Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 288
- 试验地点
- 1
- 主要终点
- Appropriateness
研究概览
简要总结
Cluster randomised controlled trial to evaluate what the effect is of evidence-based order sets aimed at five indications on the appropriateness of laboratory test ordering in primary care.
详细描述
Cluster randomised controlled trial in Belgian primary care practices. Participants will be primary care physicians working in primary care practices affiliated to one of three collaborating laboratories in the Leuven, Ghent or Antwerp regions.
Primary care practices will be allocated and randomized to either the intervention or control group. Physicians in PCPs randomized to the intervention will be offered order sets based on indication when using the CPOE for ordering laboratory tests. The effect of order sets will be analyzed for 17 common indications for ordering laboratory tests in Belgian primary care: diabetes mellitus, hypertension, cardiovascular disease, general check-up, unexplained fatigue, anemia, liver pathology, medication monitoring, gout, chronic kidney disease, lung embolism, acute coronary syndrome, diarrhea, thyroid disease, sexually transmitted disease, rheumatoid arthritis and obesity.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Diagnostic
- 盲法
- Single (Investigator)
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Primary care practices will be considered eligible if all the physicians active in the practice agree to be involved in the study
- •All family physicians will be considered eligible if they:
- •Collaborate with either MCH, Anacura or AML for their laboratory test orders
- •Agree to use the online CPOE for their laboratory test orders
- •Use a computerized EHR for patient care
- •Agree to the terms in the informed consent
排除标准
- •Primary care practices where one or more physicians refuse to be enrolled will be excluded
研究组 & 干预措施
CPOE with order sets
Physicians who use CPOE including order sets for large range of indications.
干预措施: CPOE with order sets for lab testing (Other)
CPOE without order sets
Physicians who use CPOE without order sets.
干预措施: CPOE without order sets for lab testing (Other)
结局指标
主要结局
Appropriateness
时间窗: 3 months
number of appropriate tests for 17 study indications
次要结局
- Missed or delayed diagnoses(1 year)
- Laboratory test volume(1 year)