Reduction in Clinical Variance Using Targeted Design Changes in Computerized Provider Order Entry Order (CPOE) Sets

Asthma Exacerbation Clinical Trial

Official title:

Reduction in Clinical Variance Using Targeted Design Changes in Computerized Provider Order Entry Order (CPOE) Sets

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT00952471
• Other study ID #: 05-11-34
• Status: Completed
• Phase: Phase 3
• First received: July 24, 2009
• Last updated: May 19, 2015
• Start date: September 2004
• Est. completion date: December 2006

Study information

• Verified date: May 2015
• Source: Children's Research Institute
• Contact: n/a
• Is FDA regulated: No
• Health authority: United States: Institutional Review Board
• Study type: Interventional

Clinical Trial Summary

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.

Description:

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 458
• Est. completion date: December 2006
• Est. primary completion date: December 2006
• Accepts healthy volunteers: No
• Gender: Both
• Age group: N/A and older

Eligibility

Inclusion Criteria:

• All patients admitted using an acute asthma exacerbation order set.

Exclusion Criteria:

• 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.

Study Design

Allocation: Non-Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Factorial Assignment, Masking: Open Label, Primary Purpose: Health Services Research

Related Conditions & MeSH terms

• Asthma Exacerbation

Intervention

Other:
• Evidence Based Intervention to order set
The order set was altered to include evidence based care items

Locations

Country	Name	City	State
United States	Cincinnati Children's Hospital Medical Center	Cincinnati	Ohio

Sponsors (2)

Lead Sponsor	Collaborator
Brian Jacobs	Siemens Medical

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Reduced variation from in evidence-based care through integrating evidence into the clinician workflow in the EMR system.		2 years	No