Cardiovascular Disease Clinical Trial
Official title:
Risk Informed Intervention Development and Implementation of Safe Ambulatory Care
There will be no significant decrease in the use of low dose acetylsalicylic acid (ASA)
therapy for primary prevention across the three intervention arms from baseline to completion
of the project.
There will be no significant differences in the percentage of patients with diabetes mellitus
greater than 44 years of age on low dose ASA therapy for primary prevention across the three
arms of the study using repeated measures from baseline to completion of the project.
We will assess the current use of aspirin therapy for primary and secondary cardiovascular
disease prevention in six general internal medicine and family medicine clinics within the
University of Colorado Hospital system using electronic health record data.
We will develop messages concerning the appropriate use of aspirin for cardiovascular disease
prevention for academic detailing to clinicians, a point of care (EHR) decision support aid
for clinicians, and a short information sheet (generated by a CDS) for patients.
We will test the effectiveness of interventions to improve the evidence-based use of aspirin
for primary and secondary prevention of cardiovascular disease using a randomized trial in
the six University of Colorado Hospital primary care practices studied. The three
intervention arms will include:
1.academic detailing and cessation of the primary prevention reminder within the point of
care clinical decision support system (EHR/CDS) only 2. academic detailing with an EHR/CDS
message asking clinicians to consider stopping aspirin therapy for primary prevention
embedded in the point of care clinical decision support system 3. academic detailing with the
EHR/CDS point of care message for clinicians in the second paragraph above, and a short
information sheet to be given to patients prior to a visit to ask them to check with their
provider concerning their use of aspirin for primary prevention
;
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