Provider Alerts to Reduce Unnecessary Care

Physician's Role Clinical Trial

Official title:

Provider Alerts to Reduce Unnecessary Care

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02709772
• Other study ID #: SHCQICW1
• Status: Completed
• Phase: N/A
• Start date: April 1, 2016
• Est. completion date: July 1, 2018

Study information

• Verified date: June 2021
• Source: Stanford University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

10 Clinics within Stanford Health Care are randomized to receive or not receive provider alerts for 5 commonly overused tests and treatments.

Description:

10 Clinics within Stanford Health Care are randomized to receive or not receive provider alerts for 5 commonly overused tests and treatments. Thus there will potentially be 50 clinics enrolled across the 5 tests/treatment categories. However, it is expected that some clinics will meet criteria to be one of the 10 clinics in more than test/treatment category. Thus the total number of clinics involved will be between 10 and 50. These 5 tests / treatments are taken from the Choosing Wisely list. All alerts will be provided using the electronic medical record and will be automated.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 50
• Est. completion date: July 1, 2018
• Est. primary completion date: February 1, 2018
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

High volume clinics defined as the top 10 clinics in Stanford Health Care based on number of electronic orders. Exclusion Criteria: None

Related Conditions & MeSH terms

• Physician's Role

Intervention

Behavioral:
• Electronic Record Alert
Electronic alert within the medical record indicating the ordered test or treatment may be inappropriate. The provider can indicate why the test or treatment is appropriate and complete the order.

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Stanford University

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Number of electronic orders entered per 100 clinic patients.	There are five primary outcomes for the five different alerts. For each alert study the outcome will be orders that would qualify for an alert per 100 patients.	6 months
Secondary	Number of potential electronic alerts divided by the number of electronic orders	There will be five secondary outcomes which will be the alert candidate to order ratio. For both the control and intervention groups we will determine the fraction of orders that qualify for an alert.	6 months