NCT00952471

Brief 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.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
458

participants targeted

Target at P50-P75 for phase_3

Timeline
Completed

Started Sep 2004

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

September 1, 2004

Completed
2.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2006

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2006

Completed
2.6 years until next milestone

First Submitted

Initial submission to the registry

July 24, 2009

Completed
13 days until next milestone

First Posted

Study publicly available on registry

August 6, 2009

Completed
Last Updated

May 21, 2015

Status Verified

May 1, 2015

Enrollment Period

2.2 years

First QC Date

July 24, 2009

Last Update Submit

May 19, 2015

Conditions

Asthma Exacerbation

Keywords

AsthmaChildrenCPOEDecision SupportFramingHeuristicOrder Sets

Outcome Measures

Primary Outcomes (1)

  • Reduced variation from in evidence-based care through integrating evidence into the clinician workflow in the EMR system.

    2 years

Study Arms (2)

Baseline Period

NO INTERVENTION

Patients in the baseline period were cared for using the standard historical electronic order set.

Post Intervention Period

ACTIVE COMPARATOR

Patients in the Post intervention period were cared for with evidence-bsed modified order set changes

Other: Evidence Based Intervention to order set

Interventions

Evidence Based Intervention to order setOTHER

The order set was altered to include evidence based care items

Post Intervention Period

Eligibility Criteria

Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

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

You may not qualify if:

  • 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.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Cincinnati Children's Hospital Medical Center

Cincinnati, Ohio, 45229, United States

Location

MeSH Terms

Conditions

Asthma

Condition Hierarchy (Ancestors)

Bronchial DiseasesRespiratory Tract DiseasesLung Diseases, ObstructiveLung DiseasesRespiratory HypersensitivityHypersensitivity, ImmediateHypersensitivityImmune System Diseases

Study Design

Study Type
interventional
Phase
phase 3
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
HEALTH SERVICES RESEARCH
Intervention Model
FACTORIAL
Sponsor Type
OTHER
Responsible Party
SPONSOR INVESTIGATOR
PI Title
MD

Study Record Dates

First Submitted

July 24, 2009

First Posted

August 6, 2009

Study Start

September 1, 2004

Primary Completion

December 1, 2006

Study Completion

December 1, 2006

Last Updated

May 21, 2015

Record last verified: 2015-05

Locations

US(1)