A Trial of Point of Care Information in Ambulatory Pediatrics - Full Text View

Sponsors and Collaborators:	University of Washington Agency for Healthcare Research and Quality (AHRQ)
Information provided by:	University of Washington
ClinicalTrials.gov Identifier:	NCT00368823

Purpose

Does presentation of clinical evidence for decision making at point-of-care improve prescribing patterns in ambulatory pediatrics?

Condition	Intervention	Phase
Acute Otitis Media Allergic Rhinitis Sinusitis Constipation Pharyngitis Croup Urticaria Bronchiolitis	Device: Electronic point-of-care delivery system	Phase III

MedlinePlus related topics: Children's Health Constipation Ear Infections Hives Sinusitis Sore Throat

U.S. FDA Resources

Study Type:	Interventional
Study Design:	Treatment, Randomized, Double-Blind, Active Control, Factorial Assignment, Efficacy Study
Official Title:	A Randomized Clinical Trial to Improve Prescribing Patterns in Ambulatory Pediatrics

Further study details as provided by University of Washington:

Primary Outcome Measures:

prescribing practices for acute otitis media,
allergic rhinitis,
sinusitis,
constipation,
pharyngitis,
croup,
urticaria,
bronchiolitis

Estimated Enrollment:	44
Study Start Date:	November 1999
Estimated Study Completion Date:	December 2003

Detailed Description:

We showed previously that an electronic prescription writer and decision support system improved pediatric prescribing behavior for otitis media in an academic clinic setting. This study assessed whether point-of-care evidence delivery could demonstrate similar effects for a wide range of other common pediatric conditions. We performed a randomized controlled trial in a teaching clinic/clinical practice site and a primary care pediatric clinic serving a rural and semi-urban patient mix. There were 36 providers at the teaching clinic/practice site, and 8 providers at the private primary pediatric clinic, and an evidence-based message system presented real time evidence to providers based on prescribing practices for acute otitis media, allergic rhinitis, sinusitis, constipation, pharyngitis, croup, urticaria, and bronchiolitis. We measured the proportion of prescriptions dispensed in accordance with evidence.

Eligibility

Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	Yes

Criteria

Inclusion Criteria: The 44 clinical providers at the two participating clinics. -

Exclusion Criteria: Study investigators

-

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00368823

Locations

United States, Washington
Roosevelt Pediatric Clinic
Seattle, Washington, United States
Skagit Valley Pediatrics
Skagit Valley, Washington, United States

Sponsors and Collaborators

University of Washington

Agency for Healthcare Research and Quality (AHRQ)

Investigators

Principal Investigator:

Robert L Davis, MD, MPH

University of Washington

More Information

Study ID Numbers:	HS10516-03
Study First Received:	August 24, 2006
Last Updated:	August 24, 2006
ClinicalTrials.gov Identifier:	NCT00368823
Health Authority:	United States: Institutional Review Board

Keywords provided by University of Washington:

point of care
evidence based medicine

Study placed in the following topic categories:

Otorhinolaryngologic Diseases
Skin Diseases
Signs and Symptoms, Digestive
Bronchiolitis
Otitis Media
Rhinitis
Urticaria
Pharyngitis
Sinusitis
Pharyngeal Diseases
Ear Diseases
Croup

Signs and Symptoms
Hypersensitivity
Lung Diseases, Obstructive
Respiratory Tract Infections
Respiratory Tract Diseases
Otitis
Lung Diseases
Hypersensitivity, Immediate
Constipation
Bronchitis
Stomatognathic Diseases

Additional relevant MeSH terms:

Skin Diseases, Vascular
Immune System Diseases
Bronchial Diseases
Paranasal Sinus Diseases
Nose Diseases

ClinicalTrials.gov processed this record on January 16, 2009