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| 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 |
| 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 |
| Estimated Enrollment: | 44 |
| Study Start Date: | November 1999 |
| Estimated Study Completion Date: | December 2003 |
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 |
Inclusion Criteria: The 44 clinical providers at the two participating clinics. -
Exclusion Criteria: Study investigators
-
Contacts and Locations| United States, Washington | |
| Roosevelt Pediatric Clinic | |
| Seattle, Washington, United States | |
| Skagit Valley Pediatrics | |
| Skagit Valley, Washington, United States | |
| 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 History of Changes |
| Health Authority: | United States: Institutional Review Board |
|
point of care evidence based medicine |
|
Otorhinolaryngologic Diseases Skin Diseases Signs and Symptoms, Digestive Bronchial Diseases 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 |
|
Bronchial Diseases Signs and Symptoms, Digestive Paranasal Sinus Diseases Rhinitis Sinusitis Ear Diseases Signs and Symptoms Hypersensitivity Lung Diseases, Obstructive Respiratory Tract Infections Respiratory Tract Diseases Bronchitis Skin Diseases, Vascular Otorhinolaryngologic Diseases |
Immune System Diseases Skin Diseases Bronchiolitis Otitis Media Urticaria Pharyngitis Pharyngeal Diseases Nose Diseases Lung Diseases Otitis Constipation Hypersensitivity, Immediate Stomatognathic Diseases |
