Reduction in Clinical Variance Using Targeted Design Changes in Computerized Provider Order Entry Order (CPOE) Sets

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

458 participants

Study Classification

INTERVENTIONAL

Study Start Date

2004-09-30

Study Completion Date

2006-12-31

Brief Summary

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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.

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Detailed Description

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Variance in ordering of care can be characterized as the lack of uniform use of specific treatments by clinicians for a given medical condition. Unwarranted variance in healthcare has been associated with prolonged length of stay, diminished health and increased cost. Practice variation in the management of asthma can be significant and few investigators have evaluated strategies to reduce this variation. We hypothesized that 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.

Conditions

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Asthma Exacerbation

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

FACTORIAL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

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Baseline Period

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

Group Type NO_INTERVENTION

No interventions assigned to this group

Post Intervention Period

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

Group Type ACTIVE_COMPARATOR

Evidence Based Intervention to order set

Intervention Type OTHER

The order set was altered to include evidence based care items

Interventions

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Evidence Based Intervention to order set

The order set was altered to include evidence based care items

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

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

Exclusion Criteria

* 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.

Eligible Sex

ALL

Accepts Healthy Volunteers

No