Provider Alerts to Reduce Unnecessary Care

NCT ID: NCT02709772

Last Updated: 2021-06-14

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

NA

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-04-01

Study Completion Date

2018-07-01

Brief Summary

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

Detailed Description

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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.

Conditions

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Physician's Role

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Provider Alert

This arm is the intervention arm. This arm will receive the Electronic Record Alert.

Group Type ACTIVE_COMPARATOR

Electronic Record Alert

Intervention Type BEHAVIORAL

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.

No Provider Alert

This arm is the control arm.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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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.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

High volume clinics defined as the top 10 clinics in Stanford Health Care based on number of electronic orders.

Exclusion Criteria

None
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Stanford University

OTHER

Sponsor Role lead

Responsible Party

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Paul A. Heidenreich

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

References

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Ho VT, Aikens RC, Tso G, Heidenreich PA, Sharp C, Asch SM, Chen JH, Shah NK. Interruptive Electronic Alerts for Choosing Wisely Recommendations: A Cluster Randomized Controlled Trial. J Am Med Inform Assoc. 2022 Oct 7;29(11):1941-1948. doi: 10.1093/jamia/ocac139.

Reference Type DERIVED
PMID: 36018731 (View on PubMed)

Other Identifiers

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SHCQICW1

Identifier Type: -

Identifier Source: org_study_id

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