Evidence-based Laboratory Test Order Sets in Primary Care

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

288 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-12-01

Study Completion Date

2019-08-01

Brief Summary

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Cluster randomised controlled trial to evaluate what the effect is of evidence-based order sets aimed at five indications on the appropriateness of laboratory test ordering in primary care.

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Detailed Description

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Cluster randomised controlled trial in Belgian primary care practices. Participants will be primary care physicians working in primary care practices affiliated to one of three collaborating laboratories in the Leuven, Ghent or Antwerp regions.

Primary care practices will be allocated and randomized to either the intervention or control group. Physicians in PCPs randomized to the intervention will be offered order sets based on indication when using the CPOE for ordering laboratory tests. The effect of order sets will be analyzed for 17 common indications for ordering laboratory tests in Belgian primary care: diabetes mellitus, hypertension, cardiovascular disease, general check-up, unexplained fatigue, anemia, liver pathology, medication monitoring, gout, chronic kidney disease, lung embolism, acute coronary syndrome, diarrhea, thyroid disease, sexually transmitted disease, rheumatoid arthritis and obesity.

Conditions

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Diabetes Mellitus Hypertension Cardiovascular Diseases Fatigue Anemia Liver Diseases Medication Monitoring Gout Chronic Kidney Diseases Lung Embolism Acute Coronary Syndrome Diarrhea Thyroid Diseases Sexually Transmitted Diseases Rheumatoid Arthritis Obesity General Check-up

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

SINGLE

Investigators

Study Groups

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CPOE with order sets

Physicians who use CPOE including order sets for large range of indications.

Group Type EXPERIMENTAL

CPOE with order sets for lab testing

Intervention Type OTHER

CPOE including series of recommended tests ordered per indication

CPOE without order sets

Physicians who use CPOE without order sets.

Group Type ACTIVE_COMPARATOR

CPOE without order sets for lab testing

Intervention Type OTHER

CPOE only

Interventions

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CPOE with order sets for lab testing

CPOE including series of recommended tests ordered per indication

Intervention Type OTHER

CPOE without order sets for lab testing

CPOE only

Intervention Type OTHER

Other Intervention Names

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CPOE with order sets for laboratory testing CPOE without order sets for laboratory testing

Eligibility Criteria

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Inclusion Criteria

* Primary care practices will be considered eligible if all the physicians active in the practice agree to be involved in the study
* All family physicians will be considered eligible if they:

* Collaborate with either MCH, Anacura or AML for their laboratory test orders
* Agree to use the online CPOE for their laboratory test orders
* Use a computerized EHR for patient care
* Agree to the terms in the informed consent