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OpenTrials
Completed

NCT Number: NCT04028557

An Implementation Model for Clinical Decision Support for Heart Failure Prescribing

The objective of this proposal is to compare clinical outcomes, implementation metrics (i.e., patient reach and clinician adoption), and clinician preferences of two designs (customized vs. commercial) of a clinical decision support (CDS). Beta blocker prescribing for patients with heart failure will be used as a test case. The best practices in CDS design, including the user-centered design will be incorporated into the customized CDS and compared to a commercially-available CDS in the electronic health record using a cluster randomized trial.

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Key information

Conditions

Decision Support Systems, Clinical Cardiovascular Diseases Heart Diseases Heart Failure

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

University of Colorado Health

Aurora, Colorado, 80045, United States

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Study subjects are providers

Inclusion criteria

  • Prescribing primary care clinicians at University of Colorado Health (UCHealth) who provide care for patients with heart failure and reduced ejection fraction

Exclusion criteria

  • None

Treatment and study plan

Decision Support Systems, Clinical

Other

Active computerized clinical decision support alert within the electronic health record that recommends initiation of an evidence-based beta blocker for heart failure and reduced ejection fraction.

Other names: CDS

Primary outcomes

  1. Change in prescription of Beta blocker (BB)

    Time frame: 6 months post CDS implementation

    Number of prescriptions of an evidence based BB during a primary care office visit.

Secondary outcomes

  1. Patient Reach

    Time frame: 6 months post CDS implementation

    The proportion of unique patients with heart failure who were seen by primary care and not taking an evidence based BB who the CDS fired for.

  2. Clinician Adoption

    Time frame: 6 months post CDS implementation

    The proportion of CDS who were not outright dismissed by the clinician.

  3. Factors Influencing Clinician Adoption of the CDS per Qualitative Interviews

    Time frame: 6 months post CDS implementation

    Clinician-reported factors that influence adoption of the CDS.

Sponsors and collaborators

Lead sponsor

University of Colorado, Denver

Other

Registry information

Official study title

Development and Validation of an Integrated Implementation Model for Clinical Decision Support for Heart Failure Prescribing

Important dates

Study start
2019
Primary completion
2019
Study completion
2019
First posted
Jul 22, 2019
Registry last updated
May 6, 2022

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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