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OpenTrials
Completed

NCT Number: NCT03580603

Clinical Decision Support Tools for Antibiotic Prescribing

The goal of this study is to assess the utility of a data visualization tool for providers' understanding patients' past microbiological culture sensitivities. Providers that are ordering antibiotics for patients with previous culture data in the medical record will be asked to answer questions regarding past sensitivity results. They will be randomized to either using the visualization tool before answering the questions or using the standard medical record tools. They will then be surveyed about their decision-making, knowledge, and the usefulness of the tool.

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Key information

Conditions

Infectious Disease Communicable Diseases Disease Attributes Infections Pathologic Processes Pathological Conditions, Signs and Symptoms

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Beth Israel Deaconess Medical Center

Boston, Massachusetts, 02215, United States

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • provider is caring for a patient with a previous positive urine or blood cultures
  • provider is caring for a patient currently in a clinical location being investigated
  • provider is caring for a patient with orders placed for an intravenous, intramuscular, oral antibiotics

Exclusion criteria

  • the patient has already received the antibiotic by the time of the intervention
  • the antibiotic has been cancelled by the time of intervention
  • the research assistant is unable to reach the ordering provider before the visit is completed
  • participation by the clinician in the study would impede clinical care
  • age < 18

Treatment and study plan

Visualization tool

Other

Visual representation of past microbiological culture data

Primary outcomes

  1. Provider knowledge

    Time frame: To be assessed at the time of patient enrollment, up to one day after the initial antibiotic is ordered.

    Provider knowledge of patients' previous culture sensitivity results as determined by the proportion of correct answers on a questionnaire:

    Do you think this patient has had previous resistance to each of these antibiotics at BIDMC (Beth Israel Deaconess Medical Center)?

    [List of the top 4 antibiotic classes to which resistance is seen at BIDMC that the patient has previously had tested for antibiotic sensitivities]

    Yes (previous organisms resistant or with intermediate resistance)

    No (no previous resistance noted)

Secondary outcomes

  1. Post-intervention survey

    Time frame: To be assessed at the time of patient enrollment, up to one day after the initial antibiotic is ordered.

    Providers will be asked survey questions regarding their decision-making and the usability and usefulness of the tool using a 5 point Likert scale:

    I understand the previous culture data for this patient (Strongly disagree) 1 2 3 4 5 (Strongly agree)

    I feel like I made an informed antibiotic choice (Strongly disagree) 1 2 3 4 5 (Strongly agree)

    The tool provided new information that you were not previously aware of (Strongly disagree) 1 2 3 4 5 (Strongly agree)

    The tool enabled you to more quickly understand this patient's microbiological data (Strongly disagree) 1 2 3 4 5 (Strongly agree)

    The tool was easy to use (Strongly disagree) 1 2 3 4 5 (Strongly agree)

  2. Antibiotic order changes

    Time frame: To be assessed at the time of patient enrollment + 1 day

    Antibiotic orders that are not complete by the time of the intervention will be monitored for any cancellation or change in orders

  3. Final culture results

    Time frame: To be assessed at the time of patient enrollment + 1 week

    Final culture results drawn from that visit will be compared to antibiotic orders for effectiveness

Sponsors and collaborators

Lead sponsor

Beth Israel Deaconess Medical Center

Other

Registry information

Official study title

The Effect of Data Visualization on Provider Knowledge of Culture Sensitivity Results

Important dates

Study start
2018
Primary completion
2018
Study completion
2018
First posted
Jul 9, 2018
Registry last updated
May 6, 2021

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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