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Active, Not Recruiting

NCT Number: NCT05923463

Precision Feedback to Improve Health Care Quality

This cluster-randomized trial will assess the effectiveness of a precision feedback service on anesthesia provider performance. The precision feedback service enhances a standard audit and feedback (A&F) email with a brief message and visual display about high-value performance information. The control arm will receive a standard "one size fits most" A&F email that is currently sent to anesthesia providers each month. Hypothesis: Providers receiving precision feedback will increase a) care quality for improvable measures and b) email engagement (click-through and dashboard login rates) when compared with providers receiving standard A&F emails. The study investigators will assess unintended consequences in a mixed-methods process evaluation.

Active, Not Recruiting

This study is active but is not currently recruiting participants.

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Key information

Conditions

Anesthesia Care Quality

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

University of Michigan

Ann Arbor, Michigan, 48109, United States

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

(assessed before interventional period):

  • Participation in the Multicenter Perioperative Outcomes Group (MPOG) provider feedback email program.

Exclusion criteria

(assessed after interventional period):

  • Ended participation in the MPOG provider feedback email program for any reason during the study period
  • Changed professional roles (e.g. transitioned from resident to attending) before the end of the intervention period
  • Changed institutions during the study period
  • Had no institution-selected quality measures in common between the pre-intervention and intervention period
  • Were not candidates to receive a precision feedback email for the majority of the trial.

Treatment and study plan

precision-enhanced feedback email messages

Behavioral

Providers receive customized messages prioritizing metrics in an optimal formatting.

standard feedback email messages

Behavioral

Providers receive metrics in a common format.

Primary outcomes

  1. Measure success rate (M) for operative cases of anesthesia care providers

    Time frame: Up to 1 year

    The primary outcome for the cluster-randomized controlled trial is the measure success rate (M) for operative cases of anesthesia care providers, where:

    M = sum of all operative case measurement successes / number of all operative case measurements

    The measures included in each provider's measure success rate will be all improvable process measures that meet the following inclusion criteria:

    • A provider's cases were included for the measure during both the 6-month pre-intervention period and during the 6-month intervention period.
    • Average performance for the measure is below 90% during the baseline period, based on the MPOG threshold for most process measures.
    • The measure was included in at least one provider feedback email during the intervention period.

    The investigators will exclude measures of clinical outcomes (also called "inverse measures") in this study that are less within the control of providers.

Secondary outcomes

  1. Average email click-through rate (CTR)

    Time frame: Up to 6 months

    CTR = 100 x (number of recipient's emails with a clicked link) / (total number of emails)

  2. Average dashboard login rate (L)

    Time frame: Up to 1 year

    L = 100 x (number of months with an email recipient's dashboard login event) / (total number of months)

Sponsors and collaborators

Lead sponsor

University of Michigan

Other

Collaborators

  • National Library of Medicine (NLM)

Registry information

Official study title

A Scalable Service to Improve Health Care Quality Through Precision Audit and Feedback: A Cluster-randomized Controlled Trial

Important dates

Study start
2024
Primary completion
2024
Study completion
2025
First posted
Jun 28, 2023
Registry last updated
Feb 24, 2025

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.