N/A
N=2,237
Child Health Improvement Through Computer Automation (CHICA) Highlighting Study
Physician Behavior
Bottom Line
View on ClinicalTrials.gov: NCT01583101 ↗Enrolled (actual)
2,237
Serious AEs
0.0%
Results posted
Mar 2017
Primary outcome: Primary: The Number of Prompts That Were Responded to — 672; 712 Participants
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Receiving Highlighted Prompts (Other); Receiving Non-highlighted Prompts (Other)
- Age
- Pediatric, Adult, Older Adult
- Sex
- All
- Sponsor
- Indiana University
- Primary completion
- Oct 2012
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY The Number of Prompts That Were Responded to |
672; 712 | — |
Summary
The investigators have developed a novel decision support system for implementing clinical guidelines in pediatric practice. CHICA (Child Health Improvement through Computer Automation) combines three elements: (1) pediatric guidelines encoded in Arden Syntax; (2) a dynamic, scannable paper user interface; and (3) an HL7-compliant interface to existing electronic medical record systems. The result is a system that both delivers "just-in-time" patient-relevant guidelines to physicians during the clinical encounter, and accurately captures structured data from all who interact with it. Preliminary work with CHICA has demonstrated the feasibility of using the system to implement and evaluate clinical guidelines.
However, analyses have shown that physicians ignore a fair number of prompts. The investigators would like to experiment with changes to the system to see if they can increase physicians' response rates. This could include highlighting prompts, reordering them, or flagging them in other ways. The main outcome of interest in the rate at which physicians answer prompts.
Eligibility Criteria
Inclusion Criteria
- Physicians practicing in one of our four CHICA clinics who use CHICA
Exclusion Criteria
- Not being a physician practicing in one of our four CHICA clinics who use CHICA
Data sourced from ClinicalTrials.gov (NCT01583101). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.