Respiratory Tract Infections
Conditions
Keywords
Upper Respiratory Infections, Respiratory Tract Infections, Tree Number C01.539.739, Tree Number C08.730, Unique ID D012141
Brief summary
To evaluate the effectiveness of the Acute Respiratory Infection Smart Form
Detailed description
Specific Aim 1: To design and implement an integrated documentation-based clinical decision support and physician feedback system, provided in an electronic health record (EHR), to improve the management of patients with acute medical conditions. Hypothesis 1: A documentation-based clinical decision support tool (CDSS) smart form physician feedback system, can be designed and implemented to facilitate documentation and physician order-entry, provide individualized, evidence-based recommendations for the management of patients acute respiratory infections (ARIs), and are usable by primary care physicians. Specific Aim 2: To determine the effectiveness of documentation-based CDSS and physician feedback on documentation and the clinical management of patients respiratory tract infections. Hypothesis 2A: A documentation-based CDSS smart form will increase the documentation of important clinical data in patients with ARI when compared to usual practice. Hypothesis 2B: A documentation-based CDSS smart form will increase adherence with guidelines for the management of patients with ARI when compared to usual practice.
Interventions
Computer Decision Support System
Sponsors
Study design
Eligibility
Inclusion criteria
Acute Respiratory Infection visit
Exclusion criteria
Any patients who are not part of a panel of a participating physician
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Antibiotic prescribing rates | 9 months |
Secondary
| Measure | Time frame |
|---|---|
| Appropriateness of antibiotic prescribing, re-visit rates, antibiotic costs, use of antibiotics, all-cause antibiotic use, quality of documentation | 9 months |