Decision Support Systems, Clinical
Conditions
Brief summary
Indirect evidence show alerting physicians with clinical decision support systems (CDSS) seem to change behaviour more than requiring users to actively initiate the system. However, randomized trials comparing these methods in a clinical setting are lacking. In this study we compare the effect of Alerting physicians with a CDSS or actively requiring initiation of CDSS on the adherence of Dutch general practitioners to the Cholesterol guideline of the Dutch college of General Practitioners.
Detailed description
Indirect evidence show alerting physicians with clinical decision support systems (CDSS) seem to change behaviour more than requiring users to actively initiate the system. However, randomized trials comparing these methods in a clinical setting are lacking. In this study we compare the effect of Alerting physicians with a CDSS or actively requiring initiation of CDSS on the adherence of Dutch general practitioners to the Cholesterol guideline of the Dutch college of General Practitioners, using a clinical decsion support system called CholGate. This system has the functionality to provide both Alerting and On-Demand decision support. Users are free to negate the advise provided by the decision support system. The trial will have a cluster randomized structure.
Interventions
DEVICECholGate
Sponsors
Dutch Heart Foundation
Erasmus Medical Center
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 70 Years
Inclusion criteria
* All general practices using only Elias electronic patient records (ISOFT b.V) * All patients meeting the screening and treatment criteria of the Dutch college of general practitioners cholesterol guideline
Exclusion criteria
* Practices that used paper based records
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The percentage of correctly screened patients using anonymous patient record data. | — |
| The percentage of correctly treated patients using anonymous patient record data. | — |
Countries
Netherlands
Outcome results
None listed