Reduction in Clinical Variance Using Targeted Design Changes in Computerized Provider Order Entry Order (CPOE) Sets

Status

Completed

Phases

Phase 3

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT00952471

Enrollment

458

Registered

2009-08-06

Start date

2004-09-30

Completion date

2006-12-31

Last updated

2015-05-21

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Asthma Exacerbation

Keywords

Asthma, Children, CPOE, Decision Support, Framing, Heuristic, Order Sets

Brief summary

Selective redesign of order sets using different ways to frame the order and physician decision-making in a computerized provider order entry system could increase adherence to evidence-based care and reduce population-specific variance.

Detailed description

Variance in ordering of care can be characterized as the lack of uniform use of specific treatments by clinicians for a given medical condition. Unwarranted variance in healthcare has been associated with prolonged length of stay, diminished health and increased cost. Practice variation in the management of asthma can be significant and few investigators have evaluated strategies to reduce this variation. We hypothesized that selective redesign of order sets using different ways to frame the order and physician decision-making in a computerized provider order entry system could increase adherence to evidence-based care and reduce population-specific variance.

Interventions

OTHEREvidence Based Intervention to order set

The order set was altered to include evidence based care items

Study design

Allocation

NON_RANDOMIZED

Intervention model

FACTORIAL

Primary purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Eligibility

Sex/Gender

ALL

Healthy volunteers

Inclusion criteria

* All patients admitted using an acute asthma exacerbation order set.

Exclusion criteria

* Patients who did not have either an admission or discharge diagnosis of asthma exacerbation. * In addition, patients admitted to the intensive care unit directly or transferred to the intensive care unit within 24-hours were excluded from analysis. * Finally, patients were excluded from analysis if asthma was not the presenting problem.

Design outcomes

Primary

Measure	Time frame
Reduced variation from in evidence-based care through integrating evidence into the clinician workflow in the EMR system.	2 years

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026