The objective of this proposal is to compare clinical outcomes, implementation metrics (i.e., patient reach and clinician adoption), and clinician preferences of two designs (customized vs. commercial) of a clinical decision support (CDS). Beta blocker prescribing for patients with heart failure will be used as a test case. The best practices in CDS design, including the user-centered design will be incorporated into the customized CDS and compared to a commercially-available CDS in the electronic health record using a cluster randomized trial.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE
Enrollment
118
Active computerized clinical decision support alert within the electronic health record that recommends initiation of an evidence-based beta blocker for heart failure and reduced ejection fraction.
University of Colorado Health
Aurora, Colorado, United States
Change in prescription of Beta blocker (BB)
Number of prescriptions of an evidence based BB during a primary care office visit.
Time frame: 6 months post CDS implementation
Patient Reach
The proportion of unique patients with heart failure who were seen by primary care and not taking an evidence based BB who the CDS fired for.
Time frame: 6 months post CDS implementation
Clinician Adoption
The proportion of CDS who were not outright dismissed by the clinician.
Time frame: 6 months post CDS implementation
Factors Influencing Clinician Adoption of the CDS per Qualitative Interviews
Clinician-reported factors that influence adoption of the CDS.
Time frame: 6 months post CDS implementation
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