At a glance
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Increasing Prompt Response Rates in the CHICA System
In Brief
A clinical study evaluating Receiving Highlighted Prompts and Receiving Non-highlighted Prompts for Physician Behavior. Completed, enrolled 2,237 participants across 1 site.
Detailed 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.
Study Details
Timeline
Interventions
Prompts received by physicians were highlighted.
Prompts received by physicians were not highlighted.