Evaluating the Effectiveness of the Acute Respiratory Infection Smart Form

Study Overview
=================
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.

Official Title
-----------------
Evaluating Smart Forms and Quality Dashboards in an EHR: Effectiveness of the Acute Respiratory Infection Smart Form

Conditions
-----------------
Respiratory Tract Infections

Intervention / Treatment
-----------------
* Behavioral: Smart Form


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Acute Respiratory Infection visit Exclusion Criteria: Any patients who are not part of a panel of a participating physician

Ages Eligible for Study
-----------------
Minimum Age: 18 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: 1<br>Intervention | Behavioral: Smart Form<br>* Computer Decision Support System<br>|
| No Intervention: 2<br>Control | Behavioral: Smart Form<br>* Computer Decision Support System<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Antibiotic prescribing rates |  | 9 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Appropriateness of antibiotic prescribing, re-visit rates, antibiotic costs, use of antibiotics, all-cause antibiotic use, quality of documentation |  | 9 months | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
Upper Respiratory Infections, Respiratory Tract Infections, Tree Number C01.539.739, Tree Number C08.730, Unique ID D012141