Condition category
Not Applicable
Date applied
22/07/2005
Date assigned
09/09/2005
Last edited
25/05/2007
Prospective/Retrospective
Retrospectively registered
Overall trial status
Completed
Recruitment status
No longer recruiting

Plain English Summary

Not provided at time of registration

Trial website

Contact information

Type

Scientific

Primary contact

Prof Enrico Coiera

ORCID ID

Contact details

Centre for Health Informatics
University of New South Wales
Sydney
2052
Australia

Additional identifiers

EudraCT number

ClinicalTrials.gov number

Protocol/serial number

N/A

Study information

Scientific title

Acronym

Study hypothesis

The aim of this trial is to assess the effectiveness of an online evidence retrieval system in improving clinical decision-making processes in general practice. The specific hypotheses to be tested in this study are that:
1. Online evidence systems are clinically acceptable and will be used by clinicians in ‘real world’ general practice settings
2. Online evidence systems are effective in changing clinical decision-making behaviour and result in measurable improvements in evidence-based prescribing decisions

Ethics approval

Not provided at time of registration

Study design

Randomised controlled trial

Primary study design

Interventional

Secondary study design

Randomised controlled trial

Trial setting

GP practices

Trial type

Diagnostic

Patient information sheet

Condition

Online clinical evidence retrieval technology

Intervention

Participants in the intervention group were given access to Quick Clinical an online clinical evidence retrieval system specifically designed around the needs of family physicians. This system is based on the generic use of search filters focused on clinical questions and retrieves evidence from multiple resources including bibliographic databases, textbooks and summarised guidelines.

Participants in the control group received no intervention.

Intervention type

Other

Phase

Not Specified

Drug names

Primary outcome measures

The primary outcome measures are clinician acceptance and use of Quick Clinical and the resulting change in decision-making behaviour. Specific outcome measures are:
1. Physician acceptability focusing on ease of use and usefulness and patterns of use of QC
2. Prescribing patterns in clinical priority areas identified at the start of the study
3. Prescribing patterns in response to new evidence of the effectiveness of new or existing treatments
4. Patterns of non-pharmacological clinical management

Secondary outcome measures

1. Referral patterns
2. Management decisions
3. Number, timing and types of investigations

Overall trial start date

01/05/2005

Overall trial end date

01/05/2006

Reason abandoned

Eligibility

Participant inclusion criteria

Registered general practitioners who had a computer with Internet connectivity and prescribed electronically were studied.

Participant type

Patient

Age group

Adult

Gender

Both

Target number of participants

200

Participant exclusion criteria

Clinicians were excluded if they were participating in other studies requiring the provision of prescribing data or if they were planning to retire or move to another practice during the study period.

Recruitment start date

01/05/2005

Recruitment end date

01/05/2006

Locations

Countries of recruitment

Australia

Trial participating centre

Centre for Health Informatics
Sydney
2052
Australia

Sponsor information

Organisation

University of New South Wales (Australia) - Centre for Health Informatics

Sponsor details

Coogee Campus
Sydney
2052
Australia

Sponsor type

University/education

Website

http://www.chi.unsw.edu.au/

Funders

Funder type

University/education

Funder name

University of New South Wales (Australia) - Centre for Health Informatics

Alternative name(s)

Funding Body Type

Funding Body Subtype

Location

Results and Publications

Publication and dissemination plan

Not provided at time of registration

Intention to publish date

Participant level data

Not provided at time of registration

Results - basic reporting

Publication summary

Results in:
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&dopt=AbstractPlus&list_uids=16928282

Publication citations

  1. Results

    Coiera E, Magrabi F, Westbrook JI, Kidd MR, Day RO, Protocol for the Quick Clinical study: a randomised controlled trial to assess the impact of an online evidence retrieval system on decision-making in general practice., BMC Med Inform Decis Mak, 2006, 6, 33, doi: 10.1186/1472-6947-6-33.

Additional files

Editorial Notes