Monitoring and improving guideline adherence by an electronic decision support system

ISRCTN	ISRCTN36656997
DOI	https://doi.org/10.1186/ISRCTN36656997
Secondary identifying numbers	NTR246

Prospectively registered

Protocol

Statistical analysis plan

Results

Individual participant data

Plain English summary of protocol

Not provided at time of registration

Dr N Peek
Scientific

Academic Medical Centre, UvA
Department of Medical Informatics
Meibergdreef 9
Amsterdam
1105 AZ
Netherlands

Email	n.b.peek@amc.uva.nl

Study design	Multicentre, randomised, active controlled, parallel group trial
Primary study design	Interventional
Secondary study design	Randomised controlled trial
Study setting(s)	Other
Study type	Diagnostic
Scientific title	Monitoring and improving guideline adherence by an electronic decision support system: a multicentre cluster randomised trial
Study acronym	CARDSS
Study objectives	Care providers are more likely to adhere to clinical practice guidelines when they receive guideline-based decision support by an electronic system.
Ethics approval(s)	Received from local medical ethics committee
Health condition(s) or problem(s) studied	Heart Disease, cardiac rehabilitation
Intervention	Randomisation takes place at cluster (centre) level. The participating cardiac rehabilitation centres will either work with an intervention version of the DSS, having full functionality with advice, or with a control version, which comprises patient records and information management services but provides no advice regarding clinical decisions. The system is based on the Dutch Cardiac Rehabilitation Guidelines 2004.
Intervention type	Other
Primary outcome measure	Adherence, by care providers, to the Dutch Cardiac Rehabilitation Guidelines.
Secondary outcome measures	No secondary outcome measures
Overall study start date	01/01/2005
Completion date	01/01/2006

Participant type(s)	Patient
Age group	Not Specified
Sex	Not Specified
Target number of participants	5000
Key inclusion criteria	The decision support system (DSS) can be used at all Dutch cardiac rehabilitation (CR) centres. These centres treat patients after acute coronary syndromes, patients with angina pectoris, heart failure, and/or congenital heart disease, and patients who have undergone cardiac surgery, percutaneous transluminal coronary angioplasty, or heart transplant surgery, or have received an implantable cardioverter defibrillator.
Key exclusion criteria	The system should be used on a routine basis in the participating CR centres, for all patients that are screened for CR no patients are excluded.
Date of first enrolment	01/01/2005
Date of final enrolment	01/01/2006

Academic Medical Centre, UvA

Amsterdam
1105 AZ
Netherlands

Netherlands Heart Foundation (Nederlandse Hartstichting) (Netherlands)
Charity

P.O. Box 300
Den Haag
2501 CH
Netherlands

Research organisation

The Netherlands Organisation for Health Research and Development (ZonMw) (Netherlands)

No information available

Intention to publish date
Individual participant data (IPD) Intention to share	No
IPD sharing plan summary	Not provided at time of registration
Publication and dissemination plan	Not provided at time of registration
IPD sharing plan

Output type	Details	Date created	Date added	Peer reviewed?	Patient-facing?
Results article	results	27/04/2009		Yes	No