Randomized clinical trial to evaluate the effectiveness of synchronous electronic clinical reminders for professionals of primary care
To provide synchronous electronic clinical reminders in patient records with a clinical situation to be improved, detection of a chronic disease or prevention activity. The electronic clinical reminders improves the clinical practice of professionals by reducing the number of clinical conditions likely to recall and improving its resolution.
1. To add trademarks on the agenda of professionals to help prioritize those patients with a greater number of clinical situations which will further contribute to improving clinical practice.
2. To allow the auto-configurability of reminder system and trademarks on the agenda which will further contribute to improving clinical practice.
Ethics Committee on Clinical Research of the Primary Care Research Institute (IDIAP) Jordi Gol. Barcelona, 25/11/2011, ref: P11/62
Non-blinded randomized controlled trial
Primary study design
Secondary study design
Randomised controlled trial
Patient information sheet
Not available in web format, please use the contact details below to request a participant information sheet
Clinical reminders for chronic diseases in primary care
The 270 primary care teams are divided randomly into four groups adjusted by their previous results in a quality of care synthetic indicator (consists of 62 clinical sub-indicators)
The control group consists of professional from 135 teams dont receive intervention.
Professionals from the other three groups receive reminders in the computerized medical record, based on recommendations from clinical practice guidelines and linked to the patient. Reminder status is updated weekly for the duration of the intervention depending on the study subgroup in one of the following:
Subgroup 1: "Reminder in record": Professionals see reminders synchronously with the patient visit and they can directly access the module where the situation is resolved.
Subgroup 2: mark on the agenda: In addition to the intervention of subgroup 1, the professionals see a mark on the agenda by identifying those patients with reminders and the number of these, allowing a greater prioritization of patients to address.
Subgroup 3: auto-configure: In addition to the intervention of subgroup 2, professionals can configure reminders, focusing on those that most interest them, to keep in mind.
Primary outcome measures
1. Resolved reminder
2. Time from onset to resolution reminder
Secondary outcome measures
1. Type of clinical situation that generates the reminder
2. Type of reminder
3. Characteristics of the team:
3.1. Socioeconomic level of population
3.2. Dispersion level of population alloted
3.3. Existence of post-graduate teaching in family medicine
3.4. Existence of undergraduate nursing teaching
4. Characteristics of professionals
4.1. Type of professional: physician or nurse
4.4. Type of contract
Overall trial start date
Overall trial end date
Participant inclusion criteria
3,425 family physicians and 3,262 nurses caring for adult population of the 279 Primary Care Teams (PCT) managed by the Catalonian Health Institute.
Target number of participants
3425 general practitioners and 3262 primary care nurses
Participant exclusion criteria
1. Professionals from seven primary care teams involved in another clinical trial related to the emergence of brands in the professional agenda
2. Professionals from two primary care teams that were in a process of reorganization to become four different teams, which made the process of randomization difficult
3. 150 professionals who have a much lower attendance schedule and a very low computerization of their consultations
Recruitment start date
Recruitment end date
Countries of recruitment
Trial participating centre
Gran Via de les Corts Catalanes, 587-589
Primary Care Research Institute (IDIAP) Jordi Gol (Spain)
Gran Via de les Corts Catalanes
Investigator initiated and funded (Spain)
Funding Body Type
Funding Body Subtype
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
2016 protocol in: https://www.ncbi.nlm.nih.gov/pubmed/27652078