Impact of an online evidence retrieval system on decision-making in general practice
| ISRCTN | ISRCTN03597773 |
|---|---|
| DOI | https://doi.org/10.1186/ISRCTN03597773 |
| Secondary identifying numbers | N/A |
- Submission date
- 22/07/2005
- Registration date
- 09/09/2005
- Last edited
- 08/11/2022
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Other
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year
Plain English summary of protocol
Not provided at time of registration
Contact information
Prof Enrico Coiera
Scientific
Scientific
Centre for Health Informatics
University of New South Wales
Sydney
2052
Australia
Study information
| Study design | Randomised controlled trial |
|---|---|
| Primary study design | Interventional |
| Secondary study design | Randomised controlled trial |
| Study setting(s) | GP practice |
| Study type | Treatment |
| Scientific title | Impact of an online evidence retrieval system on decision-making in general practice |
| Study objectives | 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(s) | Not provided at time of registration |
| Health condition(s) or problem(s) studied | 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 | Behavioural |
| Primary outcome measure | 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 study start date | 01/05/2005 |
| Completion date | 01/05/2006 |
Eligibility
| Participant type(s) | Patient |
|---|---|
| Age group | Adult |
| Sex | Both |
| Target number of participants | 200 |
| Key inclusion criteria | Registered general practitioners who had a computer with Internet connectivity and prescribed electronically were studied. |
| Key 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. |
| Date of first enrolment | 01/05/2005 |
| Date of final enrolment | 01/05/2006 |
Locations
Countries of recruitment
- Australia
Study participating centre
Centre for Health Informatics
Sydney
2052
Australia
2052
Australia
Sponsor information
University of New South Wales (Australia) - Centre for Health Informatics
University/education
University/education
Coogee Campus
Sydney
2052
Australia
| Website | http://www.chi.unsw.edu.au/ |
|---|---|
"ROR" |
https://ror.org/03r8z3t63 |
Funders
Funder type
University/education
University of New South Wales (Australia) - Centre for Health Informatics
No information available
Results and Publications
| 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 | Not provided at time of registration |
Study outputs
| Output type | Details | Date created | Date added | Peer reviewed? | Patient-facing? |
|---|---|---|---|---|---|
| Protocol article | 24/08/2006 | Yes | No |
Editorial Notes
08/11/2022: Internal review.
