Monitoring and improving guideline adherence by an electronic decision support system
| ISRCTN | ISRCTN36656997 |
|---|---|
| DOI | https://doi.org/10.1186/ISRCTN36656997 |
| Protocol serial number | NTR246 |
| Sponsor | Netherlands Heart Foundation (Nederlandse Hartstichting) (Netherlands) |
| Funder | The Netherlands Organisation for Health Research and Development (ZonMw) (Netherlands) |
- Submission date
- 20/12/2005
- Registration date
- 20/12/2005
- Last edited
- 11/05/2009
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Circulatory System
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Plain English summary of protocol
Not provided at time of registration
Contact information
Dr N Peek
Scientific
Scientific
Academic Medical Centre, UvA
Department of Medical Informatics
Meibergdreef 9
Amsterdam
1105 AZ
Netherlands
| n.b.peek@amc.uva.nl |
Study information
| Primary study design | Interventional |
|---|---|
| Study design | Multicentre, randomised, active controlled, parallel group trial |
| Secondary study design | Randomised controlled trial |
| 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(s) | Adherence, by care providers, to the Dutch Cardiac Rehabilitation Guidelines. |
| Key secondary outcome measure(s) | No secondary outcome measures |
| Completion date | 01/01/2006 |
Eligibility
| Participant type(s) | Patient |
|---|---|
| Age group | Not Specified |
| Sex | Not Specified |
| Target sample size at registration | 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 |
Locations
Countries of recruitment
- Netherlands
Study participating centre
Academic Medical Centre, UvA
Amsterdam
1105 AZ
Netherlands
1105 AZ
Netherlands
Results and Publications
| Individual participant data (IPD) Intention to share | No |
|---|---|
| IPD sharing plan summary | Not provided at time of registration |
| IPD sharing plan |
Study outputs
| Output type | Details | Date created | Date added | Peer reviewed? | Patient-facing? |
|---|---|---|---|---|---|
| Results article | results | 27/04/2009 | Yes | No | |
| Study website | Study website | 11/11/2025 | 11/11/2025 | No | Yes |
