A New Combination of Evidence-Based Interventions to Improve Primary Care Diagnostic Safety and Efficiency

The University of Texas System (UT)

Status: Not yet enrolling

Conditions: Anemia; Decreased Glomerular Filtration Rate

Treatments: Other: consultation with a specialist; Other: Usual care

Study type: Interventional

Funder types: Other

Identifiers

NCT05735314

HSC-MS-22-0815

Details and patient eligibility

About

The purpose of this study is to measure the evidence-based intervention's (EBIs) impact on patient safety and efficiency, to assess the EBIs implementation by measuring acceptability, appropriateness, cost, fidelity, penetration, and sustainability and to identify the facilitators and barriers that influence the degree of implementation of these EBIs.

Enrollment: 1,368 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria:

• new, significant abnormal anemia (Hgb >1g/dl below normal, with normal white cells and platelets) or decreased estimated glomerular filtration rate (eGFR) (<60 ml/min/1.73m2 ) seen in one of the University of Texas Physicians (UTP) adult primary care clinics.

Exclusion Criteria:

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: None (Open label)

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1,368 participants in 4 patient groups

Step 1 (3 clinics) - 6 months control followed by 24 months of intervention

Experimental group

Treatment:

Other: consultation with a specialist

Other: Usual care

Step 2 (3 clinics) - 12 months control followed by 18 months of intervention

Experimental group

Treatment:

Other: consultation with a specialist

Other: Usual care

Step 3 (3 clinics) - 18 months control followed by 12 months of intervention

Experimental group

Treatment:

Other: consultation with a specialist

Other: Usual care

Step 4 (4 clinics) - 24 months control followed by 6 months of intervention

Experimental group

Treatment:

Other: consultation with a specialist

Other: Usual care