Evidence-based Laboratory Test Order Sets in Primary Care

Universitaire Ziekenhuizen KU Leuven

Status: Completed

Conditions: Thyroid Diseases; Anemia; Sexually Transmitted Diseases; Chronic Kidney Diseases; Acute Coronary Syndrome; Diabetes Mellitus; Obesity; Medication Monitoring; Cardiovascular Diseases; Fatigue; Gout; Hypertension; Diarrhea; Lung Embolism; General Check-up; Rheumatoid Arthritis; Liver Diseases

Treatments: Other: CPOE with order sets for lab testing; Other: CPOE without order sets for lab testing

Study type: Interventional

Funder types: Other

Identifiers

NCT02950142

CB1611 (Other Identifier)

S59472

Details and patient eligibility

About

Cluster randomised controlled trial to evaluate what the effect is of evidence-based order sets aimed at five indications on the appropriateness of laboratory test ordering in primary care.

Full description

Cluster randomised controlled trial in Belgian primary care practices. Participants will be primary care physicians working in primary care practices affiliated to one of three collaborating laboratories in the Leuven, Ghent or Antwerp regions.

Primary care practices will be allocated and randomized to either the intervention or control group. Physicians in PCPs randomized to the intervention will be offered order sets based on indication when using the CPOE for ordering laboratory tests. The effect of order sets will be analyzed for 17 common indications for ordering laboratory tests in Belgian primary care: diabetes mellitus, hypertension, cardiovascular disease, general check-up, unexplained fatigue, anemia, liver pathology, medication monitoring, gout, chronic kidney disease, lung embolism, acute coronary syndrome, diarrhea, thyroid disease, sexually transmitted disease, rheumatoid arthritis and obesity.

Enrollment: 288 patients

Sex: All

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Primary care practices will be considered eligible if all the physicians active in the practice agree to be involved in the study

• All family physicians will be considered eligible if they:

  • Collaborate with either MCH, Anacura or AML for their laboratory test orders
  • Agree to use the online CPOE for their laboratory test orders
  • Use a computerized EHR for patient care
  • Agree to the terms in the informed consent

Exclusion criteria

• Primary care practices where one or more physicians refuse to be enrolled will be excluded

Trial design

Primary purpose: Diagnostic

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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288 participants in 2 patient groups

CPOE with order sets

Experimental group

Description:

Physicians who use CPOE including order sets for large range of indications.

Treatment:

Other: CPOE with order sets for lab testing

CPOE without order sets

Active Comparator group

Description:

Physicians who use CPOE without order sets.

Treatment:

Other: CPOE without order sets for lab testing