Clinical Decision Support for Respiratory Infections

Recruiting in Palo Alto (17 mi)

+3 other locations

Overseen byDevin Mann, MD

Age: 18+

Sex: Any

Travel: May Be Covered

Time Reimbursement: Varies

Trial Phase: Academic

Waitlist Available

Sponsor: NYU Langone Health

No Placebo Group

Trial Summary

What is the purpose of this trial?

This study evaluates the effects of a novel integrated clinical prediction tool on antibiotic prescription patterns of nurses for acute respiratory infections (ARIs). The intervention is an EHR-integrated risk calculator and order set to help guide appropriate, evidence-based antibiotic prescriptions for patients presenting with ARI symptoms.

Research Team

Devin Mann, MD

Principal Investigator

NYU Langone Health

Eligibility Criteria

This trial is for patients aged 3-70 with sore throat and 18-70 with cough, seen at participating clinics. Nurses prescribing treatment must work at least half-time, be licensed, use the clinic's EHR system regularly, and see a sufficient number of patients to maintain skills.

Inclusion Criteria

I am between 3-70 years old with a sore throat, or 18-70 with a cough.

I visited a clinic for a cough or sore throat.

My clinic employs at least one full-time registered nurse.

See 4 more

Exclusion Criteria

I do not have chronic lung disease or a weakened immune system.

I can use English software for self-monitoring without issues.

I am unable or unwilling to give my consent for participation.

See 2 more

Treatment Details

Interventions

iCPR system (Clinical Decision Support)

Trial OverviewThe study tests an integrated clinical prediction tool in electronic health records (EHR) that helps nurses decide when antibiotics are needed for acute respiratory infections. It aims to ensure prescriptions are evidence-based.

Participant Groups

2Treatment groups

Experimental Treatment

Active Control

Group I: iCPR groupExperimental Treatment1 Intervention

Clinic personnel (Providers and Nurses) will receive online training that includes: 1) an overview of the project; 2) iCPR workflows including triage; 3) CPR component review and risk categories; 4) history and physical examination components of the CPRs. The online training will be followed by in-person training to reinforce the online training and teach additional skills. In-person training sessions led by study team will last approximately 60 minutes, and consist of four basic components: 1) a review of the iCPR ARI protocol and tools; 2) on-screen walk-throughs of common scenarios employing the new tools; 3) physical examination technique practice with simulated patients; A 60-minute in-person follow-up nurse training will take place 4-6 weeks after implementation of the intervention.

Group II: Control no intervention groupActive Control1 Intervention

standard care will continue as usual.