Improving Otitis Media Care with EHR-based Clinical Decision Support and Feedback

通过基于 EHR 的临床决策支持和反馈改善中耳炎护理

基本信息

  • 批准号:
    7356839
  • 负责人:
  • 金额:
    $ 32.13万
  • 依托单位:
  • 依托单位国家:
    美国
  • 项目类别:
  • 财政年份:
    2007
  • 资助国家:
    美国
  • 起止时间:
    2007-09-12 至 2010-02-28
  • 项目状态:
    已结题

项目摘要

Otitis media (OM)?infection of the middle ear--is the second most common disease in childhood, and by the time children enter school, 9 in 10 will have had at least one episode. It accounts for $5 billion in medical costs, and is the number one reason why physicians in the U.S. prescribe antibiotics. Physicians tend to overuse antibiotics for OM because it can be hard to diagnose, healthcare is often fragmented across multiple sites and clinicians, and some physicians are not aware of national guidelines that recommend more judicious use of these medicines. These quality problems will be addressed within the Children?s Hospital of Philadelphia (CHOP) primary care network, organized into a Pediatric Research Consortium, which has >180,000 children managed by 300+ pediatricians from 28 practices in 3 states. Our intervention will use CHOP?s electronic health record to integrate care across time and to supply physicians with the knowledge they need about how to treat a patient at the point of care. The full intervention comprises (1) a method for linking all services a patient received from any physician into clinically logical clusters called episodes-of-care, (2) clinical decision support for medications and referrals to specialists that are based on the best available scientific evidence, (3) feedback on past performance of OM care provided to physicians, and (4) physician training on how to use the tools. The study will randomly allocate 28 primary care practices into usual care, full intervention, and full intervention without feedback. We have included an arm to specifically test the independent contribution of feedback on quality, because the evidence in support of its effects is mixed. The project?s specific aims are: Aim 1 1: To develop and pilot test the OM health Information Technology (IT) intervention; Aim 2 2: To examine the overall effect of the health IT intervention and the independent contribution of physician feedback on quality (primary outcomes); and, Aim 3 3: To assess the effects of the intervention on the secondary outcomes of resource use and clinician adoption of the technology. Upon project completion, we will work with members of our advisory board, including the American Board of Pediatrics, NCQA, and Child Health Corporation of America, to disseminate our work nationally to child health professionals. Because OM is such a common disorder in children, the widespread adoption of the results from this project has the potential for affecting lives of millions of children. :
中耳炎(OM)?中耳炎是儿童时期第二常见的疾病, 当孩子们进入学校时,十分之九的孩子至少有一次发作。它占了50亿美元的医疗费用, 也是美国医生开抗生素的首要原因。医生倾向于过度使用 抗生素用于OM,因为它很难诊断,医疗保健往往分散在多个地点, 临床医生和一些医生不知道国家指南,建议更明智地使用这些 药这些质量问题会在孩子们内部解决吗?费城医院(CHOP) 初级保健网络,组成儿科研究联盟,管理超过180,000名儿童 来自3个州28个诊所的300多名儿科医生。我们的干预会使用CHOP吗?的电子健康记录, 整合跨时间的护理,并为医生提供他们所需的关于如何治疗患者的知识, 护理要点。全面干预包括(1)用于链接患者从其接收的所有服务的方法, 任何医生到临床逻辑集群称为episodes的护理,(2)临床决策支持药物 以及根据现有最佳科学证据向专家转诊,(3)对过去的反馈 提供给医生的OM护理的性能,以及(4)关于如何使用工具的医生培训。研究 将随机分配28个初级保健实践到常规护理,全面干预和全面干预,没有 反馈我们已经包括了一个专门测试质量反馈的独立贡献的手臂, 因为支持其影响的证据是混合的。项目?的具体目标是: 目标11:发展和 对OM保健信息技术干预进行试点测试; 目标2:检查 健康信息技术干预和医生对质量反馈的独立贡献(主要结局); 并且,在本发明中, 目的33:评估干预对资源使用和临床医生次要结局的影响 技术的采用。在项目完成后,我们将与我们的顾问委员会成员, 包括美国儿科委员会、NCQA和美国儿童健康公司, 我们的工作全国儿童健康专业人员。因为OM是儿童中常见的疾病, 广泛采用这一项目的成果有可能影响数百万儿童的生活。 :

项目成果

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CHRISTOPHER B FORREST其他文献

CHRISTOPHER B FORREST的其他文献

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{{ truncateString('CHRISTOPHER B FORREST', 18)}}的其他基金

PEDSnet Scholars: A Training Program for Pediatric Learning Health System Researchers
PEDSnet 学者:儿科学习健康系统研究人员的培训计划
  • 批准号:
    10491077
  • 财政年份:
    2018
  • 资助金额:
    $ 32.13万
  • 项目类别:
PEDSnet Scholars: A Training Program for Pediatric Learning Health System Researchers
PEDSnet 学者:儿科学习健康系统研究人员的培训计划
  • 批准号:
    10018008
  • 财政年份:
    2018
  • 资助金额:
    $ 32.13万
  • 项目类别:
PEDSnet Scholars: A Training Program for Pediatric Learning Health System Researchers
PEDSnet 学者:儿科学习健康系统研究人员的培训计划
  • 批准号:
    10256623
  • 财政年份:
    2018
  • 资助金额:
    $ 32.13万
  • 项目类别:
PEDSnet Scholars: A Training Program for Pediatric Learning Health System Researchers
PEDSnet 学者:儿科学习健康系统研究人员的培训计划
  • 批准号:
    9788227
  • 财政年份:
    2018
  • 资助金额:
    $ 32.13万
  • 项目类别:
I-ACT for Children, Global Pediatric Clinical Trials Network
I-ACT for Children,全球儿科临床试验网络
  • 批准号:
    10204002
  • 财政年份:
    2017
  • 资助金额:
    $ 32.13万
  • 项目类别:
Biomed Research Core 2
生物医学研究核心 2
  • 批准号:
    10241467
  • 财政年份:
    2017
  • 资助金额:
    $ 32.13万
  • 项目类别:
I-ACT for Children, Global Pediatric Clinical Trials Network
I-ACT for Children,全球儿科临床试验网络
  • 批准号:
    9980852
  • 财政年份:
    2017
  • 资助金额:
    $ 32.13万
  • 项目类别:
The Child-Centered Outcomes in Practice and Research (COPR) Center of Excellence: Strengthening the Clinical Validity Evidence Base for PROMIS Measures in Chronically Ill Children
以儿童为中心的实践与研究成果 (COPR) 卓越中心:加强慢性病儿童 PROMIS 措施的临床有效性证据基础
  • 批准号:
    9077845
  • 财政年份:
    2015
  • 资助金额:
    $ 32.13万
  • 项目类别:
Pediatric PROMIS: Advancing the Measurement and Conceptualizaiton of Child Health
儿科 PROMIS:推进儿童健康的测量和概念化
  • 批准号:
    8131706
  • 财政年份:
    2009
  • 资助金额:
    $ 32.13万
  • 项目类别:
Pediatric PROMIS: Advancing the Measurement and Conceptualizaiton of Child Health
儿科 PROMIS:推进儿童健康的测量和概念化
  • 批准号:
    7780924
  • 财政年份:
    2009
  • 资助金额:
    $ 32.13万
  • 项目类别:

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The formation and degradation of neutrophil and eosinophil extracellular traps in otitis media
中耳炎中中性粒细胞和嗜酸性粒细胞胞外陷阱的形成和降解
  • 批准号:
    23K08953
  • 财政年份:
    2023
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    10852143
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预防细菌性中耳炎的多物种疫苗的开发
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