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RECRUITING
NCT06932341
NA

Leveraging Electronic Health Record Tools to Improve the Evidence-Based Treatment of Children Hospitalized With Bronchiolitis

Sponsor: Johns Hopkins University

View on ClinicalTrials.gov

Summary

The goal of this experimental study is to learn whether different types of best practice advisories (BPAs) that direct clinicians to reference clinical guidelines embedded in the electronic health record (EHR) increase the delivery of evidence-based care in children presenting to the hospital with bronchiolitis. The main questions it aims to answer are: * Do BPAs improve clinicians' delivery of guideline-concordant care in bronchiolitis? * Do interruptive BPAs improve guideline-concordant care of bronchiolitis more than non-interruptive BPAs? Researchers will compare the treatment and outcomes of patients whose clinicians did not receive a BPA, to those whose clinicians received a non-interruptive BPA, to those whose clinicians received an interruptive BPA. Patients will continue to receive standard hospital care for bronchiolitis. Clinicians will: * retain access to an EHR-embedded clinical guideline for bronchiolitis care * be exposed to either no BPA, a non-interruptive BPA, or an interruptive BPA promoting the EHR-embedded clinical guideline (randomized per patient encounter)

Official title: Use of a BPA to Promote High Value Care in Bronchiolitis: A Randomized Controlled Study

Key Details

Gender

All

Age Range

Any - 24 Months

Study Type

INTERVENTIONAL

Enrollment

800

Start Date

2025-05-05

Completion Date

2026-07

Last Updated

2025-05-08

Healthy Volunteers

No

Conditions

Interventions

OTHER

Non-interruptive

Non-interruptive BPA (appears as a visual cue but does not require clinicians to alter workflows) directing clinicians to reference the EHR-embedded, evidence-based clinical guideline for the care of bronchiolitis.

OTHER

Interruptive

Interruptive BPA (requires clinicians to interact with the alert to continue the workflow) directing clinicians to reference the EHR-embedded, evidence-based clinical guideline for the care of bronchiolitis.

Locations (3)

Johns Hopkins All Children's Hospital

St. Petersburg, Florida, United States

Johns Hopkins Bayview Medical Center

Baltimore, Maryland, United States

Johns Hopkins Children's Center

Baltimore, Maryland, United States