RecruitingNot ApplicableNCT06932341

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

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


Sponsor

Johns Hopkins University

Enrollment

800 participants

Start Date

May 5, 2025

Study Type

INTERVENTIONAL

Conditions

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)


Eligibility

Max Age: 24 Months

Inclusion Criteria2

  • Children \<=24 months of age presenting to the emergency room and/or hospitalized (under observation or inpatient status) with bronchiolitis at one of three study sites.
  • Physicians and advanced practice providers entering the patient's chart or orders entry activity for Emergency Department (ED) and inpatient encounters

Exclusion Criteria4

  • Current encounter is birth-encounter
  • Currently hospitalized in an ICU
  • Hospitalized with length of stay \>14 days
  • Physicians and advanced practice providers who do not enter the patient's chart or orders entry activity

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Interventions

OTHERNon-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.

OTHERInterruptive

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

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NCT06932341


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