PEDIATRIC EBM-GETTING EVIDENCE USED AT THE POINT OF CARE

在护理点使用儿科 EBM 获取证据

• 批准号: 6528458
• 负责人: ROBERT Lowell DAVIS
• 金额: $ 35.29万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2000
• 资助国家: 美国
• 起止时间: 2000-09-01 至 2004-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6528458
• 关键词: acute bronchitis; antibiotics; bronchodilators; clinical research; decision making; health care policy; health care service evaluation; health science research analysis /evaluation; health services research tag; human subject; information dissemination; information systems; otitis media; patient care management; pediatrics; rhinitis; sinusitis

The applicant plans to study the provision of evidence at the point of pediatric care, in order to increase the application of evidence- based medicine, change physician behavior, and expedite the translation of research into clinical practice. There will be two main questions. First, that use of an evidence-based decision support system at the point of care will improve antibiotic use in specific index pediatric outpatient diseases, and will (i) reduce frequency and duration of antibiotic therapy for otitis media, (ii) reduce duration of therapy for acute sinusitis, (iii) reduce use of bronchodialators in outpatient treatment of bronchiolitis, and (iv) increase use of intranasal steroids for allergic rhinitis. Second, that individualized physician feedback will provide additional benefit, when used in conjunction with the support system. This study will be carried out through a series of randomized controlled trials, implemented at three sites, including academic pediatric and family medicine health care centers, rural and suburban pediatric clinics, and a regional pediatric emergency department.

申请人计划研究证据的提供 儿科护理点，以增加证据的应用 以医学为基础，改变医生的行为，并加快翻译 研究进入临床实践。 将有两个主要问题。 第一的， 在护理点使用基于证据的决策支持系统 将改善特定指标儿科门诊疾病的抗生素使用， 并将 (i) 减少中耳炎抗生素治疗的频率和持续时间 媒体，(ii) 减少急性鼻窦炎的治疗持续时间，(iii) 减少使用 支气管扩张剂在毛细支气管炎门诊治疗中的应用，以及 (iv) 增加鼻内类固醇的使用以治疗过敏性鼻炎。 其次，那个 使用时，个性化的医生反馈将提供额外的好处 与支持系统相结合。 这项研究将进行 通过在三个地点实施的一系列随机对照试验， 包括学术儿科和家庭医学保健中心、农村 和郊区儿科诊所以及地区儿科急诊室。

项目成果

A cluster randomized clinical trial to improve prescribing patterns in ambulatory pediatrics.

一项旨在改善门诊儿科处方模式的整群随机临床试验。

• 发表时间: 2007-05-18
• 作者: Davis RL;Wright J;Chalmers F;Levenson L;Brown JC;Lozano P;Christakis DA
• 通讯作者: Christakis DA