Best Practice Alert (BPA) for Low Dose Aspirin Recommendation in High-risk Pregnancies: a Randomized Controlled Trial
Status: Recruiting
Location: See location...
Intervention Type: Behavioral
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY
The goal of this study is to assess the effect of an electronic health record (EHR) clinical decision support tool, also known as a best practice alert (BPA), on healthcare provider recommendations for low dose aspirin use in a high-risk pregnant patient population. The investigators hypothesize that the implementation of the EHR BPA tool will increase the healthcare provider's recommendation for low dose aspirin compared to current standard care.
Eligibility
Participation Requirements
Sex: Female
Healthy Volunteers: f
View:
• Receiving prenatal care within Geisinger
• Initial prenatal visit prior to 28 weeks gestation
• Determined to be high risk for preeclampsia based on the modified United States Preventive Services Task Force and American College of Obstetrics and Gynecology criteria (at least 1 high risk factor)
Locations
United States
Pennsylvania
Geisinger Medical Center
RECRUITING
Danville
Contact Information
Primary
A. Dhanya Mackeen, MD, MPH
admackeen@geisinger.edu
570-714-1099
Backup
Amir Goren, PhD
agoren@geisinger.edu
570-214-4395
Time Frame
Start Date: 2023-06-19
Estimated Completion Date: 2025-10-31
Participants
Target number of participants: 640
Treatments
Active_comparator: Best practice alert (BPA) intervention group
An electronic health record best practice alert (BPA) will alert healthcare providers to recommend low dose aspirin for pregnant patients at high-risk for preeclampsia. This alert also allows the healthcare provider to order an over-the-counter-prescription for low dose aspirin and automatically documents LDA in the patient's medication list.
No_intervention: Standard care group
Healthcare provider's recommendation for aspirin in patients at high-risk for preeclampsia will be based on current practice (no alerts) and the healthcare provider's knowledge.
Related Therapeutic Areas
Sponsors
Leads: Geisinger Clinic