Anesthesia Care QualityNCT05923463
Precision Feedback to Improve Health Care Quality
A study testing precision-enhanced feedback email messages and standard feedback email messages in people with Anesthesia Care Quality, run by University of Michigan at 1 site in United States.
Trial summary
This cluster-randomized trial will assess the effectiveness of a precision feedback service on anesthesia provider performance. The precision feedback service enhances a standard audit and feedback (A\&F) email with a brief message and visual display about high-value performance information. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Anesthesia Care Quality
- What is being tested?
- precision-enhanced feedback email messages and standard feedback email messages
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 3,500 participants
- Where
- 1 siteUnited States
- Study dates
- 6 May 2024to Jun 2025
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Participation in the Multicenter Perioperative Outcomes Group (MPOG) provider feedback email program.
Who cannot join
- Ended participation in the MPOG provider feedback email program for any reason during the study period
- Changed professional roles (e.g. transitioned from resident to attending) before the end of the intervention period
- Changed institutions during the study period
- Had no institution-selected quality measures in common between the pre-intervention and intervention period
- Were not candidates to receive a precision feedback email for the majority of the trial.
Trial locations and contacts
1 site in 1 country.
About this study
Official title: A Scalable Service to Improve Health Care Quality Through Precision Audit and Feedback: A Cluster-randomized Controlled Trial
This cluster-randomized trial will assess the effectiveness of a precision feedback service on anesthesia provider performance. The precision feedback service enhances a standard audit and feedback (A\&F) email with a brief message and visual display about high-value performance information. The control arm will receive a standard "one size fits most" A\&F email that is currently sent to anesthesia providers each month. Hypothesis: Providers receiving precision feedback will increase a) care quality for improvable measures and b) email engagement (click-through and dashboard login rates) when compared with providers receiving standard A\&F emails. The study investigators will assess unintended consequences in a mixed-methods process evaluation.
- Conditions
- Anesthesia Care Quality
- Being tested
- precision-enhanced feedback email messages, standard feedback email messages
- Keywords
- Audit and feedback, Anesthesiology, Learning health system
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
precision-enhanced feedback email messagesBehavioural
Providers receive customized messages prioritizing metrics in an optimal formatting.
standard feedback email messagesBehavioural
Providers receive metrics in a common format.
| Study group | Role | What they receive |
|---|---|---|
| precision-enhanced feedback email messages | Experimental | Providers receive an enhanced monthly email containing precision audit and feedback (A\&F). Receives: Behavioral: precision-enhanced feedback email messages |
| standard feedback email messages | Active comparator | Providers receive the standard "one size fits most" A\&F monthly email. Receives: Behavioral: standard feedback email messages |
What is being measured
The primary outcome is the main question the study is designed to answer.
Measure success rate (M) for operative cases of anesthesia care providers
The primary outcome for the cluster-randomized controlled trial is the measure success rate (M) for operative cases of anesthesia care providers, where:
M = sum of all operative case measurement successes / number of all operative case measurements
The measures included in each provider's measure success rate will be all improvable process measures that meet the following inclusion criteria:
- A provider's cases were included for the measure during both the 6-month pre-intervention period and during the 6-month intervention period.
- Average performance for the measure is below 90% during the baseline period, based on the MPOG threshold for most process measures.
- The measure was included in at least one provider feedback email during the intervention period.
The investigators will exclude measures of clinical outcomes (also called "inverse measures") in this study that are less within the control of providers.
Measured: Up to 1 year
Secondary outcomes (2)
Average email click-through rate (CTR)
CTR = 100 x (number of recipient's emails with a clicked link) / (total number of emails)
Measured: Up to 6 months
Average dashboard login rate (L)
L = 100 x (number of months with an email recipient's dashboard login event) / (total number of months)
Measured: Up to 1 year
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted28 Jun 2023
- Study start6 May 2024
- Primary completion30 Nov 2024
- Study completionJun 2025 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Anesthesia Care QualityStudies of the same condition, open and under way.
- More trials run by University of MichiganThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Health services research
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 3,500 participants (estimated)
Sponsor and investigators
- Lead sponsor
- University of Michigan
- Sponsor type
- University, hospital or other
- Collaborators
- National Library of Medicine (NLM)
- Responsible party
- Principal investigator, Zach Landis-Lewis, University of Michigan
- Investigators
- Zach Landis-Lewis, Principal investigator, University of Michigan
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05923463
- Sponsor's protocol ID
- HUM00194224
- Other IDs
- R01LM013894-01
- Status last verified
- Feb 2025
- First submitted
- 20 Jun 2023
- Last updated
- 24 Feb 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Landis-Lewis Z, Flynn A, Janda A, Shah N. A Scalable Service to Improve Health Care Quality Through Precision Audit and Feedback: Proposal for a Randomized Controlled Trial. JMIR Res Protoc. 2022 May 10;11(5):e34990. doi: 10.2196/34990.
PubMed 35536637
Study at a glance
From the registry record, last updated by the sponsor on 24 Feb 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Scalable Service to Improve Health Care Quality Through Precision Audit and Feedback: A Cluster-randomized Controlled Trial
- ClinicalTrials.gov ID
- NCT05923463
- Acronym / sponsor ID
- HUM00194224
- Conditions
- Anesthesia Care Quality
- Keywords
- Audit and feedback, Anesthesiology, Learning health system
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 3,500 participants (estimated)
- Lead sponsor
- University of MichiganUniversity, hospital or other
- Collaborators
- National Library of Medicine (NLM)
- Study start
- 6 May 2024 (actual)
- Primary completion
- 30 Nov 2024 (actual)
- Study completion
- Jun 2025 (estimated)
- First posted
- 28 Jun 2023 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This cluster-randomized trial will assess the effectiveness of a precision feedback service on anesthesia provider performance. The precision feedback service enhances a standard audit and feedback (A\&F) email with a brief message and visual display about high-value performance information. The control arm will receive a standard "one size fits most" A\&F email that is currently sent to anesthesia providers each month. Hypothesis: Providers receiving precision feedback will increase a) care quality for improvable measures and b) email engagement (click-through and dashboard login rates) when compared with providers receiving standard A\&F emails. The study investigators will assess unintended consequences in a mixed-methods process evaluation.
Study design
- Primary purpose
- Health services research
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| precision-enhanced feedback email messages | Experimental | Behavioral: precision-enhanced feedback email messagesProviders receive an enhanced monthly email containing precision audit and feedback (A\&F). |
| standard feedback email messages | Active comparator | Behavioral: standard feedback email messagesProviders receive the standard "one size fits most" A\&F monthly email. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (1 listed)
- Participation in the Multicenter Perioperative Outcomes Group (MPOG) provider feedback email program.
Key exclusion criteria (5 listed)
- Ended participation in the MPOG provider feedback email program for any reason during the study period
- Changed professional roles (e.g. transitioned from resident to attending) before the end of the intervention period
- Changed institutions during the study period
- Had no institution-selected quality measures in common between the pre-intervention and intervention period
- Were not candidates to receive a precision feedback email for the majority of the trial.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| precision-enhanced feedback email messagesProviders receive customized messages prioritizing metrics in an optimal formatting. | Behavioural | precision-enhanced feedback email messages |
| standard feedback email messagesProviders receive metrics in a common format. | Behavioural | standard feedback email messages |
Primary outcome
Measure success rate (M) for operative cases of anesthesia care providers
Time frame: Up to 1 year
The primary outcome for the cluster-randomized controlled trial is the measure success rate (M) for operative cases of anesthesia care providers, where: M = sum of all operative case measurement successes / number of all operative case measurements The measures included in each provider's measure success rate will be all improvable process measures that meet the following inclusion criteria: 1. A provider's cases were included for the measure during both the 6-month pre-intervention period and during the 6-month intervention period. 2. Average performance for the measure is below 90% during the baseline period, based on the MPOG threshold for most process measures. 3. The measure was included in at least one provider feedback email during the intervention period. The investigators will exclude measures of clinical outcomes (also called "inverse measures") in this study that are less within the control of providers.
2 secondary outcomes
Average email click-through rate (CTR)
Time frame: Up to 6 months
Average dashboard login rate (L)
Time frame: Up to 1 year
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 24 Feb 2025.
- Background: PubMed 35536637Landis-Lewis Z, Flynn A, Janda A, Shah N. A Scalable Service to Improve Health Care Quality Through Precision Audit and Feedback: Proposal for a Randomized Controlled Trial. JMIR Res Protoc. 2022 May 10;11(5):e34990. doi: 10.2196/34990.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Zach Landis-Lewis principal investigator
University of Michigan
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing precision-enhanced feedback email messages and standard feedback email messages in people with Anesthesia Care Quality, run by University of Michigan at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: under way, not looking for participants, as of the sponsor's last update on 24 Feb 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Measure success rate (M) for operative cases of anesthesia care providers (time frame: Up to 1 year). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT05923463, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 24 Feb 2025.