Clinical trials: Unnecessary Procedures
Health Services Misuse, Physician's Practice Patterns
Primary Care Clinician Commitments to Choosing Wisely®
This pragmatic trial examines the uptake and effects of primary care clinician commitments to follow 3 Choosing Wisely® recommendations.
- Conditions
- Health Services Misuse, Physician's Practice Patterns, Guideline Adherence, Unnecessary Procedures
- Trial name
- NCT02247050
- Testing
- Commitment invitation
- Where
- 6 sites in United States
- Volunteers
- 45 people
- Sponsor
- University of Michigan
Unnecessary Procedures, Low Back Pain
Promoting Patient-Centered Counseling to Reduce Inappropriate Diagnostic Tests
In this study, the investigators will develop and evaluate a novel intervention using standardized patients (SPs) -- or actors playing the roles of patients -- to enhance physicians' patient-centered counseling skills regarding…
- Conditions
- Unnecessary Procedures, Low Back Pain, Osteoporosis, Headache
- Trial name
- NCT01808664
- Testing
- Standardized Patient Instructor Intervention, Control
- Volunteers
- 61 people
- Sponsor
- University of California, Davis
Brain Injuries, Pulmonary Embolism
Improving the Stewardship of Diagnostic Imaging Resources in Alberta Emergency Departments
Utilization of diagnostic imaging in the Emergency Department has increased dramatically over the past two decades, driven by an increased availability of advanced imaging, legal pressures to exclude serious diagnoses in low-risk…
- Trial name
- NCT02410941
- Testing
- Clinical decision support
- Where
- 16 sites in Canada
- Volunteers
- 52,058 people, healthy volunteers welcome
- Sponsor
- University of Calgary
Health Services Misuse, Physician's Practice Patterns
Effects of Provider Commitments to Choose Wisely
Clinicians' decisions to order potentially unnecessary services -- such as those targeted in the Choosing Wisely® campaign -- are often affected by their high-pressure practice environments, which can make it hard to consistently…
- Conditions
- Health Services Misuse, Physician's Practice Patterns, Guideline Adherence, Unnecessary Procedures
- Trial name
- NCT03411525
- Testing
- Commitment Invitation for Clinicians (Clinician Intervention), Health Education Materials to Patients (Patient Intervention)
- Where
- 9 sites in United States
- Volunteers
- 489 people, healthy volunteers welcome
- Sponsor
- University of Michigan
Dementia Alzheimers, Disruptive Behavior
Telemedicine-based, Multidisciplinary-team, Intervention to Reduce Unnecessary Hospitalizations
The purpose of this study is to investigate the use of telemedicine-based intervention at urban and rural skilled nursing facilities to recommend multidisciplinary dementia care to residents with dementia who are at risk for…
- Trial name
- TeleNH (NCT03378245)
- Testing
- Behavioral modification and education on pharmacologic treatments.
- Where
- United States
- Volunteers
- 16 people
- Sponsor
- Richard Ronan Murphy
Acute Otitis Media, Ear Infection
Interventions to De-implement Unnecessary Antibiotic Prescribing for Children With Ear Infections
This study aims to improve care and reduce unnecessary antibiotic prescribing for children with ear infections. The study will compare the effectiveness of a "gold standard" to a hybrid intervention combined with this gold…
- Conditions
- Acute Otitis Media, Ear Infection, Pediatric Infectious Disease
- Trial name
- DISAPEAR (NCT06034080)
- Testing
- Changes to the electronic health record (EHR), Individualized audit and feedback reporting for clinicians, Clinician education sessions
- Where
- 3 sites in United States
- Volunteers
- 1,566 people
- Sponsor
- Intermountain Health Care, Inc.