2024
Learning implementation of a guideline based decision support system to improve hypertension treatment in primary care in China: pragmatic cluster randomised controlled trial
Song J, Wang X, Wang B, Ge Y, Bi L, Jing F, Jin H, Li T, Gu B, Wang L, Hao J, Zhao Y, Liu J, Zhang H, Li X, Li J, Ma W, Wang J, Normand S, Herrin J, Armitage J, Krumholz H, Zheng X. Learning implementation of a guideline based decision support system to improve hypertension treatment in primary care in China: pragmatic cluster randomised controlled trial. The BMJ 2024, 386: e079143. PMID: 39043397, PMCID: PMC11265211, DOI: 10.1136/bmj-2023-079143.Peer-Reviewed Original ResearchConceptsClinical decision support systemsPrimary care practicesElectronic health recordsIntervention groupSystolic blood pressurePrimary careCare practicesBlood pressure <Health recordsPragmatic cluster randomised controlled trialCluster randomised controlled trialImproving hypertension treatmentPrimary care settingBlood pressure control ratesBlood pressureProportion of visitsProportion of participantsRandomised controlled trialsSystolic blood pressure <Control groupInjurious fallsRelated visitsCare settingsDiastolic blood pressure <Follow-up
2017
Effectiveness of a Decision Aid in Potentially Vulnerable Patients: A Secondary Analysis of the Chest Pain Choice Multicenter Randomized Trial
Rising K, Hollander J, Schaffer J, Kline J, Torres C, Diercks D, Jones R, Owen K, Meisel Z, Demers M, Leblanc A, Shah N, Inselman J, Herrin J, Montori V, Hess E. Effectiveness of a Decision Aid in Potentially Vulnerable Patients: A Secondary Analysis of the Chest Pain Choice Multicenter Randomized Trial. Medical Decision Making 2017, 38: 69-78. PMID: 28525723, DOI: 10.1177/0272989x17706363.Peer-Reviewed Original ResearchConceptsUsual careHealth literacySecondary analysisAcute coronary syndromeDecision aidOne-thirdChest painCoronary syndromePatient characteristicsSDM interventionsIntervention groupVulnerable patientsHigh school educationPatientsControl groupPhysician trustPatient trustSubgroup effectsArm assignmentVulnerable subgroupsSociodemographic groupsMulticenterTrialsSimilar extentPhysicians
2009
A hospital-randomized controlled trial of a formal quality improvement educational program in rural and small community Texas hospitals: one year results
Filardo G, Nicewander D, Herrin J, Edwards J, Galimbertti P, Tietze M, Mcbride S, Gunderson J, Collinsworth A, Haydar Z, Williams J, Ballard DJ. A hospital-randomized controlled trial of a formal quality improvement educational program in rural and small community Texas hospitals: one year results. International Journal For Quality In Health Care 2009, 21: 225-232. PMID: 19395710, DOI: 10.1093/intqhc/mzp019.Peer-Reviewed Original ResearchConceptsRural hospitalsStudy groupControl groupCommunity-acquired pneumoniaCongestive heart failureLocal quality improvement projectsSmall community hospitalQuality improvement projectContinuous quality improvement techniquesFull training programEducational programsHeart failureAnnual followIntervention groupCommunity hospitalHospitalTexas hospitalsPhysician championsIncremental benefitCore measuresSignificant differencesDidactic sessionsImprovement projectQuality improvement techniquesTrials
2008
Team Training and Stroke Rehabilitation Outcomes: A Cluster Randomized Trial
Strasser DC, Falconer JA, Stevens AB, Uomoto JM, Herrin J, Bowen SE, Burridge AB. Team Training and Stroke Rehabilitation Outcomes: A Cluster Randomized Trial. Archives Of Physical Medicine And Rehabilitation 2008, 89: 10-15. PMID: 18164324, DOI: 10.1016/j.apmr.2007.08.127.Peer-Reviewed Original ResearchConceptsLength of stayStroke patientsCommunity dischargePatient outcomesVeterans Affairs Medical CenterImproved patient outcomesIntervention teamStroke rehabilitation outcomesSignificant differencesVideoconference consultationsStroke outcomeFunctional outcomeFIM instrumentRehabilitation unitFunctional improvementIntervention groupFIM gainMedical CenterStroke rehabilitationFunctional gainsRehabilitation outcomesControl groupClinical staffMotor itemsSecondary analysis
2005
A Randomized Outpatient Trial of a Decision-Support Information Technology Tool
Apkon M, Mattera JA, Lin Z, Herrin J, Bradley EH, Carbone M, Holmboe ES, Gross CP, Selter JG, Rich AS, Krumholz HM. A Randomized Outpatient Trial of a Decision-Support Information Technology Tool. JAMA Internal Medicine 2005, 165: 2388-2394. PMID: 16287768, DOI: 10.1001/archinte.165.20.2388.Peer-Reviewed Original ResearchMeSH KeywordsAdultAmbulatory CareAttitude of Health PersonnelCost-Benefit AnalysisDecision Support Systems, ClinicalFemaleFloridaHealth ResourcesHospitals, MilitaryHumansKentuckyMaleMass ScreeningMultivariate AnalysisOutcome and Process Assessment, Health CarePatient SatisfactionPreventive MedicineQuality of Health CareConceptsProvider satisfactionAmbulatory clinic visitsUsual care patientsDays of enrollmentQuality process measuresQuality of careProportion of opportunitiesUsual careClinic visitsOutpatient trialSecondary outcomesPrimary outcomeAcute carePatient satisfactionIntervention groupHealth care opportunitiesPatientsClinical decisionCare opportunitiesPharmacy resourcesPreventive measuresProcess measuresCareMedical resourcesModest improvement
2002
Blind Faith? The Effects of Promoting Active Sick Leave for Back Pain Patients
Scheel I, Hagen K, Herrin J, Carling C, Oxman A. Blind Faith? The Effects of Promoting Active Sick Leave for Back Pain Patients. Spine 2002, 27: 2734-2740. PMID: 12461401, DOI: 10.1097/00007632-200212010-00014.Peer-Reviewed Original ResearchConceptsLow back painProportion of patientsQuality of lifeSick leaveControl groupIntervention groupPassive intervention groupBack pain patientsPassive interventionMain outcome measuresSelf-reported qualityNational Insurance AdministrationLBP patientsPain patientsBack painPatient satisfactionGeneral practitionersMedian numberOutcome measuresBACKGROUND DATAIndividual patientsPatientsResponse rateHealth outcomesInterventionCluster randomised controlled trial of tailored interventions to improve the management of urinary tract infections in women and sore throat
Flottorp S, Oxman A, Håvelsrud K, Treweek S, Herrin J. Cluster randomised controlled trial of tailored interventions to improve the management of urinary tract infections in women and sore throat. The BMJ 2002, 325: 367. PMID: 12183309, PMCID: PMC117890, DOI: 10.1136/bmj.325.7360.367.Peer-Reviewed Original ResearchConceptsUrinary tract infectionTract infectionsSore throatTelephone consultationsThroat groupUrinary tract infection groupLaboratory testsAntibiotic prescriptionsPatient educational materialsRate of useInfection groupGeneral practitionersIntervention groupPractice assistantsOutcome measuresGeneral practiceComplex interventionsInfectionInterventionWomenSignificant differencesConsultationTrialsThroatAntibiotics