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A New Combination of Evidence-Based Interventions to Improve Primary Care Diagnostic Safety and Efficiency

A New Combination of Evidence-Based Interventions to Improve Primary Care Diagnostic Safety and Efficiency: a Stepped Wedge Cluster Randomized Control Trial (RCT)

Who can join

Ages 18 and older · All sexes

Primary care providers' inclusion criteria:

* physicians, physicians assistants and advanced practice registered nurses in the 13 clinic locations of UTP are eligible if they care for patients at the time patient enrollment at their clinic begins
* agree to participate.

Patients' inclusion criteria are:

* hemoglobin result \< 10.8 for females and \< 12.5 for males with normal white cell count and platelet count (the prior hemoglobin results must have been in normal range, with a look-back period of two years)
* an eGFR value \< 60 (the prior eGFR results must have been in normal range, with a look-back range of two years)
* the matching creatinine results must also be in normal range
* not pregnant
* speak English or Spanish.

About the study

The purpose of this study is to measure the evidence-based intervention's (EBIs) impact on patient safety and efficiency, to assess the EBIs implementation by measuring acceptability, appropriateness, cost, fidelity, penetration, and sustainability and to identify the facilitators and barriers that influence the degree of implementation of these EBIs.

What is being tested

• Enhanced diagnostic team implementing three evidence-based interventions (other)
• Usual care (other)

Sponsor: The University of Texas Health Science Center, Houston · Participants: 450 · Started: Jan 8, 2024

Contact the study team

• Eric Thomas, MD,MPH · Phone: 713-500-7958
• Eric Thomas, MD, MPH · Phone: 713-500-7958

Official record on ClinicalTrials.gov — NCT05735314

Locations in the U.S.

Conditions

• Anemia

From ClinicalTrials.gov, data retrieved Sep 30, 2026. Each study sets its own eligibility; the study team decides who can join.