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Research ArticleOriginal Research

Electronic Health Records for Intervention Research: A Cluster Randomized Trial to Reduce Antibiotic Prescribing in Primary Care (eCRT Study)

Martin C. Gulliford, Tjeerd van Staa, Alex Dregan, Lisa McDermott, Gerard McCann, Mark Ashworth, Judith Charlton, Paul Little, Michael V. Moore and Lucy Yardley
The Annals of Family Medicine July 2014, 12 (4) 344-351; DOI: https://doi.org/10.1370/afm.1659
Martin C. Gulliford
1King’s College London, Primary Care and Public Health Sciences, London, United Kingdom
MA, FFPH
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Tjeerd van Staa
2Clinical Practice Research Datalink (CPRD) Division, Medicines and Healthcare Products Regulatory Agency, London, United Kingdom
3London School of Hygiene & Tropical Medicine, London, United Kingdom
PhD
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Alex Dregan
1King’s College London, Primary Care and Public Health Sciences, London, United Kingdom
PhD
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  • For correspondence: alexandru.dregan@kcl.ac.uk
Lisa McDermott
5Division of Community Clinical Sciences, University of Southampton, Southampton, United Kingdom
PhD
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Gerard McCann
2Clinical Practice Research Datalink (CPRD) Division, Medicines and Healthcare Products Regulatory Agency, London, United Kingdom
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Mark Ashworth
1King’s College London, Primary Care and Public Health Sciences, London, United Kingdom
DM
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Judith Charlton
1King’s College London, Primary Care and Public Health Sciences, London, United Kingdom
MSc
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Paul Little
5Division of Community Clinical Sciences, University of Southampton, Southampton, United Kingdom
DM
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Michael V. Moore
5Division of Community Clinical Sciences, University of Southampton, Southampton, United Kingdom
DM
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Lucy Yardley
5Division of Community Clinical Sciences, University of Southampton, Southampton, United Kingdom
PhD
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  • The death of 1000 EHRs
    Barry G. Saver
    Published on: 22 July 2014
  • Published on: (22 July 2014)
    Page navigation anchor for The death of 1000 EHRs
    The death of 1000 EHRs
    • Barry G. Saver, Professor

    This article demonstrates so plainly how the United States' EHR balkanization policy ("pick an EHR, any EHR") is so counterproductive in terms of allowing low-cost, pragmatic RCTs and other studies. PCORNet is trying to create similar capabilities, but current US policies ensure that similar studies here, outside of a few, highly-organized systems (the VA, Kaiser) will remain far more difficult and expensive.

    K...

    Show More

    This article demonstrates so plainly how the United States' EHR balkanization policy ("pick an EHR, any EHR") is so counterproductive in terms of allowing low-cost, pragmatic RCTs and other studies. PCORNet is trying to create similar capabilities, but current US policies ensure that similar studies here, outside of a few, highly-organized systems (the VA, Kaiser) will remain far more difficult and expensive.

    Kudos to the authors for this very nice study.

    Competing interests: ?? None declared

    Show Less
    Competing Interests: None declared.
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The Annals of Family Medicine: 12 (4)
The Annals of Family Medicine: 12 (4)
Vol. 12, Issue 4
July/August 2014
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Electronic Health Records for Intervention Research: A Cluster Randomized Trial to Reduce Antibiotic Prescribing in Primary Care (eCRT Study)
Martin C. Gulliford, Tjeerd van Staa, Alex Dregan, Lisa McDermott, Gerard McCann, Mark Ashworth, Judith Charlton, Paul Little, Michael V. Moore, Lucy Yardley
The Annals of Family Medicine Jul 2014, 12 (4) 344-351; DOI: 10.1370/afm.1659

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Electronic Health Records for Intervention Research: A Cluster Randomized Trial to Reduce Antibiotic Prescribing in Primary Care (eCRT Study)
Martin C. Gulliford, Tjeerd van Staa, Alex Dregan, Lisa McDermott, Gerard McCann, Mark Ashworth, Judith Charlton, Paul Little, Michael V. Moore, Lucy Yardley
The Annals of Family Medicine Jul 2014, 12 (4) 344-351; DOI: 10.1370/afm.1659
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  • Peritonsillar Abscess and Antibiotic Prescribing for Respiratory Infection in Primary Care: A Population-Based Cohort Study and Decision-Analytic Model
  • Theory-based electronic learning intervention to support appropriate antibiotic prescribing by nurse and pharmacist independent prescribers: an acceptability and feasibility experimental study using mixed methods
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  • Examining influences on antibiotic prescribing by nurse and pharmacist prescribers: a qualitative study using the Theoretical Domains Framework and COM-B
  • Effectiveness and safety of electronically delivered prescribing feedback and decision support on antibiotic use for respiratory illness in primary care: REDUCE cluster randomised trial
  • Relationship between prescribing of antibiotics and other medicines in primary care: a cross-sectional study
  • Advances in optimizing the prescription of antibiotics in outpatient settings
  • Electronically delivered, multicomponent intervention to reduce unnecessary antibiotic prescribing for respiratory infections in primary care: a cluster randomised trial using electronic health records--REDUCE Trial study original protocol
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Subjects

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