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Monitoring and improving guideline adherence by an electronic decision support system
DOI 10.1186/ISRCTN36656997
ClinicalTrials.gov identifier
EudraCT number
Public title Monitoring and improving guideline adherence by an electronic decision support system
Scientific title Monitoring and improving guideline adherence by an electronic decision support system: a multicentre cluster randomised trial
Acronym CARDSS
Serial number at source NTR246
Study hypothesis Care providers are more likely to adhere to clinical practice guidelines when they receive guideline-based decision support by an electronic system.
Lay summary
Ethics approval Received from local medical ethics committee
Study design Multicentre, randomised, active controlled, parallel group trial
Countries of recruitment Netherlands
Disease/condition/study domain Heart Disease, cardiac rehabilitation
Participants - inclusion criteria The decision support system (DSS) can be used at all Dutch cardiac rehabilitation (CR) centres. These centres treat patients after acute coronary syndromes, patients with angina pectoris, heart failure, and/or congenital heart disease, and patients who have undergone cardiac surgery, percutaneous transluminal coronary angioplasty, or heart transplant surgery, or have received an implantable cardioverter defibrillator.
Participants - exclusion criteria The system should be used on a routine basis in the participating CR centres, for all patients that are screened for CR no patients are excluded.
Anticipated start date 01/01/2005
Anticipated end date 01/01/2006
Status of trial Completed
Patient information material
Target number of participants 5000
Interventions Randomisation takes place at cluster (centre) level. The participating cardiac rehabilitation centres will either work with an intervention version of the DSS, having full functionality with advice, or with a control version, which comprises patient records and information management services but provides no advice regarding clinical decisions. The system is based on the Dutch Cardiac Rehabilitation Guidelines 2004.
Primary outcome measure(s) Adherence, by care providers, to the Dutch Cardiac Rehabilitation Guidelines.
Secondary outcome measure(s) No secondary outcome measures
Sources of funding The Netherlands Organisation for Health Research and Development (ZonMw) (Netherlands)
Trial website http://www.cardss.nl
Publications 2006 results in http://www.ncbi.nlm.nih.gov/pubmed/19398471
Contact name Dr  N  Peek
  Address Academic Medical Centre, UvA
Department of Medical Informatics
Meibergdreef 9
  City/town Amsterdam
  Zip/Postcode 1105 AZ
  Country Netherlands
  Email n.b.peek@amc.uva.nl
Sponsor Netherlands Heart Foundation (Nederlandse Hartstichting) (Netherlands)
  Address P.O. Box 300
  City/town Den Haag
  Zip/Postcode 2501 CH
  Country Netherlands
  Tel +31 (0)70 315 5555
  Fax +31 (0)70 335 2826
  Email info@hartstichting.nl
  Sponsor website: http://www.hartstichting.nl/go/
Date applied 20/12/2005
Last edited 11/05/2009
Date ISRCTN assigned 20/12/2005
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