Clinical Decision Support for Respiratory Infections

This trial tests a new tool, the iCPR system, to assist nurses in deciding when to prescribe antibiotics for acute respiratory infections, such as coughs and sore throats. The goal is to ensure antibiotics are used only when necessary, based on the tool's guidance. The trial involves two groups: one using the new tool and one continuing with standard care. Nurses who regularly see patients and use electronic health records can participate. Patients eligible for this trial are those visiting participating clinics with a cough or sore throat complaint. As an unphased trial, this study allows patients to contribute to innovative healthcare solutions that could improve antibiotic use.

The trial information does not specify whether you need to stop taking your current medications. It focuses on evaluating a tool for prescribing antibiotics for respiratory infections.

Research has shown that the iCPR system, a decision-support tool for doctors, has been tested in regular healthcare settings. Although it did not significantly reduce antibiotic prescriptions for upper respiratory infections, studies found no evidence of harm or side effects from its use. Thus, the iCPR system is considered safe and well-tolerated for guiding treatment decisions for acute respiratory infections (ARIs).¹²³⁴⁵

Researchers are excited about the iCPR system because it's designed to enhance clinical decision-making for respiratory infections. Unlike standard care, which often relies on generalized protocols, the iCPR system provides personalized, real-time support by guiding healthcare providers through specific workflows and risk assessments. This approach allows for more tailored care, potentially improving patient outcomes and treatment efficiency. The combination of online and in-person training ensures that clinic personnel are well-equipped to use the system effectively, which could lead to better management of respiratory infections.

Research has shown that tools like the iCPR system, which participants in this trial may receive, can assist doctors and nurses in making better decisions about antibiotic use for respiratory infections. These tools guide healthcare providers on when to prescribe antibiotics. However, one study found that the iCPR tool did not significantly reduce antibiotic prescriptions in primary care settings. While these systems have the potential to aid decision-making, their actual impact on changing prescription habits can vary. This underscores the need for further research to determine how best to use these tools in different healthcare settings.³⁶⁷⁸⁹