Simulated physician learning intervention to improve safety and quality of XXXX care: a randomized trial.

@entity1 @entity8 @entity3916 @entity6 @entity413 @entity165 @entity2449
OBJECTIVE: To assess two physician learning interventions designed to improve safety and quality of @entity6 care delivered by primary care physicians (PCPs). RESEARCH DESIGN AND METHODS: This group randomized clinical trial included 57 consenting PCPs and their 2,020 eligible adult @entity1 with @entity6 . Physicians were randomized to no intervention (group A), a simulated case-based physician learning intervention (group B), or the same simulated case-based learning intervention with physician opinion leader feedback (group C). Dependent variables included @entity3916 values, LDL @entity165 values, pharmacotherapy intensification rates in @entity1 not at clinical goals, and risky prescribing events. RESULTS: Groups B and C had substantial reductions in risky prescribing of @entity2449 in @entity1 with @entity8 (P = 0.03). Compared with groups A and C, physicians in group B achieved slightly better glycemic control (P = 0.04), but physician intensification of oral @entity413 -lowering medications was not affected by interventions (P = 0.41). Lipid management improved over time (P < 0.001) but did not differ across study groups (P = 0.67). CONCLUSIONS: A simulated, case-based learning intervention for physicians significantly reduced risky prescribing events and marginally improved glycemic control in actual @entity1 . The addition of opinion leader feedback did not improve the learning intervention. Refinement and further development of this approach is warranted.
