Optimizing A1c and TSH Test Orders with Clinical Decision Support
Official title: Evaluation of Our Practice Advisory (OPA) Interventions on Hemoglobin A1c (A1c) and Thyroid-Stimulating Hormone (TSH) Short Interval Ordering
Run by University of California, Los Angeles · NCT06993805 · Data updated 2026-11-12
This study is testing a new alert system to help doctors decide when to order blood tests for diabetes and thyroid function, aiming to reduce unnecessary repeat tests and improve patient care.
Quick facts
| Study type | Interventional |
|---|---|
| Sex | All |
| Enrollment | 384 (estimated) |
| Sponsor | University of California, Los Angeles Academic / other |
| Locations | 1 site (Los Angeles, California) |
| Status | Recruiting |
| Started | May 6, 2025 |
| Main results expected | December 2025 |
| Study ends | February 2026 |
| Registry record updated | May 29, 2025 |
| Trial ID | NCT06993805 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults aged 18 and older who have had A1c or TSH tests ordered within the prior 30 days during their inpatient or observation stays at UCLA Health System hospitals.
✕Probably not a fit
Patients who have not had a result for A1c or TSH tests ordered in the prior 30 days will not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This initiative evaluates the impact of a randomized Our Practice Advisory (OPA) intervention on physician ordering behavior for Hemoglobin A1c (A1c) and Thyroid-Stimulating Hormone (TSH) tests. The OPA alerts providers when these tests are ordered within 30 days of a prior result, encouraging them to reconsider unnecessary repeat testing. By focusing on optimizing resource use and aligning test orders with evidence-based guidelines, the study aims to improve patient outcomes and inform broader clinical decision support strategies. The results will help determine if the OPA should be implemented across all patients and potentially extended to other laboratory tests.
Why it matters
Potential benefit: If successful, this approach could reduce unnecessary testing and improve patient care by ensuring more appropriate test ordering.
How similar studies have gone: Other studies have shown success with similar clinical decision support interventions, indicating potential for positive outcomes in optimizing test ordering.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * 18 years or older * Inpatient or observation stays within UCLA Health System hospitals * Hemoglobin A1c (A1c) and Thyroid-Stimulating Hormone (TSH) ordered, AND this lab was ordered and resulted within the prior 30 days Exclusion Criteria: * Have an A1c or TSH ordered and do not have a result for one of these labs in the prior 30 days
Where it's running
-
UCLA Health System
Los Angeles, California, United States Recruiting
Study contacts
- Study coordinator: Katelyn Clinical Research Coordinator
- Email: katenguyen@mednet.ucla.edu
- Phone: 310-267-5250
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Nurse-led support for caregivers of older adults with advanced lung cancer
This study tests a nurse-led care and resource system to support older adults with advanced lung cancer and their family caregivers.
-
CGM-guided carb awareness education for adults with Type 1 diabetes
This study tests whether teaching mealtime insulin dosing using CGM data helps adults with Type 1 diabetes who don’t usually count carbs.
-
Protein supplements with or without spices to protect muscle for people on GLP-1 weight loss meds
This pilot test checks whether daily whey protein, with or without mixed spices, helps preserve muscle mass and strength in adults using GLP-1 weight-loss medicines.
-
Diet Quality Matters: A Nutrition Education Program for Los Angeles Food Rx Participants
A community-based program will test whether tailored nutrition education and cooking sessions can help low-income adults in LA improve diet quality and reduce cardiometabolic risk.
-
Diet quality in older adults and how two dietary tools compare
This study tests two diet-quality questionnaires in adults 60 and older who use LA Food Rx produce programs to see which better reflects their eating and BMI.
-
Neuroplastic pain education and guided breathing during awake cataract surgery
This trial tests whether the STEIN Protocol, a non-drug approach with pain education, guided imagery, and paced breathing, helps adults having cataract surgery require less pain medicine and feel less anxious.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.