0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Editorial |

Informed Consent in Randomized Quality Improvement Trials:  A Critical Barrier for Learning Health Systems

Mark J. Pletcher, MD, MPH1,2,3; Bernard Lo, MD4; Deborah Grady, MD2,3
[+] Author Affiliations
1Department of Epidemiology and Biostatistics, University of California, San Francisco
2Department of Medicine, University of California, San Francisco
3Clinical and Translational Science Institute, University of California, San Francisco
4The Greenwall Foundation, New York, New York
JAMA Intern Med. 2014;174(5):668-670. doi:10.1001/jamainternmed.2013.13297.
Text Size: A A A
Published online

Extract

The widespread implementation of electronic medical records (EMRs), stimulated by the Patient Protection and Affordable Care Act, provides a major opportunity to conduct inexpensive pragmatic randomized trials1,2 that are embedded into the clinical practice of health care delivery. Electronic medical records allow health systems to identify particular types of patients, deliver targeted interventions designed to improve health, and measure how those interventions impact health care delivery and health outcomes. With optimal use of EMRs, the administrative costs of a trial need not increase with the sample size; this decoupling of costs and size facilitates large, simple, and inexpensive trials that have the potential to transform health systems into entities that learn and continuously improve.3

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
Related Collections
Jobs
brightcove.createExperiences();