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Embedded point of care stratified block randomization: demonstration of the Point of Care Randomization (POCR) engine with an electronic health record pragmatic clinical trial

2026-01-28 health informatics Title + abstract only
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We describe a new custom feature within our Epic Systems electronic health record (EHR) that automates stratified randomization at the point-of-care or order. As a demonstration use-case, we conducted a randomized trial of a provider-facing alert for short-interval HbA1c orders. Over 3 months the alert dramatically reduced repeat orders. This transportable clinical informatics application transforms health systems ability to conduct pragmatic clinical trials and deliver clinical care within the ...

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