Electronic Alert System Combined With a Risk Score Calculation Tool for Improving Appropriate Thromboprophylaxis in Hospitalized Medical Patients: a Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 1,756
- 试验地点
- 1
- 主要终点
- Rate of appropriate thromboprophylaxis
研究概览
简要总结
The investigators aim to investigate whether a computer-based alert system in the electronic patient chart and order entry system using the Geneva Risk Score as clinical decision support tool to estimate the risk of venous thromboembolism improves the rate of appropriate thromboprophylaxis among hospitalized medical patients.
详细描述
The use of thromboprophylaxis among acutely ill hospitalized medical patients remains inconsistent. The present study aims to improve the use of appropriate thromboprophylaxis by implementing a computer-based alert system combined with a Geneva Risk Score calculation tool in the electronic patient chart and order entry system. Consecutive acutely ill medical patients without indication for therapeutic anticoagulation or ongoing therapeutic anticoagulant treatment admitted to the medical wards of the University Hospital Bern, Switzerland, will be randomized in a 1:1 fashion to the alert group in which an alert and the Geneva Risk Score calculation tool will be issued in the electronic patient chart or to the control group in which no alert will be issued. The primary endpoint is the rate of appropriate thromboprophylaxis during hospital stay.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Acutely ill medical patients admitted to medical wards
排除标准
- •Indication for therapeutic anticoagulation or ongoing therapeutic anticoagulant treatment
研究组 & 干预措施
Alert Group
Electronic alert and the Geneva Risk Score calculation tool issued in the electronic patient chart
干预措施: Electronic alert and the Geneva Risk Score calculation tool issued in the electronic patient chart (Other)
Control Group
No electronic alert and no Geneva Risk Score calculation tool issued in the electronic patient chart
结局指标
主要结局
Rate of appropriate thromboprophylaxis
时间窗: During hospital stay (expected average duration of 1 week)
次要结局
- Rate of correct calculation of the Geneva Risk Score through the calculation tool by the physician in charge(During hospital stay (expected average duration of 1 week))
- Use of the Geneva Risk Score calculation tool by the physician in charge(During hospital stay (expected average duration of 1 week))