跳至主要内容
临床试验/NCT04702308
NCT04702308已完成不适用

The Use of Non-Interruptive Alerts for Improving the Use of Clinical Decision Rules in the Emergency Department: A Cluster Randomized Controlled Trial

University of Utah2 个研究点 分布在 1 个国家目标入组 70 人开始时间: 2021年2月18日最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
入组人数
70
试验地点
2
主要终点
Total clinical decision rule usage

研究概览

简要总结

This study is an extension of a planned quality improvement project that aims to promote standard of care by increasing the use of evidence-based clinical decision rules amongst emergency medicine providers in the University of Utah Emergency Department. Patient-specific information from the EHR will be used to recommend the use of relevant clinical decision rules to emergency medicine providers at the point-of-care. These recommendations will be in the form of non-interruptive alerts with one-click access to the suggested decision rules through the MDCalc Connect EHR add-on application. Specific aims of the study are to determine if 1) patient-specific non-interruptive alerts increase the use of clinical decision rules amongst emergency medicine providers and 2) an increase in the use of clinical decision rules affects provider ordering habits.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Diagnostic
盲法
None

入排标准

年龄范围
16 Years 至 —(Child, Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • 16 years of age or older
  • Qualifying chief complaint*

排除标准

  • A full list of the qualifying chief complaints is provided in Appendix A of the full research protocol.

结局指标

主要结局

Total clinical decision rule usage

时间窗: During the intervention

Composite measure of total number of clinical decision rules used through the MDCalc Connect app.

次要结局

  • d-dimer tests(During the intervention)
  • Delta troponin tests(During the intervention)
  • Admission rate(During the intervention)
  • Individual clinical decision rule usage(During the intervention)
  • Computed tomography c-spine studies(During the intervention)
  • Lower extremity ultrasound(During the intervention)
  • Computed tomography pulmonary angiography studies(During the intervention)
  • Computed tomography head studies(During the intervention)
  • Emergency department bounceback rate.(Up to 30 days after the intervention)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Keaton Morgan

Postdoctoral Fellow

University of Utah

研究点 (2)

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