The Use of Non-Interruptive Alerts for Improving the Use of Clinical Decision Rules in the Emergency Department: A Cluster Randomized Controlled Trial
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Pulmonary Embolism
- Sponsor
- University of Utah
- Enrollment
- 70
- Locations
- 1
- Primary Endpoint
- Total clinical decision rule usage
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
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.
Investigators
Keaton Morgan
Postdoctoral Fellow
University of Utah
Eligibility Criteria
Inclusion Criteria
- •16 years of age or older
- •Qualifying chief complaint\*
Exclusion Criteria
- •A full list of the qualifying chief complaints is provided in Appendix A of the full research protocol.
Outcomes
Primary Outcomes
Total clinical decision rule usage
Time Frame: During the intervention
Composite measure of total number of clinical decision rules used through the MDCalc Connect app.
Secondary Outcomes
- 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)