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Clinical Trials/NCT04702308
NCT04702308
Completed
Not Applicable

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 Utah1 site in 1 country70 target enrollmentFebruary 18, 2021

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.

Registry
clinicaltrials.gov
Start Date
February 18, 2021
End Date
November 4, 2022
Last Updated
2 years ago
Study Type
Interventional
Study Design
Parallel
Sex
All

Investigators

Responsible Party
Principal Investigator
Principal Investigator

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)

Study Sites (1)

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