Using a Computer-assisted Prescription to Decrease Inappropriate Use of Plain Abdominal Radiography in Emergency Department
Trial Snapshot
- Phase
- Not Applicable
- Sponsor
- Enrollment
- 400
- Locations
- 2
- Primary Endpoint
- Incidence of plain abdominal radiopraphy (PAR) with an inappropriate indication
Study Overview
Brief Summary
The aim of this study is to assess whether a computer-assisted prescription allows a reduction of the overall number of inappropriate PAR in emergency departments.
Study Design
- Study Type
- Interventional
- Allocation
- Non Randomized
- Intervention Model
- Sequential
- Primary Purpose
- Health Services Research
- Masking
- Single (Outcomes Assessor)
Eligibility Criteria
- Ages
- 16 Years to — (Child, Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Patients aged 16 or more with a PAR.
Exclusion Criteria
- •Refusal to participate
Arms & Interventions
Before
Standard of care for informatic prescription.
After
Computer-assisted prescription for radiological procedure
Intervention: Computer-assisted prescription (Other)
Outcomes
Primary Outcomes
Incidence of plain abdominal radiopraphy (PAR) with an inappropriate indication
Time Frame: Same ED consultation (or max 24 hours)
4 indications are considered as appropriate : (1) foreign body suspicion, (2) checking after contrast injection, (3) catheter checking and (4) follow-up of urolithiasis. Order for PAR will be independantly reviewed by blinded assessors.
Secondary Outcomes
- Incidence of additional radiological examination (CT, US, IRM) after the PAR(Same ED consultation (or max 24 hours))
Investigators
Christophe Fehlmann
Junior attending, Principal Investigator
University Hospital, Geneva