Audit and Feedback for Computed Tomography of the Cervical Spine in the Emergency Department
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 80
- 试验地点
- 2
- 主要终点
- Percent NEXUS-Negative
研究概览
简要总结
This is a prospective quality improvement study to assess the effect of using an audit-and-feedback process for emergency providers on utilization of computed tomography of the cervical spine. The objective of this study is to determine whether providing repeated individualized feedback on CT C-spine utilization to emergency providers alters their practice pattern and reduces overutilization. The investigators hypothesize that emergency providers who receive individualized feedback regarding their CT C-spine utilization on a regular basis will alter their practice pattern to reduce overutilization of this imaging study.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Double (Participant, Care Provider)
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Emergency medicine physician, nurse practitioner, or physician assistant
- •Ordered at least 5 CT scans of the cervical spine on adult patients in the two-month pre-intervention period
排除标准
- •Non-emergency providers
- •Ordered few than 5 studies in the pre-intervention period
结局指标
主要结局
Percent NEXUS-Negative
时间窗: 6 months
Percentage of CT C-spine studies that an individual provider ordered on NEXUS-negative patients
次要结局
- Number of Fractures(6 months)
- Number of CTs(6 months)
- Clinically Significant Fractures(6 months)
研究者
Karl Chamberlin
Assistant Professsor
University of Massachusetts, Worcester