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临床试验/ACTRN12623001130651
ACTRN12623001130651尚未招募Unknown

A Step-wedged cluster randomised trial comparing audit feedback vs observation in improving appropriate pathology test ordering practices in Emergency Departments

Western Sydney Local Health District0 个研究点目标入组 100,000 人开始时间: 2023年11月2日最近更新:
适应症

试验速览

阶段
Unknown
状态
尚未招募
入组人数
100,000

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional
分配方式
Randomised controlled trial
主要目的
Treatment
盲法
Open (masking not used)

入排标准

年龄范围
o limit 至 o limit(—)
性别
All

入选标准

  • All consecutive visits at the four Western Sydney Local Health District ED’s and Nepean Hospital over each time period, where the patient presentation maps to one of the 35 presenting problems covered in the guideline.
  • - Abdominal pain severe (upper/epigastric)
  • - Abdominal pain severe (lower)
  • - Back pain atraumatic
  • - Cellulitis
  • - Chest pain suspected IHD
  • - Chest pain - suspected PE
  • - Confusion
  • - Diabetic Ketoacidosis
  • - Fever of unknown cause
  • - Fever in returned traveler
  • - Fractures neck of femur or other major long bone
  • - Fractures requiring theater
  • - Gastrointestinal bleeding
  • - Jaundice for investigation
  • - Liver disease
  • - Oncology patients (febrile neutropenia)
  • - Overdose
  • - Per vaginal bleeding in 1st trimester
  • - Pneumonia
  • - Pyelonephritis
  • - Renal colic
  • - Renal disease
  • - Seizures (1st episode)
  • - Seizures (recurrent)
  • - Septic joint
  • - Snake bite
  • - Shortness of breath (asthma)
  • - Shortness of breath (suspected acute pulmonary oedema)
  • - Shortness of breath (suspected chronic obstructive airways disease)
  • - Trauma (major)
  • - Trauma (minor)
  • - Warfarin therapy

排除标准

  • Not attending emergency department
  • Presenting with a diagnosis beyond the 35 mapped presentations

研究者

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