The Use of Non-Interruptive Alerts for Improving the Use of Clinical Decision Rules in the Emergency Department: A Cluster Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 70
- 试验地点
- 2
- 主要终点
- Total clinical decision rule usage
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Diagnostic
- 盲法
- None
入排标准
- 年龄范围
- 16 Years 至 —(Child, Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •16 years of age or older
- •Qualifying chief complaint*
排除标准
- •A full list of the qualifying chief complaints is provided in Appendix A of the full research protocol.
结局指标
主要结局
Total clinical decision rule usage
时间窗: During the intervention
Composite measure of total number of clinical decision rules used through the MDCalc Connect app.
次要结局
- 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)
研究者
Keaton Morgan
Postdoctoral Fellow
University of Utah
