Who Contributes to the Ordering of Computed Tomography in Emergency Department Patients? A Prospective Survey Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 1,500
- 试验地点
- 1
- 主要终点
- CT scans utilization
研究概览
简要总结
The primary objectives are:
- To investigate which healthcare workers and other individuals contribute to the decision to order computed tomography (CT) scans for emergency department (ED) patients.
- To investigate the specific reasons healthcare workers and other individuals order or request CT scans for ED patients.
- To determine the frequency of clinically important actions following CT scan results.
Once the drivers of ED CT utilization are identified, interventions including education, incentives for compliance with evidence-based best practices, and interventions for noncompliance could be targeted appropriately.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients from age 0 to <17 years, and patients age 18 years and older with traumatic and non-traumatic presentations, who visit Adult and Pediatric EDs and receive a CT scan during their ED visit
排除标准
- •Patients older than 17, yet younger then
- •Patients who are unable to consent and who do not have a legally authorized representative.
结局指标
主要结局
CT scans utilization
时间窗: January 2014 - January 2015
Results will be categorized by body region of CT and patient age. For each CT region and age category, the percentage of CT scans requested by each demographic group (e.g., patient, emergency physician, etc.), will be reported, with 95% confidence intervals. CTs not requested by emergency physicians, the percentage of each type of scan requested by each demographic group will be reported, with 95% confidence intervals.
次要结局
- Abnormal vs. normal CT scans(January 2014 - January 2015)
