Clinical Decision Support for Blood Transfusions to Improve Guideline Adherence
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 1,543
- 试验地点
- 2
- 主要终点
- Number of blood components transfused that met clinical decision support alert criteria
研究概览
简要总结
Determine whether clinical decision support (best practice advisory) improves provider adherence to transfusion guidelines for all four major blood components (red blood cells, plasma, platelets, and cryoprecipitate) using a randomized study design to reduce risk of bias. Alerts will be visible to the experimental ordering provider group, while they will not be visible to the control. Both groups still have access to information about best practices: local clinical transfusion guidelines are available and education on blood transfusion best practices will continue regardless of randomization assignment.
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
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Ordering providers that order at least one blood product in the electronic health record
排除标准
- •Any individual without privileges to place an initial order for blood product(s)
结局指标
主要结局
Number of blood components transfused that met clinical decision support alert criteria
时间窗: Through study completion, an average of 12 months
Number of blood components transfused (includes red blood cell, platelet, plasma, and cryoprecipitate pools) that met criteria for clinical decision support alerts to fire
次要结局
- Number of plasma components transfused that met clinical decision support alert criteria(Through study completion, an average of 12 months)
- Number of cryoprecipitate component pools transfused that met clinical decision support alert criteria(Through study completion, an average of 12 months)
- Number of red blood cell components transfused that met clinical decision support alert criteria(Through study completion, an average of 12 months)
- Number of platelet components transfused that met clinical decision support alert criteria(Through study completion, an average of 12 months)
研究者
Ryan Metcalf
Associate Professor of Pathology
University of Utah