Randomised Trial (With Integrated Pilot) Evaluating Whether a Standardised Approach, Educational Package (Including Checklist) Improve Recognition of Major Life-threatening Injuries in the Hot Reporting of Trauma Scans
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 300
- 试验地点
- 1
- 主要终点
- Rates of detection and error of a hot CT report.
研究概览
简要总结
Many injured patients receive urgent CT imaging to identify major injury. CT imaging of trauma patients is often time critical and the accurate detection of life-threatening findings on this CT is essential. Often following a scan a radiologist is not immediately available to review the imaging, however other members of the trauma team have access to the imaging and may be in a position to provide a "hot" report. In this study we aim to demonstrate if an educational intervention with a checklist improves accuracy of the hot report.
详细描述
This is a randomised controlled trial to evaluate whether a standardised approach, educational package (with checklist) may improve recognition of major life-threatening injuries in the hot reporting of trauma scans. A pilot study with 20 participants allocated to the two groups on 1:1 ratio which will receive the education package, will inform feasibility of the larger study.
The larger study will recruit 300 participants, 100 on each group on 1:1:1 ratio, to evaluate the primary objective.
Participants will be clinicians who volunteer to participate in an online educational package. Participant data will be collected by the online platform under a unique identifier. Results will then be extracted from the platform and then associated with the demographic data on the trust system.
Following application of inclusion and exclusion criteria, participants will be allocated into one of three groups, and assigned a participant number. The test data set will consist of cases that have been pseudo anonymised with the key stored on trust systems.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Factorial
- 主要目的
- Diagnostic
- 盲法
- Single (Participant)
盲法说明
Each Group will not be aware of the intervention or education or content the other Group receives.
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Medical professionals involved in trauma image review.
- •This includes clinicians who are emergency department doctors, radiologists and other specialties.
- •Non-radiologist clinicians will be participating completing the hot reports, radiologists will be evaluating their submissions and assessing their accuracy.
排除标准
- •Unable to review CT imaging due to lack of previous experience or disability that prevents them from doing so.
- •Under 18 years old.
- •Not a medical professional or clinician.
研究组 & 干预措施
Group 3 Control Group
No intervention. Control Group.
Group 1 Intervention Group A Images
Group 1 will report image bank A, receive the educational intervention and then report image bank B with the checklist.
干预措施: Education (Other)
Group 2 Intervention Group B Images
Group 2 will report image bank B, receive the educational intervention and then report image bank A.
干预措施: Education (Other)
结局指标
主要结局
Rates of detection and error of a hot CT report.
时间窗: 1 year
Measure using percentage difference in hot report accuracy rates between those who receive the educational package and those who did not. Participants will submit their answers onto the platform and these will be evaluated by Radiologists familiar with the trauma scans the participants have reviewed. The primary analysis will be comparative between the pickup rate between the first and second imaging set within groups 1 and 2. Group 3 will act a control group to determine the effect of repetition on skill development rather than the education package.
次要结局
未报告次要终点
研究者
Paul Jenkins
Consultant Interventional Radiologist
University Hospital Plymouth NHS Trust