Using a Computer-assisted Prescription to Decrease Inappropriate Use of Plain Abdominal Radiography in Emergency Department

Plain Abdominal Radiography Clinical Trial

Official title:

Using a Computer-assisted Prescription to Decrease Inappropriate Use of Plain Abdominal Radiography in Emergency Department

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT04116294
• Other study ID #: 2018-02142
• Status: Recruiting
• Phase: N/A
• Start date: November 1, 2019
• Est. completion date: April 30, 2020

Study information

• Verified date: November 2019
• Source: University Hospital, Geneva
• Contact: Christophe Christophe, MD
• Phone: +15149435717
• Email: Christophe.Fehlmann[@]hcuge.ch
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The aim of this study is to assess whether a computer-assisted prescription allows a reduction of the overall number of inappropriate PAR in emergency departments.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 400
• Est. completion date: April 30, 2020
• Est. primary completion date: April 30, 2020
• Accepts healthy volunteers: No
• Gender: All
• Age group: 16 Years and older

Eligibility

Inclusion Criteria:

• Patients aged 16 or more with a PAR.

Exclusion Criteria:

• Refusal to participate

Related Conditions & MeSH terms

• Emergencies
• Plain Abdominal Radiography

Intervention

Other:
• Computer-assisted prescription
The intervention is based on a computer-assisted prescription: when a PAR will be ordered, an alert will arise and explain the recognized indications for this examination and ask a confirmation for the prescription. This is a non-blocking system: physicians will be able to prescribe PAR even if the PAR is not appropriate.

Locations

Country	Name	City	State
Switzerland	Hôpitaux Universitaires de Geneve	Geneve
Switzerland	Hôpital de La Tour	Meyrin

Sponsors (1)

Lead Sponsor	Collaborator
Christophe Fehlmann

Country where clinical trial is conducted

Switzerland, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Incidence of plain abdominal radiopraphy (PAR) with an inappropriate indication	4 indications are considered as appropriate : (1) foreign body suspicion, (2) checking after contrast injection, (3) catheter checking and (4) follow-up of urolithiasis. Order for PAR will be independantly reviewed by blinded assessors.	Same ED consultation (or max 24 hours)
Secondary	Incidence of additional radiological examination (CT, US, IRM) after the PAR		Same ED consultation (or max 24 hours)