Non-Interruptive Alerts for Improving Use of Clinical Decision Rules

Pulmonary Embolism Clinical Trial

Official title:

The Use of Non-Interruptive Alerts for Improving the Use of Clinical Decision Rules in the Emergency Department: A Cluster Randomized Controlled Trial

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04702308
• Other study ID #: 00137874
• Status: Completed
• Phase: N/A
• Start date: February 18, 2021
• Est. completion date: November 4, 2022

Study information

• Verified date: November 2023
• Source: University of Utah
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 70
• Est. completion date: November 4, 2022
• Est. primary completion date: November 18, 2021
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 16 Years and older

Eligibility

Patient Inclusion Criteria:

• 16 years of age or older
• Qualifying chief complaint*

Patient Exclusion Criteria:

• None
• A full list of the qualifying chief complaints is provided in Appendix A of the full research protocol.

Related Conditions & MeSH terms

• Chest Pain
• Craniocerebral Trauma
• Deep Vein Thrombosis
• Embolism
• Minor Head Injury
• Neck Trauma
• Pulmonary Embolism
• Thrombosis
• Venous Thrombosis

Intervention

Other:
• Clinical Decision Rule Alerts
The

Locations

Country	Name	City	State
United States	University of Utah	Salt Lake City	Utah

Sponsors (1)

Lead Sponsor	Collaborator
University of Utah

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Total clinical decision rule usage	Composite measure of total number of clinical decision rules used through the MDCalc Connect app.	During the intervention
Secondary	Individual clinical decision rule usage	Number of uses of individual clinical decision rules measured through the MDCalc Connect app.	During the intervention
Secondary	Computed tomography pulmonary angiography studies	The total number of computed tomography pulmonary angiography studies ordered	During the intervention
Secondary	Computed tomography head studies	The total number of computed tomography head without contrast studies ordered	During the intervention
Secondary	Computed tomography c-spine studies	The total number of computed tomography c-spine without contrast studies ordered	During the intervention
Secondary	Lower extremity ultrasound	The total number of lower extremity ultrasound studies ordered	During the intervention
Secondary	d-dimer tests	Total number of d-dimer blood tests ordered	During the intervention
Secondary	Delta troponin tests	Total number of times two or more troponin tests were ordered	During the intervention
Secondary	Emergency department bounceback rate.	30-day emergency department return visit (or "bounceback") rate	Up to 30 days after the intervention
Secondary	Admission rate	Hospital admission rate	During the intervention