CT C-spine Audit and Feedback

Trauma Clinical Trial

Official title:

Audit and Feedback for Computed Tomography of the Cervical Spine in the Emergency Department

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05711134
• Other study ID #: STUDY00000533
• Status: Completed
• Phase: N/A
• Start date: May 1, 2023
• Est. completion date: October 31, 2023

Study information

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

Clinical Trial Summary

This is a prospective quality improvement study to assess the effect of using an audit-and-feedback process for emergency providers on utilization of computed tomography of the cervical spine. The objective of this study is to determine whether providing repeated individualized feedback on CT C-spine utilization to emergency providers alters their practice pattern and reduces overutilization. The investigators hypothesize that emergency providers who receive individualized feedback regarding their CT C-spine utilization on a regular basis will alter their practice pattern to reduce overutilization of this imaging study.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 80
• Est. completion date: October 31, 2023
• Est. primary completion date: October 31, 2023
• Accepts healthy volunteers: No
• Gender: All
• Age group: N/A and older

Eligibility

Inclusion Criteria:

• Emergency medicine physician, nurse practitioner, or physician assistant

• Ordered at least 5 CT scans of the cervical spine on adult patients in the two-month pre-intervention period

Exclusion Criteria:

• Non-emergency providers

• Ordered few than 5 studies in the pre-intervention period

Related Conditions & MeSH terms

• Cervical Spine Injury
• Emergencies
• Spinal Injuries
• Trauma

Intervention

Behavioral:
• Audit and Feedback on Individual Practice Patterns
Providers are given feedback on their practice patterns of ordering computed tomography of the cervical spine.

Locations

Country	Name	City	State
United States	University of Massachusetts Chan Medical School	Worcester	Massachusetts

Sponsors (1)

Lead Sponsor	Collaborator
University of Massachusetts, Worcester

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Percent NEXUS-Negative	Percentage of CT C-spine studies that an individual provider ordered on NEXUS-negative patients	6 months
Secondary	Number of Fractures	Number of cervical spine fractures identified on CT for patients who are NEXUS-negative	6 months
Secondary	Clinically Significant Fractures	Number of cervical spine fractures identified on CT for patients who are NEXUS-negative that required procedural intervention, hospitalization, or prolonged immobilization	6 months
Secondary	Number of CTs	Number of CT scans of the cervical spine ordered by each provider	6 months