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OpenTrials
Completed

NCT Number: NCT05711134

CT C-spine Audit and Feedback

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.

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Key information

Conditions

Cervical Spine Injury Disease Attributes Emergencies Pathologic Processes Pathological Conditions, Signs and Symptoms Trauma Wounds and Injuries

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

University of Massachusetts Chan Medical School

Worcester, Massachusetts, 01655, United States

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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

Treatment and study plan

Audit and Feedback on Individual Practice Patterns

Behavioral

Providers are given feedback on their practice patterns of ordering computed tomography of the cervical spine.

Primary outcomes

  1. Percent NEXUS-Negative

    Time frame: 6 months

    Percentage of CT C-spine studies that an individual provider ordered on NEXUS-negative patients

Secondary outcomes

  1. Number of Fractures

    Time frame: 6 months

    Number of cervical spine fractures identified on CT for patients who are NEXUS-negative

  2. Clinically Significant Fractures

    Time frame: 6 months

    Number of cervical spine fractures identified on CT for patients who are NEXUS-negative that required procedural intervention, hospitalization, or prolonged immobilization

  3. Number of CTs

    Time frame: 6 months

    Number of CT scans of the cervical spine ordered by each provider

Sponsors and collaborators

Lead sponsor

University of Massachusetts, Worcester

Other

Registry information

Official study title

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

Important dates

Study start
2023
Primary completion
2023
Study completion
2023
First posted
Feb 2, 2023
Registry last updated
Nov 9, 2023

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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