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Completed

NCT Number: NCT04702308

Non-Interruptive Alerts for Improving Use of Clinical Decision Rules

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.

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Key information

Conditions

Pulmonary Embolism Cardiovascular Diseases Chest Pain Craniocerebral Trauma Deep Vein Thrombosis Embolism Embolism and Thrombosis Lung Diseases Minor Head Injury Neck Trauma Nervous System Diseases Neurologic Manifestations Pain Pathological Conditions, Signs and Symptoms Respiratory Tract Diseases Signs and Symptoms Thrombosis Trauma, Nervous System Vascular Diseases Venous Thrombosis Wounds and Injuries

Age range

16 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

University of Utah

Salt Lake City, Utah, 84112, United States

Who can participate

Healthy volunteers accepted: Yes

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

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.

Treatment and study plan

Clinical Decision Rule Alerts

Other

The

Primary outcomes

  1. Total clinical decision rule usage

    Time frame: During the intervention

    Composite measure of total number of clinical decision rules used through the MDCalc Connect app.

Secondary outcomes

  1. Individual clinical decision rule usage

    Time frame: During the intervention

    Number of uses of individual clinical decision rules measured through the MDCalc Connect app.

  2. Computed tomography pulmonary angiography studies

    Time frame: During the intervention

    The total number of computed tomography pulmonary angiography studies ordered

  3. Computed tomography head studies

    Time frame: During the intervention

    The total number of computed tomography head without contrast studies ordered

  4. Computed tomography c-spine studies

    Time frame: During the intervention

    The total number of computed tomography c-spine without contrast studies ordered

  5. Lower extremity ultrasound

    Time frame: During the intervention

    The total number of lower extremity ultrasound studies ordered

  6. d-dimer tests

    Time frame: During the intervention

    Total number of d-dimer blood tests ordered

  7. Delta troponin tests

    Time frame: During the intervention

    Total number of times two or more troponin tests were ordered

  8. Emergency department bounceback rate.

    Time frame: Up to 30 days after the intervention

    30-day emergency department return visit (or "bounceback") rate

  9. Admission rate

    Time frame: During the intervention

    Hospital admission rate

Sponsors and collaborators

Lead sponsor

University of Utah

Other

Registry information

Official study title

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

Important dates

Study start
2021
Primary completion
2021
Study completion
2022
First posted
Jan 8, 2021
Registry last updated
Nov 18, 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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