Plain Abdominal Radiography
Conditions
Brief 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.
Interventions
OTHERComputer-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.
Sponsors
Christophe Fehlmann
Study design
Allocation
NON_RANDOMIZED
Intervention model
SEQUENTIAL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE (Outcomes Assessor)
Intervention model description
Before after. During the before period, standard of care. During the after period, computer-assisted prescription for plain abdominal radiography (reminding the indication for this procedure).
Eligibility
Sex/Gender
ALL
Age
16 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients aged 16 or more with a PAR.
Exclusion criteria
* Refusal to participate
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of plain abdominal radiopraphy (PAR) with an inappropriate indication | Same ED consultation (or max 24 hours) | 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. |
Secondary
| Measure | Time frame |
|---|---|
| Incidence of additional radiological examination (CT, US, IRM) after the PAR | Same ED consultation (or max 24 hours) |
Countries
Switzerland
Contacts
Primary ContactChristophe Christophe, MD
Outcome results
None listed