Chest Pain, Deep Vein Thrombosis, Minor Head Injury, Neck Trauma, Pulmonary Embolism
Conditions
Keywords
clinical decision support, clinical decision rules
Brief 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.
Interventions
OTHERClinical Decision Rule Alerts
The
Sponsors
University of Utah
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
DIAGNOSTIC
Masking
NONE
Intervention model description
Cluster randomized controlled trial
Eligibility
Sex/Gender
ALL
Age
16 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
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.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Total clinical decision rule usage | During the intervention | Composite measure of total number of clinical decision rules used through the MDCalc Connect app. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Computed tomography pulmonary angiography studies | During the intervention | The total number of computed tomography pulmonary angiography studies ordered |
| Computed tomography head studies | During the intervention | The total number of computed tomography head without contrast studies ordered |
| Computed tomography c-spine studies | During the intervention | The total number of computed tomography c-spine without contrast studies ordered |
| Lower extremity ultrasound | During the intervention | The total number of lower extremity ultrasound studies ordered |
| Individual clinical decision rule usage | During the intervention | Number of uses of individual clinical decision rules measured through the MDCalc Connect app. |
| Delta troponin tests | During the intervention | Total number of times two or more troponin tests were ordered |
| Emergency department bounceback rate. | Up to 30 days after the intervention | 30-day emergency department return visit (or bounceback) rate |
| Admission rate | During the intervention | Hospital admission rate |
| d-dimer tests | During the intervention | Total number of d-dimer blood tests ordered |
Countries
United States
Outcome results
None listed