Traumatic Brain Injury, Venous Thromboembolism
Conditions
Brief summary
This project will adapt a currently deployed Clinical Decision Support (CDS) system to deliver a VTE prevention guideline for adult patients with traumatic brain injury (TBI). We believe this is an ideal PCOR use case given PCORI's continued effort to combat VTE in trauma and our experience previously implementing this guideline. The Our overall goal is to successfully scale, evaluate, and maintain an interoperable TBI CDS across 7 total institutions.
Interventions
OTHERObservational
There is no intervention, the hospitals will adopt a CDS system which prompts users to follow best practice guidelines.
OTHERObservational-control
There is no intervention, the hospitals will not use the CDS system.
Sponsors
University of Minnesota
Agency for Healthcare Research and Quality (AHRQ)
Study design
Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Inclusion criteria
* age 18 and older * admitted with a TBI
Exclusion criteria
* Patients who die within 24 hours of hospital admission and patients documented as "comfort cares" during the first 72 hours of hospitalization or with mild TBI will be excluded from final analysis.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| primary effectiveness outcome | 2 years and a half | VTE event rate |
| Evaluate implementation strategy guided by the EPIS Implementation | 2 years and a half | the number of patients that received treatment according to the best practice guideline and the % adherence to the guideline per site |
Countries
United States
Contacts
CONTACTChristopher Tignanelli, MD,MS
Outcome results
None listed