Animated Picture to Improve Provider Adherence to CT Scan for Head Injury Rule

Children's Hospitals and Clinics of Minnesota746 enrolled

Overview

It is difficult for Pediatric Emergency Department providers to recognize clinically significant head injuries that are likely to require neurosurgical intervention or close monitoring from those that can be safely discharged. Research Question How do a combination of education and an animated picture depicting the PECARN CT Head Injury rules impact compliance to these rules and reduce unnecessary head CT scans? Design This is a within subject, repeated measures study design.

Study Type

INTERVENTIONAL

Allocation

Purpose

DIAGNOSTIC

Masking

NONE

Enrollment

746

Conditions

Minor Head Injury

Interventions

Pop-up pictureBEHAVIORAL

An animated picture depicting the key elements of the PECARN CT scan head injury rules will be explained. The picture will "pop-up" when a provider selects the order set for a CT scan due to head injury. Providers will need to select a box stating the patient either "meets criteria" or "does not meet criteria" in order to close the animated picture window.

Eligibility

Sex: ALLMax age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patients presenting to Children's ED will be included if they: * Are between 0 and 18 years of age (inclusive) * Receive a discharge diagnosis of head injury * Present to the ED within 24 hours of the head injury * GCS of 14 or greater Exclusion Criteria: * Patients will be excluded if they : * Had a CT scans done in an outside transferring institution * Have obvious penetrating head injuries * Had a trivial injury mechanisms such as ground-level falls or walking or running into stationary objects * Have no signs or symptoms of head trauma other than scalp abrasions and lacerations. * Have known brain tumors, pre-existing neurological disorders complicating assessment, ventricular shunts, bleeding disorders

Locations (2)

Children's Hospitals and Clinics of Minnesota

Minneapolis, Minnesota, United States

Children's Hospitals and Clinics of Minnesota

Twin Cities, Minnesota, United States

Outcomes

Primary Outcomes

Compliance to the PECARN CT Scan Head Injury rules

Time frame: 3 months

Secondary Outcomes

Decreased rate of CT scans

Time frame: 3 months

Data from ClinicalTrials.gov

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