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.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE
Enrollment
400
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.
Hôpitaux Universitaires de Geneve
Geneva, Switzerland
RECRUITINGHôpital de La Tour
Meyrin, Switzerland
RECRUITINGIncidence of plain abdominal radiopraphy (PAR) with an inappropriate indication
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.
Time frame: Same ED consultation (or max 24 hours)
Incidence of additional radiological examination (CT, US, IRM) after the PAR
Time frame: Same ED consultation (or max 24 hours)
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