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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
DIAGNOSTIC
Masking
NONE
Enrollment
70
The
University of Utah
Salt Lake City, Utah, United States
Total clinical decision rule usage
Composite measure of total number of clinical decision rules used through the MDCalc Connect app.
Time frame: During the intervention
Individual clinical decision rule usage
Number of uses of individual clinical decision rules measured through the MDCalc Connect app.
Time frame: During the intervention
Computed tomography pulmonary angiography studies
The total number of computed tomography pulmonary angiography studies ordered
Time frame: During the intervention
Computed tomography head studies
The total number of computed tomography head without contrast studies ordered
Time frame: During the intervention
Computed tomography c-spine studies
The total number of computed tomography c-spine without contrast studies ordered
Time frame: During the intervention
Lower extremity ultrasound
The total number of lower extremity ultrasound studies ordered
Time frame: During the intervention
d-dimer tests
Total number of d-dimer blood tests ordered
Time frame: During the intervention
Delta troponin tests
Total number of times two or more troponin tests were ordered
Time frame: During the intervention
Emergency department bounceback rate.
30-day emergency department return visit (or "bounceback") rate
Time frame: Up to 30 days after the intervention
Admission rate
Hospital admission rate
Time frame: During the intervention
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