Determine whether clinical decision support (best practice advisory) improves provider adherence to transfusion guidelines for all four major blood components (red blood cells, plasma, platelets, and cryoprecipitate) using a randomized study design to reduce risk of bias. Alerts will be visible to the experimental ordering provider group, while they will not be visible to the control. Both groups still have access to information about best practices: local clinical transfusion guidelines are available and education on blood transfusion best practices will continue regardless of randomization assignment.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE
Enrollment
1,543
In blood product order entry within the electronic health record, the ordering provider is required to select an indication for the blood product order. If the patient's laboratory values are not in line with the guideline indication selected, a clinical decision support alert will fire and be shown to the ordering provider. This alert will inform the provider that the order is outside institutional guidelines and the provider has the option to cancel the order (or bypass the order and select a reason for proceeding with the order).
University of Utah
Salt Lake City, Utah, United States
Number of blood components transfused that met clinical decision support alert criteria
Number of blood components transfused (includes red blood cell, platelet, plasma, and cryoprecipitate pools) that met criteria for clinical decision support alerts to fire
Time frame: Through study completion, an average of 12 months
Number of red blood cell components transfused that met clinical decision support alert criteria
Number of red blood cell components transfused that met criteria for clinical decision support alerts to fire
Time frame: Through study completion, an average of 12 months
Number of platelet components transfused that met clinical decision support alert criteria
Number of platelet components transfused that met criteria for clinical decision support alerts to fire
Time frame: Through study completion, an average of 12 months
Number of plasma components transfused that met clinical decision support alert criteria
Number of plasma components transfused that met criteria for clinical decision support alerts to fire
Time frame: Through study completion, an average of 12 months
Number of cryoprecipitate component pools transfused that met clinical decision support alert criteria
Number of cryoprecipitate component pools transfused that met criteria for clinical decision support alerts to fire
Time frame: Through study completion, an average of 12 months
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