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Using a Computer-assisted Prescription to Decrease Inappropriate Use of Plain Abdominal Radiography in Emergency Department

Primary Purpose

Plain Abdominal Radiography

Status
Unknown status
Phase
Not Applicable
Locations
Switzerland
Study Type
Interventional
Intervention
Computer-assisted prescription
Sponsored by
Christophe Fehlmann
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional health services research trial for Plain Abdominal Radiography

Eligibility Criteria

16 Years - undefined (Child, Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Patients aged 16 or more with a PAR.

Exclusion Criteria:

  • Refusal to participate

Sites / Locations

  • Hôpitaux Universitaires de GeneveRecruiting
  • Hôpital de La TourRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

No Intervention

Active Comparator

Arm Label

Before

After

Arm Description

Standard of care for informatic prescription.

Computer-assisted prescription for radiological procedure

Outcomes

Primary Outcome Measures

Incidence 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.

Secondary Outcome Measures

Incidence of additional radiological examination (CT, US, IRM) after the PAR

Full Information

First Posted
September 30, 2019
Last Updated
November 24, 2019
Sponsor
Christophe Fehlmann
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1. Study Identification

Unique Protocol Identification Number
NCT04116294
Brief Title
Using a Computer-assisted Prescription to Decrease Inappropriate Use of Plain Abdominal Radiography in Emergency Department
Official Title
Using a Computer-assisted Prescription to Decrease Inappropriate Use of Plain Abdominal Radiography in Emergency Department
Study Type
Interventional

2. Study Status

Record Verification Date
November 2019
Overall Recruitment Status
Unknown status
Study Start Date
November 1, 2019 (Actual)
Primary Completion Date
April 30, 2020 (Anticipated)
Study Completion Date
April 30, 2020 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor-Investigator
Name of the Sponsor
Christophe Fehlmann

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
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.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Plain Abdominal Radiography

7. Study Design

Primary Purpose
Health Services Research
Study Phase
Not Applicable
Interventional Study Model
Sequential Assignment
Model Description
Before after. During the before period, standard of care. During the after period, computer-assisted prescription for plain abdominal radiography (reminding the indication for this procedure).
Masking
Outcomes Assessor
Allocation
Non-Randomized
Enrollment
400 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Before
Arm Type
No Intervention
Arm Description
Standard of care for informatic prescription.
Arm Title
After
Arm Type
Active Comparator
Arm Description
Computer-assisted prescription for radiological procedure
Intervention Type
Other
Intervention Name(s)
Computer-assisted prescription
Intervention Description
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.
Primary Outcome Measure Information:
Title
Incidence of plain abdominal radiopraphy (PAR) with an inappropriate indication
Description
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)
Secondary Outcome Measure Information:
Title
Incidence of additional radiological examination (CT, US, IRM) after the PAR
Time Frame
Same ED consultation (or max 24 hours)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
16 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients aged 16 or more with a PAR. Exclusion Criteria: Refusal to participate
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Christophe Christophe, MD
Phone
+15149435717
Email
Christophe.Fehlmann@hcuge.ch
Facility Information:
Facility Name
Hôpitaux Universitaires de Geneve
City
Geneve
ZIP/Postal Code
1205
Country
Switzerland
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Christophe A Fehlmann, MD
Phone
15149435717
Email
christophe.fehlmann@hcuge.ch
Facility Name
Hôpital de La Tour
City
Meyrin
ZIP/Postal Code
1217
Country
Switzerland
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Omar Kherad, MD, MPH
Email
omar.kherad@latour.ch

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Using a Computer-assisted Prescription to Decrease Inappropriate Use of Plain Abdominal Radiography in Emergency Department

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