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

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 Overview

• Status: Unknown
• Conditions: Plain Abdominal Radiography
• Intervention / Treatment: Other: Computer-assisted prescription

• Study Type: Interventional
• Enrollment (Anticipated): 400
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Christophe Christophe, MD; Phone Number: +15149435717; Email: Christophe.Fehlmann@hcuge.ch

Study Locations

• Switzerland
  • Geneve, Switzerland, 1205
    • Recruiting
    • Hôpitaux Universitaires de Genève
    • Contact: Christophe A Fehlmann, MD; Phone Number: 15149435717; Email: christophe.fehlmann@hcuge.ch
  • Meyrin, Switzerland, 1217
    • Recruiting
    • Hôpital de La Tour
    • Contact: Omar Kherad, MD, MPH; Email: omar.kherad@latour.ch

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 16 years and older (Child, Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Patients aged 16 or more with a PAR.

Exclusion Criteria:

• Refusal to participate

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Health Services Research
• Allocation: Non-Randomized
• Interventional Model: Sequential Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
No Intervention: Before; Standard of care for informatic prescription.
Active Comparator: After; Computer-assisted prescription for radiological procedure	Other: Computer-assisted prescription; 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.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
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.	Same ED consultation (or max 24 hours)

Secondary Outcome Measures

Outcome Measure	Time Frame
Incidence of additional radiological examination (CT, US, IRM) after the PAR	Same ED consultation (or max 24 hours)

Collaborators and Investigators

• Sponsor: Christophe Fehlmann

Study record dates

Study Major Dates

• Study Start (Actual): November 1, 2019
• Primary Completion (Anticipated): April 30, 2020
• Study Completion (Anticipated): April 30, 2020

Study Registration Dates

• First Submitted: September 30, 2019
• First Submitted That Met QC Criteria: October 2, 2019
• First Posted (Actual): October 4, 2019

Study Record Updates

• Last Update Posted (Actual): November 26, 2019
• Last Update Submitted That Met QC Criteria: November 24, 2019
• Last Verified: November 1, 2019

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Pathologic Processes; Disease Attributes; Emergencies
• Other Study ID Numbers: 2018-02142

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No