Evaluation of the SCALED (SCaling AcceptabLE cDs)

Purpose

This project will adapt a currently deployed Clinical Decision Support (CDS) system to deliver a VTE prevention guideline for adult patients with traumatic brain injury (TBI). We believe this is an ideal PCOR use case given PCORI's continued effort to combat VTE in trauma and our experience previously implementing this guideline. The Our overall goal is to successfully scale, evaluate, and maintain an interoperable TBI CDS across 7 total institutions.

Conditions

  • Traumatic Brain Injury
  • Venous Thromboembolism

Eligibility

Eligible Ages
Over 18 Years
Eligible Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • age 18 and older - admitted with a TBI

Exclusion Criteria

  • Patients who die within 24 hours of hospital admission and patients documented as "comfort cares" during the first 72 hours of hospitalization or with mild TBI will be excluded from final analysis.

Study Design

Phase
Study Type
Observational
Observational Model
Case-Control
Time Perspective
Prospective

Arm Groups

ArmDescriptionAssigned Intervention
4 hospitals using CDS TBI healthcare system leveraging the rigorous approach, SCALED (SCaling AcceptabLE cDs), to guide CDS scaling across the system in VTE prevention.
  • Other: Observational
    There is no intervention, the hospitals will adopt a CDS system which prompts users to follow best practice guidelines.
3 hospitals not using CDS TBI (control) healthcare system not leveraging the rigorous approach, SCALED (SCaling AcceptabLE cDs), to guide CDS scaling across the system in VTE prevention.
  • Other: Observational-control
    There is no intervention, the hospitals will not use the CDS system.

Recruiting Locations

University of Minnesota
Minneapolis, Minnesota 55455
Contact:
Nicholas Lemke

More Details

Status
Recruiting
Sponsor
University of Minnesota

Study Contact

Christopher Tignanelli, MD,MS
612 625 7911
ctignane@umn.edu