NCT02283086

Brief Summary

DESIGN: An IRB-approved, HIPAA-compliant prospective randomized controlled trial conducted from January 1, 2012-December 31, 2013. SETTING: The ED of an urban Level-I adult trauma center with existing CDS for CTPE. PARTICIPANTS: All attending physicians were stratified into quartiles by 2012 CTPE use and randomized to receive feedback reporting or not. INTERVENTION: Quarterly performance feedback reports consisting of individual and anonymized group data on EBG adherence (using the Wells criteria), CTPE use (CTPEs per 1,000 patients), and yield (percentage of CTPEs positive for PE) beginning January 2013.

Trial Health

100
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
43

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Jan 2012

Typical duration for not_applicable

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

January 1, 2012

Completed
1.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2013

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2013

Completed
11 months until next milestone

First Submitted

Initial submission to the registry

November 2, 2014

Completed
3 days until next milestone

First Posted

Study publicly available on registry

November 5, 2014

Completed
Last Updated

November 5, 2014

Status Verified

November 1, 2014

Enrollment Period

1.9 years

First QC Date

November 2, 2014

Last Update Submit

November 4, 2014

Conditions

Pulmonary Embolism

Keywords

Quality ImprovementPhysician Feedback

Outcome Measures

Primary Outcomes (1)

  • Adherence to Evidence-Based Guidelines

    Percentage of CTPE orders that adhere to evidence-based guidelines for the ordering of CTs for PE

    2 years

Secondary Outcomes (2)

  • Use of Computed Tomography for Pulmonary Embolism

    2 years

  • Yield of Computed Tomography for Pulmonary Embolism

    2 years

Study Arms (2)

Control

NO INTERVENTION

Intervention

EXPERIMENTAL

The intervention consisted of quarterly performance feedback reports sent via e-mail.

Behavioral: Physician Feedback Reporting

Interventions

Physician Feedback ReportingBEHAVIORAL

The performance feedback reports displayed both individual physicians' statistics as well as their performance compared to anonymized results for the entire group of emergency physicians.

Intervention

Eligibility Criteria

Age15 Years+
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • All attending physicians in the emergency department

You may not qualify if:

  • None

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

Pulmonary Embolism

Condition Hierarchy (Ancestors)

Lung DiseasesRespiratory Tract DiseasesEmbolismEmbolism and ThrombosisVascular DiseasesCardiovascular Diseases

Study Officials

  • Ramin Khorasani, MD

    Brigham and Women's Hospital

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
HEALTH SERVICES RESEARCH
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Vice Chairman, Department of Radiology

Study Record Dates

First Submitted

November 2, 2014

First Posted

November 5, 2014

Study Start

January 1, 2012

Primary Completion

December 1, 2013

Study Completion

December 1, 2013

Last Updated

November 5, 2014

Record last verified: 2014-11