NCT05810064

Brief Summary

The purpose of this retrospective cohort study is to evaluate the effectiveness of an EHR-based clinical decision support system (CDS) for automatically screening older adult ED patients for risk of future falls and providing ED clinicians opportunity to place referrals orders to the UW Health Mobility and Falls Clinic for those at highest risk prior to discharge. This CDS tool has already been implemented at the UW Hospital ED, and as a QI initiative will be implemented in a staged process at two other UW Health-affiliated emergency departments (The American Center and Swedish American Hospital).

Trial Health

87
On Track

Trial Health Score

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

Enrollment
36,205

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Feb 2022

Longer than P75 for all trials

Geographic Reach
1 country

3 active sites

Status
completed

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

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

February 22, 2022

Completed
1.1 years until next milestone

First Submitted

Initial submission to the registry

March 30, 2023

Completed
13 days until next milestone

First Posted

Study publicly available on registry

April 12, 2023

Completed
3.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 31, 2026

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

August 31, 2026

Completed
Last Updated

September 16, 2026

Status Verified

September 1, 2026

Enrollment Period

4.5 years

First QC Date

March 30, 2023

Last Update Submit

September 15, 2026

Conditions

Falls-Risk

Outcome Measures

Primary Outcomes (1)

  • Number of Falls and Fall-Related Injuries

    Comparison of data before and after implementation of CDS tool and before and after ED visit.

    during the period 12 months prior to ED visit to 6 months post ED visit (18 month period)

Secondary Outcomes (3)

  • Summary of Reasons Patients Did Not Schedule or Attend Appointments Based on Referral

    during the period 12 months prior to ED visit to 6 months post ED visit (18 month period)

  • Percentage of Referred Patients Reached by Clinic Scheduler

    during the period 12 months prior to ED visit to 6 months post ED visit (18 month period)

  • Percentage of Referred Patients Who Made Clinic Appointments

    during the period 12 months prior to ED visit to 6 months post ED visit (18 month period)

Study Arms (2)

Discharged ED Patients prior to Intervention

Patients aged 65 and older who are in the emergency department and subsequently discharged (not admitted)

Discharged ED Patients after Intervention

Patients aged 65 and older who are in the emergency department and subsequently discharged (not admitted)

Other: Falls-Risk Clinical Decision Support (CDS) Tool

Interventions

Falls-Risk Clinical Decision Support (CDS) ToolOTHER

CDS in the Electronic Health Record (EHR) to screen patients at high-risk for future falls enabling referrals to the UW Health Mobility and Falls clinic.

Discharged ED Patients after Intervention

Eligibility Criteria

Age65 Years+
Sexall
Healthy VolunteersNo
Age GroupsOlder Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

ED patients age 65 or older who are not admitted.

Retrospective analysis will include data from: * ED patients 65 years or older * discharged from the ED (not admitted)

Contact the study team to discuss eligibility requirements. They can help determine if this study is right for you.

Sponsors & Collaborators

Study Sites (3)

Swedish American Emergency Department

Rockford, Illinois, 61008, United States

Location

East Madison Hospital

Madison, Wisconsin, 53718, United States

Location

UWHC Emergency Department

Madison, Wisconsin, 53792, United States

Location

Related Publications (1)

  • Hekman DJ, Cochran AL, Maru AP, Barton HJ, Shah MN, Wiegmann D, Smith MA, Liao F, Patterson BW. Effectiveness of an Emergency Department-Based Machine Learning Clinical Decision Support Tool to Prevent Outpatient Falls Among Older Adults: Protocol for a Quasi-Experimental Study. JMIR Res Protoc. 2023 Aug 3;12:e48128. doi: 10.2196/48128.

    PMID: 37535416DERIVED

MeSH Terms

Interventions

Compact DisksEquipment and Supplies

Intervention Hierarchy (Ancestors)

Videodisc RecordingOptical Storage DevicesAudiovisual AidsEducational TechnologyTechnologyTechnology, Industry, and AgricultureTelevision

Study Officials

  • Brian W Patterson, MD, MPH

    University of Wisconsin, Madison

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
observational
Observational Model
OTHER
Time Perspective
RETROSPECTIVE
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 30, 2023

First Posted

April 12, 2023

Study Start

February 22, 2022

Primary Completion

August 31, 2026

Study Completion

August 31, 2026

Last Updated

September 16, 2026

Record last verified: 2026-09

Data Sharing

IPD Sharing
Will not share

Locations

US(3)