Evaluation of the SCALED (SCaling AcceptabLE cDs)

University of Minnesota (UMN)

Status: Enrolling

Conditions: Venous Thromboembolism; Traumatic Brain Injury

Treatments: Other: Observational-control; Other: Observational

Study type: Observational

Funder types: Other; Other U.S. Federal agency

Identifiers

NCT05628207

HRP-595

Details and patient eligibility

About

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.

Enrollment: 15,000 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

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.

Trial design

15,000 participants in 2 patient groups

4 hospitals using CDS TBI

Description:

healthcare system leveraging the rigorous approach, SCALED (SCaling AcceptabLE cDs), to guide CDS scaling across the system in VTE prevention.

Treatment:

Other: Observational

3 hospitals not using CDS TBI (control)

Description:

healthcare system not leveraging the rigorous approach, SCALED (SCaling AcceptabLE cDs), to guide CDS scaling across the system in VTE prevention.

Treatment:

Other: Observational-control