NCT03601676

Electronic Support for Pulmonary Embolism Emergency Disposition

Increasing Safe Outpatient Care for Emergency Department Patients With Acute Pulmonary Embolism: a Pragmatic Trial

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 1,703 (actual)
• Sponsor: Kaiser Permanente · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

To evaluate the impact of an integrated electronic clinical decision support system to facilitate risk stratification and site-of-care decision-making for patients with acute pulmonary embolism.

Detailed description

Many low-risk emergency department patients with acute pulmonary embolism are routinely hospitalized despite being eligible for outpatient care. One impediment to home discharge is the difficulty of identifying which patients can safely forego hospitalization. This pragmatic clinical trial intends to evaluate the effect on emergency department disposition of a multicomponent intervention, including electronic clinical decision support system access, physician education, and physician-specific audit and feedback. The hypothesis for this study is that intervention sites, when compared with concurrent control sites, will see an increase in home discharges without an increase in 5-day pulmonary embolism-related return visits or 30-day all-cause mortality.

Conditions

• Pulmonary Embolism

Interventions

Type	Name	Description
OTHER	Integration of electronic clinical decision support	Integration of an electronic clinical decision support system into the emergency department patient care workflow to assist with site-of-care decision-making for emergency department patients with acute pulmonary embolism.

Timeline

• Start date: 2015-01-01
• Primary completion: 2016-04-30
• Completion: 2016-05-30
• First posted: 2018-07-26
• Last updated: 2018-07-26

Locations

14 sites across 1 country: United States