CT C-spine Audit and Feedback

NCT ID: NCT05711134

Last Updated: 2023-11-09

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-05-01

Study Completion Date

2023-10-31

Brief Summary

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This is a prospective quality improvement study to assess the effect of using an audit-and-feedback process for emergency providers on utilization of computed tomography of the cervical spine. The objective of this study is to determine whether providing repeated individualized feedback on CT C-spine utilization to emergency providers alters their practice pattern and reduces overutilization. The investigators hypothesize that emergency providers who receive individualized feedback regarding their CT C-spine utilization on a regular basis will alter their practice pattern to reduce overutilization of this imaging study.

Detailed Description

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Conditions

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Cervical Spine Injury Emergencies Trauma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

DOUBLE

Participants Caregivers

Study Groups

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Serial In-Person Feedback

Providers are given recurring individualized in-person feedback on their practice patterns.

Group Type EXPERIMENTAL

Audit and Feedback on Individual Practice Patterns

Intervention Type BEHAVIORAL

Providers are given feedback on their practice patterns of ordering computed tomography of the cervical spine.

In-Person Feedback with Serial Electronic Feedback

Providers are given one-time individualized in-person feedback on their practice patterns, followed by recurrent individualized electronic feedback.

Group Type EXPERIMENTAL

Audit and Feedback on Individual Practice Patterns

Intervention Type BEHAVIORAL

Providers are given feedback on their practice patterns of ordering computed tomography of the cervical spine.

Control

Providers are not given any feedback on their practice patterns.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Audit and Feedback on Individual Practice Patterns

Providers are given feedback on their practice patterns of ordering computed tomography of the cervical spine.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Emergency medicine physician, nurse practitioner, or physician assistant
* Ordered at least 5 CT scans of the cervical spine on adult patients in the two-month pre-intervention period

Exclusion Criteria

* Non-emergency providers
* Ordered few than 5 studies in the pre-intervention period
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Massachusetts, Worcester

OTHER

Sponsor Role lead

Responsible Party

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Karl Chamberlin

Assistant Professsor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Karl T Chamberlin, MD

Role: PRINCIPAL_INVESTIGATOR

University of Massachusetts Chan Medical School

Locations

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University of Massachusetts Chan Medical School

Worcester, Massachusetts, United States

Site Status

Countries

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United States

Other Identifiers

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STUDY00000533

Identifier Type: -

Identifier Source: org_study_id

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