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The aim of this study is to assess whether a computer-assisted prescription allows a reduction of the overall number of inappropriate PAR in emergency departments.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Before | No Intervention | Standard of care for informatic prescription. | |
| After | Active Comparator | Computer-assisted prescription for radiological procedure |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Computer-assisted prescription | Other | The intervention is based on a computer-assisted prescription: when a PAR will be ordered, an alert will arise and explain the recognized indications for this examination and ask a confirmation for the prescription. This is a non-blocking system: physicians will be able to prescribe PAR even if the PAR is not appropriate. |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of plain abdominal radiopraphy (PAR) with an inappropriate indication | 4 indications are considered as appropriate : (1) foreign body suspicion, (2) checking after contrast injection, (3) catheter checking and (4) follow-up of urolithiasis. Order for PAR will be independantly reviewed by blinded assessors. | Same ED consultation (or max 24 hours) |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of additional radiological examination (CT, US, IRM) after the PAR | Same ED consultation (or max 24 hours) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Christophe Christophe, MD | Contact | +15149435717 | Christophe.Fehlmann@hcuge.ch |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hôpitaux Universitaires de Geneve | Recruiting | Geneva | 1205 | Switzerland |
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Before after. During the before period, standard of care. During the after period, computer-assisted prescription for plain abdominal radiography (reminding the indication for this procedure).
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| Hôpital de La Tour | Recruiting | Meyrin | 1217 | Switzerland |
|