An interventional study of Audit and Feedback on Individual Practice Patterns in Cervical Spine Injury, Emergencies and Trauma, sponsored by University of Massachusetts, Worcester. Completed at 1 site in United States. Per ClinicalTrials.gov, last updated 2023-11-09.
Sponsored by University of Massachusetts, Worcester · Not applicable, Interventional, and Health services research
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.
2,217 studies on the registry are indexed under Wounds and Injuries; 441 are open to participants now.
This study's enrollment of 80 is above the median of 70 across 1,424 interventional studies indexed under Wounds and Injuries.
Browse Wounds and Injuries studies →University of Massachusetts, Worcester is the lead sponsor of 291 studies on the registry; 51 are open to participants now.
Of its 25 completed or terminated interventional studies of FDA-regulated products, 18 (72%) have results posted.
Compared within Wounds and Injuries, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Emergencies. The counts are of registry records indexed under each term, refreshed daily. How we classify →
Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.
Exclusion Criteria:
Providers are given recurring individualized in-person feedback on their practice patterns.
Behavioral: Audit and Feedback on Individual Practice Patterns
Providers are given one-time individualized in-person feedback on their practice patterns, followed by recurrent individualized electronic feedback.
Behavioral: Audit and Feedback on Individual Practice Patterns
Providers are not given any feedback on their practice patterns.
Providers are given feedback on their practice patterns of ordering computed tomography of the cervical spine.
Percent NEXUS-Negative
Percentage of CT C-spine studies that an individual provider ordered on NEXUS-negative patients
Time frame: 6 months
Number of Fractures
Number of cervical spine fractures identified on CT for patients who are NEXUS-negative
Time frame: 6 months
Clinically Significant Fractures
Number of cervical spine fractures identified on CT for patients who are NEXUS-negative that required procedural intervention, hospitalization, or prolonged immobilization
Time frame: 6 months
Number of CTs
Number of CT scans of the cervical spine ordered by each provider
Time frame: 6 months
Plan to share: No
No publications or documents are linked to this record.
Ran from May 2023 to primary completion in Oct 2023, 5 months.
Of 546 non-industry interventional studies with no phase under Wounds and Injuries, half reached primary completion within 24 months of starting (the median), counting those still running; a quarter within 9 and three quarters within 49. This study's 5 months is below that.
Counting every sponsor, half of 599 studies reached it within 24 months; a quarter within 9 and three quarters within 48.
Wounds and Injuries covers many different conditions, not one, so the studies compared here vary widely. Read these figures as a rough guide.
How these figures are worked out, and which studies are left out of them.
This study is completed, as verified in Nov 2023. You cannot join it, but the record below documents what was studied.
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University of Massachusetts, Worcester →