An interventional study of Grasshopper dashboard in Chest Infection and Pulmonary Edema - Acute, sponsored by Kaiser Permanente. Enrolling by invitation at 1 site in United States. Per ClinicalTrials.gov, last updated 2025-01-21.
Sponsored by Kaiser Permanente · Not applicable, Interventional, and Other
Does a radiology clinical dashboard increase radiologist use of specific reporting language for chest X-rays (CXRs) and thereby decrease rates of unnecessary Emergency Department (ED) prescriptions and follow-up imaging?
Chest X-rays (CXR) are the most common radiologic exam, comprising nearly one third of total KPNC imaging volume. Despite high CXR utilization, diagnostic yield is frequently low, partly due to the paucity of clinical information provided to radiologists at the time of CXR interpretation, resulting in frequent nonspecific CXR assessments which include terms like "opacities" instead of diagnostic terms such as "pulmonary edema" or "pneumonia". This may contribute to over-treatment and unnecessary follow-up CT imaging. This study proposes the production deployment, active promotion, and evaluation of an innovative clinical dashboard called Grasshopper for radiologists to provide pertinent clinical information at the time of CXR interpretation. The dashboard leverages the electronic medical record to programmatically retrieve, and display select clinical notes, patient lab values, and vital signs. The Grasshopper study aims to prospectively evaluate the impact of Grasshopper on CXR report specificity in ED settings across 15 KPNC service areas, and on downstream care process measures such as prescription and imaging utilization.
138 studies on the registry are indexed under Pulmonary Edema; 24 are open to participants now.
This study's planned enrollment of 100,000 is above the median of 68 across 72 interventional studies indexed under Pulmonary Edema.
Browse Pulmonary Edema studies →Kaiser Permanente is the lead sponsor of 385 studies on the registry; 41 are open to participants now.
Of its 6 completed or terminated interventional studies of FDA-regulated products, 3 (50%) have results posted.
Counted across the registry records on this site, refreshed daily.
Kaiser Permanente Northern California CXR is ordered during emergency room visit or inpatient hospitalization
Grasshopper CXR Dashboard
Other: Grasshopper dashboard
Computer dashboard application for radiologists that displays relevant clinical information directly from the medical record
Number of Diagnostic CXR Reports
Number of CXR reports that employ diagnostic terms in the report impression (e.g. "negative", "pneumonia", "pulmonary edema"), compared with baseline standard of care report impressions.
Time frame: Through study completion, an average of 18 months.
Number of Prescriptions after Stat CXR
Number of antibiotic and diuretic prescriptions the patient receives after having undergone a stat CXR, compared with baseline standard of care.
Time frame: Through study completion, at an average of 18 months.
Number of CT Imaging exams after Stat CXR
Number of follow-up CT imaging exams that a patient receives after having undergone a stat CXR, compared with baseline standard of care.
Time frame: Through study completion, at an average of 18 months.
Plan to share: Undecided — Pending further organizational guidance
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