Clinical Decision Support for Blood Transfusions to Improve Guideline Adherence
NCT05634005 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 1543
Last updated 2025-03-06
Summary
Determine whether clinical decision support (best practice advisory) improves provider adherence to transfusion guidelines for all four major blood components (red blood cells, plasma, platelets, and cryoprecipitate) using a randomized study design to reduce risk of bias. Alerts will be visible to the experimental ordering provider group, while they will not be visible to the control. Both groups still have access to information about best practices: local clinical transfusion guidelines are available and education on blood transfusion best practices will continue regardless of randomization assignment.
Conditions
- Anemia
- Thrombocytopenia
- Coagulopathy, Mild
- Hypofibrinogenemia
Interventions
- BEHAVIORAL
-
Clinical Decision Support
In blood product order entry within the electronic health record, the ordering provider is required to select an indication for the blood product order. If the patient's laboratory values are not in line with the guideline indication selected, a clinical decision support alert will fire and be shown to the ordering provider. This alert will inform the provider that the order is outside institutional guidelines and the provider has the option to cancel the order (or bypass the order and select a reason for proceeding with the order).
Sponsors & Collaborators
- lead OTHER
Principal Investigators
-
Ryan Metcalf, MD · University of Utah
Study Design
- Allocation
- RANDOMIZED
- Purpose
- HEALTH_SERVICES_RESEARCH
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-02-01
- Primary Completion
- 2024-02-01
- Completion
- 2024-02-01
Countries
- United States
Study Locations
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