AI-driven Clinical Decision Support for Perioperative Blood Orders

Part of paid clinical trials in St Louis, Missouri.

Sponsor
Washington University School of Medicine
Study ID
NCT07223853
Status
Recruiting
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Conditions

  • Surgery

Eligibility Criteria

Sex
ALL
Age
18 Years - N/A
Healthy Volunteers
Not accepted

Interventions

  • S-PATH clinical decision support system — OTHER
    Access to the S-PATH electronic health record (EHR)-integrated clinical decision support system
  • Usual care — OTHER
    Including use of the conventional Maximum Surgical Blood Ordering Schedule (MSBOS)

Study Details

20 million patients have surgery in the United States every year, with approximately 1 million of those patients requiring life-saving blood transfusion. Presurgical preparation for transfusion is important to allow for safe and timely transfusion during surgery; however, excessive preparation is unfortunately common, costly, and contributes to blood waste. This study aims to evaluate an intelligent clinical decision support system that helps clinicians prepare blood for patients who are likely to need it, while avoiding excessive preparation for patients who don't, potentially improving patient safety while reducing blood waste and healthcare costs.

Key Dates

Start date
Oct 28, 2025
Status verified
Feb 2026
Primary completion
Dec 1, 2026
Completion
Jan 1, 2027

Study Design

Enrollment
50 participants (estimated)
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
SCREENING

Arms

  • Active Comparator: Usual care
    Usual care for determining presurgical blood orders, including use of the institutional Maximum Surgical Blood Ordering Schedule (MSBOS)
  • Experimental: S-PATH
    Access to the S-PATH clinical decision support system

Primary Outcome Measure

Frequency of patients with a type and screen order placed during the preoperative clinic assessment visit [ Time Frame: Decision made during the preoperative assessment clinic visit ]

Central Contacts

Locations (1)

FacilityCityStateZIPSite coordinators
Washington University / Barnes Jewish HospitalSt LouisMissouri63110
Sunny S Lou, MD, PhD
[email protected]
314-362-5000

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By research site
Washington University / Barnes Jewish Hospital· St Louis, MO

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