Nudging Provider Adoption of Clinical Decision Support: Implementation of an EHR-Agnostic Pulmonary Embolism Risk Prediction Tool

Part of paid clinical trials in Manhasset, New York.

Sponsor
NYU Langone Health
Study ID
NCT07249385
Status
Not Yet Recruiting

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Conditions

  • Pulmonary Embolism

Eligibility Criteria

Sex
ALL
Age
18 Years - N/A
Healthy Volunteers
Accepted

Interventions

  • Clinical Decision Support (CDS) tool with Nudges — BEHAVIORAL
    The CDS tool with nudges provide information to providers to practice medicine in accordance with CT (computed tomography) ordering guidelines. The tool will only deploy when the provider is going against clinical guidelines and therefore provides a chance for the provider to reconsider their actions.

Study Details

The purpose of this study is to examine the impact of the nudge implementation strategy (CDS tool + Nudge) on adoption of guideline-concordant CT ordering for pulmonary embolism (PE) in 10 EDs. The study will be a 33-month, rigorous, pragmatic, cluster-randomized, stepped wedge trial across 3 health systems and 10 EDs after collecting pre-implementation baseline data. The aim is to to demonstrate technological feasibility as well as examine efficacy of the nudges on adoption. The secondary objective is to decrease CT-ordering when it is not indicated.

Key Dates

Start date
Feb 15, 2026
Status verified
Nov 2025
Primary completion
Jul 1, 2028
Completion
Mar 31, 2029

Study Design

Enrollment
440 participants (estimated)
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
SUPPORTIVE_CARE

Arms

  • Experimental: Emergency Department (ED) Providers
    Each ED will serve as its own control. Baseline data will be collected for 12 months prior to the implementation of the CDS system with nudges. The CDS tool with nudges will then be implemented for 33 months.

Primary Outcome Measure

Percentage of CT scan orders that are guideline-concordant [ Time Frame: Baseline (Month 12) ]

Central Contacts

Locations (3)

FacilityCityStateZIPSite coordinators
Northwell Health - Feinstein Institute for Medical ResearchManhassetNew York11030-
NYU Langone HealthNew YorkNew York10016-
Baylor College of MedicineHoustonTexas77030-

Find similar trials in Manhasset, NY

By research site
Northwell Health - Feinstein Institute for Medical Research· Manhasset, NYNYU Langone Health· New York, NYBaylor College of Medicine· Houston, TX

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