About this trial
This is a pilot evaluation of the APPRAISE trauma decision-support software system ("the System"). The specific objections are as follows:
1. Evaluate the robustness of the System (i.e., whether the software performs in real-time in accordance with a priori technical specifications during real-time clinical use); 2. Evaluate whether the real-time display of the System causes distraction or confusion to clinicians treating the trauma patient such that its risks exceed its benefits; 3. Collect pilot data to allow for a statistical power analysis to design a future clinical trial evaluating efficacy.
Eligibility criteria
Qualifiers
Adult (≥18 yrs) Emergency Department (ED) patient
Triaged to the "Acute" area of the ED. (The "Acute" area is the designated area for ED patients with potential or established critical illness. Triage to Acute is a routine ED operation that is performed based on departmental guidelines and the professional judgement of an experienced triage nurse).
Clinical concern for acute injury (based on either an explicitly chief complaint of acute injury, or clinical team with documented concern for acute injury as a relevant part of patient presentation).
Disqualifiers
Prisoners
Patients known to be pregnant, based on patient report, physical exam, or bedside ultrasound
Patients wearing an "EFIC Opt-Out" bracelet
Any concern about the suitability of the software system for a specific patient by any clinician involved in the patient's ED care, or by the patient themselves (or by any LAR [lawfully authorized representative] of the patient).
Trial design
Treatments tested in this trial
- APPRAISE Trauma Clinical Decision Support System
Treatment groups
Sponsors and collaborators
Andrew Tomas Reisner
Lead sponsor
Massachusetts General Hospital
Sponsor institution