Q3204587 (Q3204587): Difference between revisions
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(Created claim: summary (P836): Objective: Establish recommendations to improve the adequacy of the request for Radiography (Rx) and Computed Tomography (CT) in the Emergency Service. Analysis of the impact of the implementation of the recommendations. Quantify the impact of non-adherence to recommendations in patients receiving CT or Rx. Design: Project with 5 phases: 1. Systematic and critical analysis of evidence on the usefulness of CT and Rx in the emergency department....) |
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Objective: Establish recommendations to improve the adequacy of the request for Radiography (Rx) and Computed Tomography (CT) in the Emergency Service. Analysis of the impact of the implementation of the recommendations. Quantify the impact of non-adherence to recommendations in patients receiving CT or Rx. Design: Project with 5 phases: 1. Systematic and critical analysis of evidence on the usefulness of CT and Rx in the emergency department. Summary documents and evidence synopsis, systematic reviews and primary studies will be accessed sequentially. 2. Generation of recommendations using Delphi methodology to reach consensus on whether or not to indicate a radiological examination in the most relevant urgent clinical situations. 3.Implementation of the recommendation guide, through a multifaceted strategy that includes automatic decision aid system (CDSS) integrated into the petition system. 4. Assessment of the impact of the intervention by means of a quasi-experimental study before/after to determine changes in the frequency and diagnostic profitability of petitions. 5. Evaluation of the impact of adherence vs non-adherence to recommendations on significant findings in patients with clinical suspicion who are undergoing the diagnostic test. Scope: Emergencies of the Hospitals Ramón y Cajal, Cruces, La Paz, Basurto, Puerta de Hierro. Subjects: Information will be collected for the impact assessment (Sept. 2017-Sept 2019) emergency attendance, number of applications, diagnostic profitability, and data related to the use of the CDSS. Statistical Analysis: Poisson regression for phase 4 and Phase 5 propensity index. (English) | |||||||||||||||
| Property / summary: Objective: Establish recommendations to improve the adequacy of the request for Radiography (Rx) and Computed Tomography (CT) in the Emergency Service. Analysis of the impact of the implementation of the recommendations. Quantify the impact of non-adherence to recommendations in patients receiving CT or Rx. Design: Project with 5 phases: 1. Systematic and critical analysis of evidence on the usefulness of CT and Rx in the emergency department. Summary documents and evidence synopsis, systematic reviews and primary studies will be accessed sequentially. 2. Generation of recommendations using Delphi methodology to reach consensus on whether or not to indicate a radiological examination in the most relevant urgent clinical situations. 3.Implementation of the recommendation guide, through a multifaceted strategy that includes automatic decision aid system (CDSS) integrated into the petition system. 4. Assessment of the impact of the intervention by means of a quasi-experimental study before/after to determine changes in the frequency and diagnostic profitability of petitions. 5. Evaluation of the impact of adherence vs non-adherence to recommendations on significant findings in patients with clinical suspicion who are undergoing the diagnostic test. Scope: Emergencies of the Hospitals Ramón y Cajal, Cruces, La Paz, Basurto, Puerta de Hierro. Subjects: Information will be collected for the impact assessment (Sept. 2017-Sept 2019) emergency attendance, number of applications, diagnostic profitability, and data related to the use of the CDSS. Statistical Analysis: Poisson regression for phase 4 and Phase 5 propensity index. (English) / rank | |||||||||||||||
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| Property / summary: Objective: Establish recommendations to improve the adequacy of the request for Radiography (Rx) and Computed Tomography (CT) in the Emergency Service. Analysis of the impact of the implementation of the recommendations. Quantify the impact of non-adherence to recommendations in patients receiving CT or Rx. Design: Project with 5 phases: 1. Systematic and critical analysis of evidence on the usefulness of CT and Rx in the emergency department. Summary documents and evidence synopsis, systematic reviews and primary studies will be accessed sequentially. 2. Generation of recommendations using Delphi methodology to reach consensus on whether or not to indicate a radiological examination in the most relevant urgent clinical situations. 3.Implementation of the recommendation guide, through a multifaceted strategy that includes automatic decision aid system (CDSS) integrated into the petition system. 4. Assessment of the impact of the intervention by means of a quasi-experimental study before/after to determine changes in the frequency and diagnostic profitability of petitions. 5. Evaluation of the impact of adherence vs non-adherence to recommendations on significant findings in patients with clinical suspicion who are undergoing the diagnostic test. Scope: Emergencies of the Hospitals Ramón y Cajal, Cruces, La Paz, Basurto, Puerta de Hierro. Subjects: Information will be collected for the impact assessment (Sept. 2017-Sept 2019) emergency attendance, number of applications, diagnostic profitability, and data related to the use of the CDSS. Statistical Analysis: Poisson regression for phase 4 and Phase 5 propensity index. (English) / qualifier | |||||||||||||||
point in time: 13 October 2021
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Revision as of 01:35, 13 October 2021
Project Q3204587 in Spain
| Language | Label | Description | Also known as |
|---|---|---|---|
| English | No label defined |
Project Q3204587 in Spain |
Statements
13,500.0 Euro
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27,000.0 Euro
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50.0 percent
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1 January 2017
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31 March 2020
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FUNDACION INVESTIGACION BIOMEDICA HOSPITAL PUERTA DE HIERRO
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40°28'23.02"N, 3°52'20.68"W
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28080
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Objetivo: Establecer recomendaciones para mejorar la adecuación en la solicitud de Radiografía (Rx) y Tomografía Computarizada (TC) en el servicio de Urgencias. Análisis del impacto de la implementación de las recomendaciones. Cuantificar el impacto de no adherencia a las recomendaciones en pacientes a los que se realiza TC o Rx. Diseño: Proyecto con 5 fases: 1. Análisis sistemático y crítico de las evidencias sobre la utilidad de las TC y Rx en el servicio de urgencias. Se accederá secuencialmente a documentos de síntesis y sinopsis de evidencias, revisiones sistemáticas y estudios primarios. 2. Generación de recomendaciones mediante metodología Delphi para alcanzar un consenso en la indicación o no de un examen radiológico en las situaciones clínicas urgentes más relevantes. 3 .Implementación de la guía de recomendaciones, mediante una estrategia multifacética que incluye sistema automático de ayuda a la decisión (CDSS) integrado en el sistema de peticiones. 4. Evaluación del impacto de la intervención mediante un estudio cuasi-experimental antes/después para determinar los cambios en la frecuencia y rentabilidad diagnóstica de las peticiones. 5. Evaluación del impacto de la adherencia vs no adherencia a recomendaciones en los hallazgos significativos en aquellos pacientes con sospecha clínica a los que se realiza la prueba diagnóstica. Ámbito: Urgencias de los Hospitales Ramón y Cajal, Cruces, La Paz, Basurto, Puerta de Hierro. Sujetos: Para la evaluación del impacto se recogerá información (periodo Sept. 2017-Sept 2019) de frecuentación a urgencias, número de solicitudes, rentabilidad diagnóstica, y datos relativos a la utilización del CDSS. Análisis Estadístico: Regresión de Poisson para fase 4 e Índice de propensión en fase 5. (Spanish)
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Objective: Establish recommendations to improve the adequacy of the request for Radiography (Rx) and Computed Tomography (CT) in the Emergency Service. Analysis of the impact of the implementation of the recommendations. Quantify the impact of non-adherence to recommendations in patients receiving CT or Rx. Design: Project with 5 phases: 1. Systematic and critical analysis of evidence on the usefulness of CT and Rx in the emergency department. Summary documents and evidence synopsis, systematic reviews and primary studies will be accessed sequentially. 2. Generation of recommendations using Delphi methodology to reach consensus on whether or not to indicate a radiological examination in the most relevant urgent clinical situations. 3.Implementation of the recommendation guide, through a multifaceted strategy that includes automatic decision aid system (CDSS) integrated into the petition system. 4. Assessment of the impact of the intervention by means of a quasi-experimental study before/after to determine changes in the frequency and diagnostic profitability of petitions. 5. Evaluation of the impact of adherence vs non-adherence to recommendations on significant findings in patients with clinical suspicion who are undergoing the diagnostic test. Scope: Emergencies of the Hospitals Ramón y Cajal, Cruces, La Paz, Basurto, Puerta de Hierro. Subjects: Information will be collected for the impact assessment (Sept. 2017-Sept 2019) emergency attendance, number of applications, diagnostic profitability, and data related to the use of the CDSS. Statistical Analysis: Poisson regression for phase 4 and Phase 5 propensity index. (English)
13 October 2021
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Majadahonda
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Identifiers
PI16_00558
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