Grasshopper: a Novel Clinical Dashboard for Radiologists
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Grasshopper dashboard.
- Who it may be relevant to
- Registry conditions: Chest Infection, Pulmonary Edema - Acute. Basic parameters: No limits · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- United States
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Overview
Does a radiology clinical dashboard increase radiologist use of specific reporting language for chest X-rays (CXRs) and thereby decrease rates of unnecessary Emergency Department (ED) prescriptions and follow-up imaging?
Detailed description
Chest X-rays (CXR) are the most common radiologic exam, comprising nearly one third of total KPNC imaging volume. Despite high CXR utilization, diagnostic yield is frequently low, partly due to the paucity of clinical information provided to radiologists at the time of CXR interpretation, resulting in frequent nonspecific CXR assessments which include terms like "opacities" instead of diagnostic terms such as "pulmonary edema" or "pneumonia". This may contribute to over-treatment and unnecessary follow-up CT imaging. This study proposes the production deployment, active promotion, and evaluation of an innovative clinical dashboard called Grasshopper for radiologists to provide pertinent clinical information at the time of CXR interpretation. The dashboard leverages the electronic medical record to programmatically retrieve, and display select clinical notes, patient lab values, and vital signs. The Grasshopper study aims to prospectively evaluate the impact of Grasshopper on CXR report specificity in ED settings across 15 KPNC service areas, and on downstream care process measures such as prescription and imaging utilization.
Interventions
- Other Grasshopper dashboard
Computer dashboard application for radiologists that displays relevant clinical information directly from the medical record
Primary outcome measures
- Number of Diagnostic CXR Reports [Time frame: Through study completion, an average of 18 months.]
Secondary outcome measures (2)
- Number of Prescriptions after Stat CXR [Time frame: Through study completion, at an average of 18 months.]
- Number of CT Imaging exams after Stat CXR [Time frame: Through study completion, at an average of 18 months.]
Eligibility criteria
Kaiser Permanente Northern California CXR is ordered during emergency room visit or inpatient hospitalization
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Allocation
- N/A
- Model
- Sequential
- Masking
- Open label
- Primary purpose
- Other
Study locations
United States · 1 center
- Kaiser Permanente Northern California Division of Research — Pleasanton
Identifiers
NCT: NCT06785246 · 2142507