Animated Picture to Improve Provider Adherence to CT Scan for Head Injury Rule

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01514071
Recruitment Status : Completed
First Posted : January 20, 2012
Last Update Posted : July 31, 2013
Information provided by (Responsible Party):
Children's Hospitals and Clinics of Minnesota

January 12, 2012
January 20, 2012
July 31, 2013
February 2012
July 2013   (Final data collection date for primary outcome measure)
Compliance to the PECARN CT Scan Head Injury rules [ Time Frame: 3 months ]
Same as current
Complete list of historical versions of study NCT01514071 on Archive Site
Decreased rate of CT scans [ Time Frame: 3 months ]
Same as current
Not Provided
Not Provided
Animated Picture to Improve Provider Adherence to CT Scan for Head Injury Rule
Not Provided

It is difficult for Pediatric Emergency Department providers to recognize clinically significant head injuries that are likely to require neurosurgical intervention or close monitoring from those that can be safely discharged.

Research Question How do a combination of education and an animated picture depicting the PECARN CT Head Injury rules impact compliance to these rules and reduce unnecessary head CT scans?

Design This is a within subject, repeated measures study design.

Not Provided
Not Applicable
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Diagnostic
Minor Head Injury
Behavioral: Pop-up picture
An animated picture depicting the key elements of the PECARN CT scan head injury rules will be explained. The picture will "pop-up" when a provider selects the order set for a CT scan due to head injury. Providers will need to select a box stating the patient either "meets criteria" or "does not meet criteria" in order to close the animated picture window.
Experimental: Pop-up picture
Intervention: Behavioral: Pop-up picture
Kuppermann N, Holmes JF, Dayan PS, Hoyle JD Jr, Atabaki SM, Holubkov R, Nadel FM, Monroe D, Stanley RM, Borgialli DA, Badawy MK, Schunk JE, Quayle KS, Mahajan P, Lichenstein R, Lillis KA, Tunik MG, Jacobs ES, Callahan JM, Gorelick MH, Glass TF, Lee LK, Bachman MC, Cooper A, Powell EC, Gerardi MJ, Melville KA, Muizelaar JP, Wisner DH, Zuspan SJ, Dean JM, Wootton-Gorges SL; Pediatric Emergency Care Applied Research Network (PECARN). Identification of children at very low risk of clinically-important brain injuries after head trauma: a prospective cohort study. Lancet. 2009 Oct 3;374(9696):1160-70. doi: 10.1016/S0140-6736(09)61558-0. Epub 2009 Sep 14. Erratum in: Lancet. 2014 Jan 25;383(9914):308.

*   Includes publications given by the data provider as well as publications identified by Identifier (NCT Number) in Medline.
Same as current
July 2013
July 2013   (Final data collection date for primary outcome measure)

Inclusion Criteria:

  • Patients presenting to Children's ED will be included if they:
  • Are between 0 and 18 years of age (inclusive)
  • Receive a discharge diagnosis of head injury
  • Present to the ED within 24 hours of the head injury
  • GCS of 14 or greater

Exclusion Criteria:

  • Patients will be excluded if they :
  • Had a CT scans done in an outside transferring institution
  • Have obvious penetrating head injuries
  • Had a trivial injury mechanisms such as ground-level falls or walking or running into stationary objects
  • Have no signs or symptoms of head trauma other than scalp abrasions and lacerations.
  • Have known brain tumors, pre-existing neurological disorders complicating assessment, ventricular shunts, bleeding disorders
Sexes Eligible for Study: All
up to 18 Years   (Child, Adult)
Contact information is only displayed when the study is recruiting subjects
United States
Not Provided
Not Provided
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Children's Hospitals and Clinics of Minnesota
Children's Hospitals and Clinics of Minnesota
Not Provided
Not Provided
Children's Hospitals and Clinics of Minnesota
July 2013

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP