AI-driven Clinical Decision Support for Perioperative Blood Orders

Purpose

20 million patients have surgery in the United States every year, with approximately 1 million of those patients requiring life-saving blood transfusion. Presurgical preparation for transfusion is important to allow for safe and timely transfusion during surgery; however, excessive preparation is unfortunately common, costly, and contributes to blood waste. This study aims to evaluate an intelligent clinical decision support system that helps clinicians prepare blood for patients who are likely to need it, while avoiding excessive preparation for patients who don't, potentially improving patient safety while reducing blood waste and healthcare costs.

Condition

  • Surgery

Eligibility

Eligible Ages
Over 18 Years
Eligible Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Scheduled for surgery in one of the main operating room areas (non-remote) at Barnes Jewish Hospital - Evaluated in-person at one of the preoperative assessment clinics affiliated with BJC Healthcare - Have a valid S-PATH model prediction prior to their preoperative assessment clinic visit Patient

Exclusion Criteria

  • Pregnant - Presence or history of red cell alloantibodies

Study Design

Phase
N/A
Study Type
Interventional
Allocation
Randomized
Intervention Model
Crossover Assignment
Intervention Model Description
Stepped-wedge cluster randomized trial
Primary Purpose
Screening
Masking
None (Open Label)

Arm Groups

ArmDescriptionAssigned Intervention
Active Comparator
Usual care 		Usual care for determining presurgical blood orders, including use of the institutional Maximum Surgical Blood Ordering Schedule (MSBOS)
  • Other: Usual care
    Including use of the conventional Maximum Surgical Blood Ordering Schedule (MSBOS)
Experimental
S-PATH 		Access to the S-PATH clinical decision support system
  • Other: S-PATH clinical decision support system
    Access to the S-PATH electronic health record (EHR)-integrated clinical decision support system

Recruiting Locations

Washington University in St. Louis and nearby locations

Washington University / Barnes Jewish Hospital
St Louis 4407066, Missouri 4398678 63110
Contact:
Sunny S Lou, MD, PhD
314-362-5000
slou@wustl.edu

More Details

NCT ID
NCT07223853
Status
Recruiting
Sponsor
Washington University School of Medicine

Study Contact

Sunny S Lou, MD, PhD
314-362-5000
slou@wustl.edu