174 Participants Needed

Patient Perspectives of an Automated Falls-Risk Screening and Referral Tool in the Emergency Department (ED)

Recruiting at 2 trial locations
DH
Overseen ByDann Hekman, MS
Age: 65+
Sex: Any
Trial Phase: Academic
Sponsor: University of Wisconsin, Madison
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

Trial Summary

What is the purpose of this trial?

The purpose of the overall study to evaluate implementation-related outcomes of a falls-risk clinical decision support (CDS) system using patient electronic health records (EHR) data to automatically screen and identify older adult ED patients at high risk of future falls and allowing ED clinicians to place referral orders to the UW Health Mobility and Falls clinic. This CDS tool has already been implemented at the UWHC ED, and will be additionally implemented at The American Center and Swedish American Hospital EDs (all QI initiatives) over the next two years. This study involves engaging a sample of referred patients from each site to gather their perspectives on the delivery of the referral in the ED, their experiences in making and completing appointments at the Falls Clinic (if applicable), and perceived benefits of the intervention overall.

Research Team

BW

Brian W Patterson, MD, MPH

Principal Investigator

University of Wisconsin, Madison

Eligibility Criteria

Inclusion Criteria

ED patients identified by the automated system as being high-risk of future falls, and subsequently referred to the UW Health Mobility and Falls Clinic by the ED provider at discharge.
English-speaking
Reliable access to a working telephone and can accept incoming phone calls
See 1 more

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Implementation

Implementation of the automated falls-risk screening and referral tool at various ED sites

24 months

Patient Interviews

Phone and in-person interviews conducted with patients to gather perspectives on the referral process and intervention

up to 30 months
Interviews conducted at 3 ED sites

Follow-up

Participants are monitored for feedback and effectiveness of the intervention

4 weeks

Treatment Details

Interventions

  • Automated Falls-Risk Screening and Referral Tool
Participant Groups
3Treatment groups
Experimental Treatment
Group I: ED Patients Scheduled and Completed Falls Clinic VisitExperimental Treatment1 Intervention
Patients age 65 and Older identified by the automated system as being high-risk of future falls, and subsequently referred to the UW Health Mobility and Falls Clinic by the ED provider at discharge
Group II: ED Patients Likely to be DischargedExperimental Treatment1 Intervention
Patients aged 65 and older who are in the emergency department and likely to be discharged.
Group III: ED Patients Declined or Did Not Complete Falls Clinic VisitExperimental Treatment1 Intervention
Patients age 65 and Older identified by the automated system as being high-risk of future falls, and subsequently referred to the UW Health Mobility and Falls Clinic by the ED provider at discharge

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of Wisconsin, Madison

Lead Sponsor

Trials
1,249
Recruited
3,255,000+

Agency for Healthcare Research and Quality (AHRQ)

Collaborator

Trials
415
Recruited
6,777,000+
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