Evaluation of a trauma decision support system in emergency care
APPRAISE 2.0: Live Trial of the APPRAISE Trauma Decision Support System
This study is testing a new software tool to see if it helps emergency doctors make better decisions during trauma care without causing confusion.
Quick facts
| Phase | Phase 1 |
|---|---|
| Study type | Interventional |
| Enrollment | 20 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | Massachusetts General Hospital Academic / other |
| Locations | 1 site (Boston, Massachusetts) |
| Trial ID | NCT06121661 on ClinicalTrials.gov |
What this trial studies
This pilot evaluation assesses the APPRAISE trauma decision-support software system in real-time clinical settings. The study aims to determine the system's performance against predefined technical specifications and to evaluate whether its use distracts or confuses clinicians during trauma care. Additionally, pilot data will be collected to inform the design of a future clinical trial focused on the system's efficacy. The study involves adult patients triaged to the acute area of the emergency department with concerns for acute injury.
Who should consider this trial
Good fit: Ideal candidates are adults aged 18 and older who are in the acute area of the emergency department with a clinical concern for acute injury.
Not a fit: Patients who are pregnant, prisoners, or those for whom the software's suitability is questioned by clinicians may not benefit from this study.
Why it matters
Potential benefit: If successful, this system could enhance decision-making in trauma care, potentially improving patient outcomes.
How similar studies have performed: While this approach is innovative, similar decision-support systems have shown promise in other clinical settings, suggesting potential for success.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Adult (≥18 yrs) Emergency Department (ED) patient * Triaged to the "Acute" area of the ED. (The "Acute" area is the designated area for ED patients with potential or established critical illness. Triage to Acute is a routine ED operation that is performed based on departmental guidelines and the professional judgement of an experienced triage nurse). * Clinical concern for acute injury (based on either an explicitly chief complaint of acute injury, or clinical team with documented concern for acute injury as a relevant part of patient presentation). Exclusion Criteria: * Prisoners * Patients known to be pregnant, based on patient report, physical exam, or bedside ultrasound * Patients wearing an "EFIC Opt-Out" bracelet * Any concern about the suitability of the software system for a specific patient by any clinician involved in the patient's ED care, or by the patient themselves (or by any LAR \[lawfully authorized representative\] of the patient).
Where this trial is running
Boston, Massachusetts
- Massachusetts General Hospital — Boston, Massachusetts, United States (Recruiting)
Study contacts
- Principal investigator: Andrew Reisner, MD — Massachusetts General Hospital
- Study coordinator: Iain Kehoe
- Email: ikehoe@mgh.harvard.edu
- Phone: 6177262241
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.