AI-driven Clinical Decision Support for Perioperative Blood Orders
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,
| Condition(s) | Surgery |
|---|---|
| Status | Recruiting |
| Phase | NA |
| Study type | Interventional |
| Summary | 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. |
| Who can participate | Clinician Level Exclusion Criteria: * Clinician (resident physician or advanced practice provider) who works at a preoperative assessment clinic Clinician Level Exclusion Criteria: * None Patient 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 |
| Ages | 18 Years |
| Sex | All |
| Lead sponsor | Washington University School of Medicine |
| Locations | St Louis, Missouri, United States |
| Start date | 2025-10-28 |
| NCT ID | NCT07223853 |
| Official listing | https://clinicaltrials.gov/study/NCT07223853 |