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Can a simple program cut unnecessary x-rays in ICUs?

NCT ID NCT06146348

Knowledge-focused Sponsor: Washington University School of Medicine Source: ClinicalTrials.gov ↗

What the study statuses mean

This study's is highlighted.

Recruitment status, easiest to join first

Recruiting now
This trial is taking on new participants right now.
Not yet recruiting
Registered, but not yet taking participants.
By invitation only
Not open to general applications. Only people the study team invites can take part.
Paused
Paused for now. It may or may not start again.
Ongoing
Running, but no longer taking on new participants.
Completed This study
The trial has finished. Results may not be published yet.
Stopped early
Stopped early, before it reached the end. That can be for many reasons, including safety.
Cancelled
Cancelled before anyone took part.

Expanded access (not trials)

Expanded access
Not a trial. This treatment can be requested outside a study, case by case, for people who qualify.
Expanded access (paused)
Not a trial. The treatment can normally be requested outside a study, but is unavailable right now.
Expanded access (ended)
Not a trial. The treatment could once be requested outside a study, but no longer can.
Approved
The treatment has been approved, so it is available normally rather than through this programme.

When the status isn't known

Details not published
The full record has not been published yet, so there is little to show here.
Status unknown
This status has not been confirmed recently, so it may be out of date.

First seen Jun 27, 2026 · Last updated Jun 27, 2026

Summary

This study tested a program called DRAUP in two intensive care units to help doctors and nurses stop ordering chest X-rays after placing a central line with ultrasound guidance. The program included training, feedback, and support to change habits. Researchers studied 101 healthcare workers to see if the program worked and how well it was followed.

What this could mean

Our plain-language read of the trial. This is informational only, not medical advice or a prediction.

What this could lead to
If successful, this could show that a structured program helps hospitals reduce unnecessary tests, saving time and resources.
What could go wrong
This is a small, early proof-of-concept study in just two ICUs, so results may not apply to other hospitals or settings.

This is an AI summary of the original study and may miss details. Read our disclaimer.

Study facts

What this study's own registry entry says, in plain language.

Phase

Not a phased trial

Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.

Participants

101 people

The number who actually took part.

Started

Jan 2024

Finished

Dec 2025

Lead sponsor

Other sponsor

The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.

Who can take part

This study's own entry requirements. Only the study team can say for certain whether you qualify.

Ages

18 years and older

Sex

Anyone

Healthy volunteers

Not accepted

This study is not open to healthy volunteers. The entry requirements below say who it is open to.

Show the full entry requirements

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

-Measure the effectiveness and cost effectiveness of DRAUP on discontinuation of CXRs Inclusion Criteria for DRAUP training: (1) ICU faculty, fellows, senior residents (post graduate year 3) and advanced practice practitioners * ICU inclusion for DRAUP program: * Availability of ultrasound machines with archiving capability (DICOM) * A minimum of 100 supradiaphragmatic CVC insertions annually in adult patients (age \>18) * Capacity to access digital archiving (PICOM) * Patient inclusion for DRAUP program: * supradiaphragmatic CVC placed * Patient exclusion for DRAUP program: * severe instability (cardiac arrest, severe shock) where CVC would be used without CXR, * level 1 trauma; * burn patients with no viable skin surface for imaging

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Conditions

The condition(s) this trial relates to.

Behavior

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Behavior and behavior mechanisms Implementation science

Contacts and locations

Locations

  • Washington University School of Medicine

    St Louis, Missouri, 63108, United States

More trials for these conditions

Other studies related to the condition(s) this trial covers.