AI-driven Clinical Decision Support for Perioperative Blood Orders

This study is looking at a new way to help doctors decide how much blood to prepare for patients having surgery. It's testing an AI-driven system called S-PATH, which is a computer program that helps clinicians (healthcare providers) make decisions. This system aims to make sure patients who need blood transfusions during surgery get them safely and on time, while also reducing wasted blood and healthcare costs. The study compares S-PATH to the usual way of preparing blood (using the Maximum Surgical Blood Ordering Schedule, or MSBOS). We want to see if S-PATH can reduce how often a "type and screen" blood test is ordered before surgery. You could be eligible if you are an adult (18 or older) scheduled for surgery at Barnes Jewish Hospital and will be evaluated in person at one of their preoperative assessment clinics. The current status of this study is unclear.

Study design
This interventional study plans to enroll 50 participants. It compares the S-PATH clinical decision support system to usual care.
What's involved
Not specified in the trial record.
Compensation
Not stated in the trial record.
Follow-up
The primary outcome is measured at the time the decision is made during the preoperative assessment clinic visit.

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NCT07223853

AI-driven Clinical Decision Support for Perioperative Blood Orders

Recruiting
NAAges 18+InterventionalScreening
Washington University School of Medicine
~50 participants
Updated 2026-08-27 on ClinicalTrials.gov
What's tested:S-PATH clinical decision support systemUsual care

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Frequency of patients with a type and screen order placed during the preoperative clinic assessment visit
Measured over Decision made during the preoperative assessment clinic visit
Surgery
1 sites across 1 states
Missouri1

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Eligibility criteria

Inclusion

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

Exclusion

Clinician (resident physician or advanced practice provider) who works at a preoperative assessment clinic
None
Pregnant
Presence or history of red cell alloantibodies
  • Frequency of patients with a type and screen order placed during the preoperative clinic assessment visitDecision made during the preoperative assessment clinic visit

    This is a binary outcome at the patient / surgical case level, which will be aggregated across all patients in the study to produce an overall frequency. Placement of a type and screen order during the preoperative clinic assessment visit will be evaluated at the patient / surgical case level. This includes orders placed and collected during the preoperative clinic assessment visit, as well as orders signed during the preoperative clinic assessment visit or subsequent follow up care and held to be drawn on the day of surgery.