NCT01422811已完成3 期
Unnecessary, Avoidable Lengths of Stay: a Strategy for Clinician Empowerment and Effectiveness Evaluation
适应症
干预措施
试验速览
- 阶段
- 3 期
- 状态
- 已完成
- 入组人数
- 3,862
- 试验地点
- 2
- 主要终点
- Percentage of patient-days compatible with discharge
研究概览
简要总结
- Background: In recent years an increasing trend in excessive lengths of stay has been recorded at the Parma University Hospital, compared with regional mean values. Excessive lengths of stay have been demonstrated to constitute not just an economic problem, but also a clinical and public health issue. Since the measures taken at our institution so far have not proven effective, the investigators carried out a literature review, which mostly detected observational studies, restricted to the assessment of the impact of a single intervention.
- Objectives: This project intends to evaluate the effectiveness of a multifaceted strategy aiming to empower clinicians on the issues associated with excessively long and avoidable hospital stays, and enable them to identify corrective measures (according to the principles of clinical governance).
- Study design: cluster-randomized, parallel group, open-label, community trial
- Methods: trained personnel will periodically record causes for excessive lengths of stay in all participating wards using an ad hoc data collection sheet. In the wards randomized to the experimental group, interventions aimed to clinician empowerment - provision of reminders and periodical audits - will be implemented.
- Expected results: A reduction in the experimental vs. the control arm unnecessary lengths of stay is expected, although the introduced measures will also presumably lead to improvement in the wards where they are not implemented.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Double (Participant, Outcomes Assessor)
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •patients present on the participating wards during one of 12 randomly selected index days (one for each month of data collection)
排除标准
- •patients admitted or discharged on the index days
- •patients with length of stay (interview date - admission date) > 90 days
研究组 & 干预措施
Intervention
Experimental
干预措施: Multicomponent strategy to reduce avoidable length of stay (Behavioral)
Control
Other
No Intervention
干预措施: No intervention (Other)
结局指标
主要结局
Percentage of patient-days compatible with discharge
时间窗: 12 month period [02/2008 - 02/2009] +1 follow up month [02/2010]
次要结局
- Overall length of stay (in days)(12 month period [02/2008 - 02/2009])
研究者
Caterina Caminiti
Dr.
Azienda Ospedaliero-Universitaria di Parma
研究点 (2)
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