ACTRN12621001456842招募中未知
Effectiveness-implementation hybrid design including a step–wedge cluster randomised control trial (SW-cRCT) to evaluate the outcomes of the implementation of HIRAID at scale (effectiveness) and strategies that enable optimal uptake of HIRAID (implementation)
适应症
试验速览
- 阶段
- 未知
- 状态
- 招募中
- 入组人数
- 3,200
研究概览
简要总结
暂无简介。
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomised controlled trial
- 主要目的
- Educational / counselling / training
- 盲法
- Open (masking not used)
入排标准
- 年龄范围
- 18 Years 至 o limit（—）
- 性别
- All
入选标准
- •There are six different populations, with key inclusion criteria for this study:
- •Source 1: Patient’s with clinical deterioration in 72 hours - medical record review:
- •- Rapid response equal or less than 72 hours post Emergency Department Discharge (EDD)
- •- Rapid response call
- •- Admitted via Emergency Department (includes admission to ward via interhospital transfer direct from ED within Southern NSW LHD)
- •Source 2: Patient presenting to ED with painful conditions:
- •Clinical records of patients meeting one or more of the study inclusion criteria, and no exclusion criteria, will be reviewed retrospectively.
- •- Presented to ED and given a triage category 2, 3, 4 or 5; AND
- •- Presented to the ED with chest pain, abdominal pain, hip or limb pain
- •Source 3: Patient or carer:
- •All patients presenting to the ED, meeting study inclusion criteria will be provided with a participant information sheet for the study.
- •- Patient, or carer of a patient admitted to the ED during study period;
- •- Patient/ carer over 18 years of age.
- •Source 4: Staff surveys-nursing:
- •All nursing staff permanently employed in the EDs/ MPS across each LHD, pre and post implementation, will be invited by their ED/MPS Manager, Medical Director or Research Nurse via email to participate.
- •Source 5: Staff surveys-medical staff:
- •All medical staff, employed on a regular basis, will be invited to complete a survey related to medical staff satisfaction related to clinical handover pre and post the intervention.
- •Source 6: Nursing staff interviews:
- •All nursing staff employed in the EDs/ MPS across each LHD, during the implementation period will be eligible to participate. Staff who complete the nursing survey post will have the opportunity to indicate their willingness to participate and provide contact details (phone and/ or email) to the researchers.
排除标准
- •There are six different populations for this study:
- •Source 1: Patient’s with clinical deterioration in 72 hours - medical record review:
- •Exclusion Criteria
- •- ICU admission prior to call
- •- Operation prior to call
- •Source 2: Patient presenting to ED with painful conditions:
- •- Triage category 1
- •- Patients receiving a team response in the ED e.g. trauma team response, stroke, etc
- •Source 3: Patient or carer:
- •- patient, or carers of patients, at end-of-life care; OR
- •- triage category 1; OR
- •- patients/ carers with cognitive impairment (eg. intoxication, dementia).
- •Source 4: Staff surveys-nursing:
- •Source 5: Staff surveys-medical staff:
- •Source 6: Nursing staff interviews:
研究者
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