Identification of Potential Improvements in the Acute Care Pathway for Cancer Patients in the Emergency Department (OVERSEE - I Trial)
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 75
- 试验地点
- 1
- 主要终点
- Clusters of facilitators experienced by cancer patients.
研究概览
简要总结
The goal of this single center prospective cross-sectional study is to identify the facilitators and barriers in the course of the disease that starts when symptoms first arise until patients with solid and hematologic malignancies arrive in the emergency department (ED). The main question it aims to answer are: Is there a potential relation between the lag-time and the ED length of stay (LOS) and the chance of admission. Participants will be asked to participate in a one-time interview, that focusses on the pre-admission process.
详细描述
The goal of this single center prospective cross-sectional study is to identify the facilitators and barriers in the course of the disease that starts when symptoms first arise until patients with solid and hematologic malignancies arrive in the emergency department (ED). The main question it aims to answer are: Is there a potential relation between the lag-time and the emergency department length of stay and the chance of admission. Participants will be asked to participate in a one-time interview, that focusses on the pre-admission process. The interview focuses on several parts of the (pre-)admission process: The first part is regarding the timeline that led to an ED visit. The investigators will establish, when and which symptoms were first detected. The second part are regarding the number and type of health care workers that were contacted before visiting the ED. The third part will be about the actions that were taken before the ED visit.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Cross Sectional
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- 未提供
排除标准
- •<18 years old
- •Only received a surgical intervention as cancer treatment
- •Admitted to the ED for the surgical department
- •Not willing or able to give written informed consent
结局指标
主要结局
Clusters of facilitators experienced by cancer patients.
时间窗: Through study completion, an average of 6 months
Different (sub)clusters of facilitators experienced by cancer patients visiting the emergency department (ED)
clusters of barriers experienced by cancer patients.
时间窗: Through study completion, an average of 6 months
Different (sub)clusters of barriers experienced by cancer patients visiting the ED
次要结局
- Time-to-speak(Through study completion, an average of 6 months)
- Time-to-contact(Through study completion, an average of 6 months)
- ED crowding(Through study completion, an average of 6 months)
- Time-to-present(Through study completion, an average of 6 months)
- Difference in group average lag-time between day, evening and night(Through study completion, an average of 6 months)
- Difference in group average lag-time between weekdays (Monday 08:00 till Friday 23:59) and weekend (Saturday 00:00 and Monday 7:59)(Through study completion, an average of 6 months)
- Correlation between number of contacted healthcare providers before presentation at the ED and the lag- time.(Through study completion, an average of 6 months)
- Willingness to participate(Through study completion, an average of 6 months)
- Lag-time(Through study completion, an average of 6 months)
- Patient characteristics(Through study completion, an average of 6 months)
- Correlation between lag-time and patient characteristics(Through study completion, an average of 6 months)
- ED length of stay (LOS)(Through study completion, an average of 6 months)
- Disposition(Through study completion, an average of 6 months)
- Correlation between lag-time and disposition(Through study completion, an average of 6 months)
- Correlation between lag-time and ED-LOS(Through study completion, an average of 6 months)
研究者
Jason den Duijn
Principal Investigator
Erasmus Medical Center