Skip to main content
Clinical Trials/NCT03226366
NCT03226366CompletedNot Applicable

Effect of Emergency Department Care Reorganization on Door-to-antibiotic Times for Sepsis (LDS SWARM)

Intermountain Health Care, Inc.4 sites in 1 country3,230 target enrollmentStarted: May 16, 2015Last updated:
Conditions

Trial Snapshot

Phase
Not Applicable
Status
Completed
Enrollment
3,230
Locations
4
Primary Endpoint
Time From ED Arrival to Administration of First Dose of Antibiotics

Study Overview

Brief Summary

Sepsis is a common syndrome resulting from a dysregulated response to infection. The timing of antibiotic initiation is an important determinant of outcomes for patients presenting to the emergency department with sepsis. The potential effect of care reorganization on very early care for sepsis is unknown. This study will investigate whether multidisciplinary coordination of the initial patient evaluation in the emergency department influences door-to-antibiotic time for septic patients.

Detailed Description

This is a retrospective cohort study of emergency department sepsis care before versus after implementation of a "swarming" model for simultaneous patient evaluation by multidisciplinary care providers. The analysis will use data from similar hospitals that did not change sepsis care organization during the study period to control for changes in sepsis care not resulting from the "swarming" intervention.

Study Design

Study Type
Observational
Observational Model
Cohort
Time Perspective
Retrospective

Eligibility Criteria

Ages
18 Years to — (Adult, Older Adult)
Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Not provided

Exclusion Criteria

  • Not provided

Outcomes

Primary Outcomes

Time From ED Arrival to Administration of First Dose of Antibiotics

Time Frame: 24 hours

Secondary Outcomes

  • Hospital Mortality(Up to 1 year)
  • ED Length of Stay(Up to 1 week)
  • Door-to-physician Evaluation Time(Up to 24 hours)

Investigators

Sponsor Class
Other
Responsible Party
Principal Investigator
Principal Investigator

Ithan Peltan

Attending Physician, Intermountain Medical Center

Intermountain Health Care, Inc.

Study Sites (4)

Loading locations...

Similar Trials

Effect of Emergency Department Care... | Clinical Trial