Clinical Decision Unit (CDU) - Evaluation of a Novel Approach to Address Emergency Department Overcrowding
试验速览
- 阶段
- 4 期
- 状态
- 已完成
- 入组人数
- 6,217
- 试验地点
- 2
- 主要终点
- Total ED length of stay
研究概览
简要总结
This randomized controlled trial will introduce a Clinical Decision Unit (CDU) into the University of Alberta Hospital Emergency Department(ED)and assess the influence on ED length of stay, patients who leave without being seen, and other ED Overcrowding outcomes.
详细描述
The study will take place over a 6-week period that will be spilt into three-two-week blocks. Using computerized blocks of 2 weeks, days of the week will be randomly allocated so that each day of the week receives one intervention (CDU) and one control day for the study period. The CDU involves transforming an ED bed location to a 6-chair internal waiting room with 2 adjacent beds assigned to act as assessment and treatment locations. Patients will transition between the chair and stretcher to optimize the use of ED space.
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
- None
入排标准
- 年龄范围
- 17 Years 至 —（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Only adult patients (>17 years of age) presenting to the University of Alberta Hospital Emergency Department (UAH ED), during the study interval will be included in the evaluation.
排除标准
- •Direct admits/Pediatric patients.
结局指标
主要结局
Total ED length of stay
时间窗: in the Emergency Department
次要结局
- Left without being seen (LWBS) rates(in the Emergency Department)
- nurse and physician satisfaction(following Emergency Department shift)
- ambulance turnaround times (time(in the Emergency Department)