Implementing Digital Anticipatory Protocols at Triage to Improve Emergency Department Flow: A Before-After Study Protocol
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 15,500
- 试验地点
- 1
- 主要终点
- Total Emergency Department Length of Stay (ED LOS).
研究概览
简要总结
This study aims to evaluate a pre-post intervention adding an early management decision at the end of the triage process to improve patient throughput. The intervention consists of adding digital checkboxes to the electronic triage system, providing nurses with formalized options for anticipated management based on patient acuity. The study compares a pre-intervention phase (May 1st to July 31st, 2026) with a post-intervention phase (May 1st to July 31st, 2027) to naturalize seasonal confounders. The primary outcome is the total Emergency Department Length of Stay (ED LOS).
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •All patients over 18 years who registered at the admission desk during the study period.
排除标准
- •Arrival by emergency medical services (ambulance or helicopter)
- •Patient trajectory bypassing the standard nurse-led triage process
- •Patient directly referred to another service of the hospital after triage (gynecology, ophthalmology, etc.).
结局指标
主要结局
Total Emergency Department Length of Stay (ED LOS).
时间窗: Through completion of the ED visit, up to a maximum of 72 hours.
The time interval from the completion of the patient's administrative registration to their physical departure from the ED
次要结局
- Left without being seen (LWBS)(Through completion of the ED visit, up to a maximum of 72 hours.)
- 30-day mortality(Up to 30 days post-ED visit)
- Intesive Care Unit (ICU) transfers(Up to 7 days post-ED visit)