Identification of Potential Improvements in the Acute Care Pathway for Cancer Patients in the Emergency Department (OVERSEE - II Trial)
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 59
- 试验地点
- 1
- 主要终点
- Clusters of facilitator and barriers identified by the emergency department (ED) nurse
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 among caregivers in the emergency department that influence disposition of patients with solid and hematology malignancies. The main question it aims to answer is to categorize the facilitators and barriers identified by three groups of emergency department (ED) staff. Participants will be asked for permission, afterwards a short interview will be held with the different ED caregivers (ED nurse, attending physician and supervising physician).
详细描述
The goal of this to identify the facilitators and barriers among caregivers in the emergency department (ED) that influence disposition of patients with solid and hematology malignancies. Participants will be asked for permission, afterwards a short interview will be held with the different caregivers (ED nurse, attending physician and supervising physician) in the ED. The interviews will be held in the order of the ED care pathway, meaning ED nurse first, treating physician second and supervising physician at last. The interviews will be conducted for every patient with each of the caregivers. Each interview will be conducted after the caregiver has made the first examination of the patient. The interview focuses on several parts of the emergency care process: The first part is regarding the actions that are executed during an ED visit. We will establish which actions are executed and why. The second part is regarding the suspected outcome for the patient. The third part will be about any potential improvements to the emergency care process for the patient.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 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
- •Patients with solid or hematological malignancies and receiving system therapy or having received systemic therapy within the last 3 months.
- •Presented at or admitted from the emergency department for the oncology, hematology, neuro- or lung-oncology clinical unit.
- •Awake and conscious.
- •Possible to answer questions within the same shift / day after presentation in the ED.
排除标准
- •<18 years old.
- •Only received a surgical intervention as cancer treatment.
- •Not willing or able to give written informed consent.
结局指标
主要结局
Clusters of facilitator and barriers identified by the emergency department (ED) nurse
时间窗: Through study completion, an average of 6 months
(Sub)Clusters of facilitator and barriers identified by the ED nurse for the ED care of patients with cancer
Clusters of facilitator and barriers identified by the treating physician
时间窗: Through study completion, an average of 6 months
(Sub)Clusters of facilitator and barriers identified by the treating physician for the ED care of patients with cancer
Clusters of facilitator and barriers identified by the supervising physician
时间窗: Through study completion, an average of 6 months
(Sub)Clusters of facilitator and barriers identified by the supervising physician for the ED care of patients with cancer
次要结局
- Emergency department (ED) length of stay (LOS)(Through study completion, an average of 6 months)
- Disposition(Through study completion, an average of 6 months)
- ED nurse agreement of disposition(Through study completion, an average of 6 months)
- Attending physician agreement of disposition(Through study completion, an average of 6 months)
- ED nurse summary of actions(Through study completion, an average of 6 months)
- Difference in clusters per group between day, evening and night(Through study completion, an average of 6 months)
- Years of medical experience(Through study completion, an average of 6 months)
- Supervising physician agreement of disposition(Through study completion, an average of 6 months)
- Time-to-disposition(Through study completion, an average of 6 months)
- Correlation between time-to-ward and the ED-LOS(Through study completion, an average of 6 months)
- Correlation between ED-LOS and disposition(Through study completion, an average of 6 months)
- Need for imaging(Through study completion, an average of 6 months)
- Supervising physician summary of actions(Through study completion, an average of 6 months)
- Difference in categories(Through study completion, an average of 6 months)
- ED crowding(Through study completion, an average of 6 months)
- Time-to-ward(Through study completion, an average of 6 months)
- Correlation between time-to-disposition and the ED-LOS(Through study completion, an average of 6 months)
- Attending physician summary of actions(Through study completion, an average of 6 months)
- Difference in clusters per group between weekdays and weekend(Through study completion, an average of 6 months)
研究者
Jason den Duijn
Principal Investigator
Erasmus Medical Center