The CLOQS Trial - Countdown Lights to Optimize Quality in Stroke
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 3,452
- 试验地点
- 3
- 主要终点
- Improved door-to-CT and door-to-needle times.
研究概览
简要总结
To reduce door-to-needle times in acute stroke treatment. Using an organizational behaviour intervention (a large stopwatch), we will post a visual cue to remind all parties that "time is brain". We hypothesize that this simple visual cue will improve door-to-CT scan times and door-to-needle treatment times, and thus improve treatment response, and reduce adverse events.
详细描述
We will construct a large, "in-your-face" red LED stopwatch-clock that is the intervention. The clock will be attached to the stretcher of patients presenting for hyperacute stroke treatment (consideration of tissue plasminogen activator (tPA) treatment at the moment of their Emergency department arrival. This will act as a constant visual reminder to all team members (physicians, RN's, CT technologists) of the urgency of the situation. The study will be a block randomization, by week of presentation. All patients presenting during "on" weeks will have a stopwatch timer with them during the hyperacute stroke workup. During "off" weeks, the clocks will not be used.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Single Group
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •All patients who present to the emergency room with acute stroke for consideration of treatment with tPA.
排除标准
- •Patients presenting to the emergency room (door time) more than 4.5 hours after symptom onset
研究组 & 干预措施
'Off Clock'
Stopwatch timers will NOT be used for "off clock" weeks, so patients presenting with hyperacute stroke will be managed normally without the visual timer.
'On Clock"
LED stopwatch-clock timers will be posted for all patients presenting during "ON clock" weeks. All patients presenting with hyperacute stroke will be managed normally with the addition of a visual stopwatch timer.
干预措施: LED stopwatch-clock timers (Other)
结局指标
主要结局
Improved door-to-CT and door-to-needle times.
时间窗: 18 months
Improved door-to-CT scan times and door-to-needle treatment times with tPA, with potentially improved response to treatment and reduction in adverse events.
次要结局
未报告次要终点
研究者
Dr. Richard H. Swartz
Dr.
Sunnybrook Health Sciences Centre