Informing Low-acuity Emergency Department Patients of Non-emergent Healthcare Resources Following Discharge to Decrease Emergency Department Utilization (2)
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 8,286
- 试验地点
- 1
- 主要终点
- Return to Geisinger ED
研究概览
简要总结
The goal of this campaign is to reduce unnecessary visits to a Geisinger emergency department (ED). In this campaign, patients will be assigned to receive or not receive outreach following ED discharge with a low-acuity visit designation. Outreach will occur via a text message the day after discharge from the ED as well as information added to the patient's after visit summary (AVS). Depending on the assigned condition, it will include calls to see their primary care provider (PCP) or use an Intelligent Triage tool. The study will assess whether ED use within the following 120 days differs across patients in different outreach conditions (current standard practice vs contact your PCP vs use Intelligent Triage). It will also examine whether patients follow through on the message-specific calls to action differently across conditions.
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
盲法说明
Patients will be aware of their own messages but not of messages sent to other patients or in other arms.
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
- •>= 18 years of age
- •Geisinger ED visit rated as low acuity (L4 or L5)
- •Discharged from Geisinger ED in past 24 hours
排除标准
- •Cannot be contacted via the communication modality being used in the study (i.e., SMS), due to insufficient/missing contact information in the EHR or because the patient opted out
- •Admitted to hospital
- •Already included in intervention in past 365 days
研究组 & 干预措施
Control
This arm will receive no intervention outside of usual care.
Contact your PCP
Intervention content emphasizes contacting a primary care provider (content will vary slightly based on whether the patient has a Geisinger PCP)
干预措施: Contact your PCP (Behavioral)
Use Intelligent Triage
Intervention content emphasizes using Intelligent Triage to assess symptoms.
干预措施: Use Intelligent Triage (Behavioral)
结局指标
主要结局
Return to Geisinger ED
时间窗: within 120 days following day of discharge
ED visit (yes/no)
次要结局
未报告次要终点
研究者
Amir Goren
Principal Investigator
Geisinger Clinic
