Telepsychiatry to Enable Expedited Disposition of Psychiatric Emergencies
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 959
- 试验地点
- 8
- 主要终点
- ED Time
研究概览
简要总结
The goal of this observational study is to examine the effect of using a video link for evaluation of patients in the psychiatric emergency room. Under current Israeli law, the attending physician must come in to physically examine the patient before they can be admitted involuntarily. Patients often de-compensate and even may become violent while waiting for the attending to arrive. Previous studies have shown that evaluation of such patients via video-link has an extremely high concordance with in person evaluation. This study will compare patients who are evaluated via video-link with historical controls evaluated under usual conditions. This is an observational study, which is taking advantage of a change in practice to collect data on two different ways of delivering care, via chart reviews. If successful, this study will show that the video-link is feasible and acceptable to patients and staff. The following hypotheses will be tested:
- The intervention will result in shorter ED time compared to historical controls.
- The intervention will result in fewer violent incidents compared to historical controls.
- The intervention will result in shorter overall hospital length of stay compared to historical controls.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
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
- •Must be evaluated in the psychiatric ED for potential involuntary admission
排除标准
- •Not justice-involved (i.e., brought in by police after committing a crime)
结局指标
主要结局
ED Time
时间窗: Patients arrive in the ED at a specific time and leave the ED at a specific time. We will compute the amount of time spent in the ED by each patient, up to two weeks.
Amount of time, in hours and minutes, that the patient spends in the ED prior to disposition
次要结局
- Violent Incidents(Patients arrive in the ED at a specific time. Those who are admitted are eventually discharged. Violent incidents can occur during the entire time spent in the hospital, whether in the ED or on the ward, up to 90 days total.)
- Hospital Length of Stay(For patients admitted to the hospital through the ED, the beginning time is their arrival to ED, the end is the time of hospital discharge, up to 90 days later.)
研究者
Adam Rose
Associate Professor
Hebrew University of Jerusalem