An Open Randomized Trial of the Effectiveness of an Observational Unit at St. Olavs Hospital
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 105
- 试验地点
- 2
- 主要终点
- Length of stay (LOS)
研究概览
简要总结
The trial is designed to evaluate the effectiveness of a newly established Observational unit at St. Olavs Hospital in terms of readmission rates, compared to the provision of care in normal/traditional units for defined diagnosis and medical problems.
详细描述
Observational units are thought to be more efficient than traditional ward units, but the evidence is scarce. The trial will in a randomized fashion evaluate the study hypothesis at an organizational level and not confined to specific diagnosis. The hypothesis to be tested is to confirm or reject the equal effectiveness of an Observational unit compared to a traditional ward for organizing in-hospital care.There are established eligibility and exclusion criteria based on clinical experience. Endpoint is length of stay and readmission within 30 days. In addition the study will give information on the use of diagnostic and treatment resources used and collect some basic demographic variables.
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
- Single (Care Provider)
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
- •Emergency admitted patients only
- •All patients on the list (appendix 1) with a tentative length of stay < 24 hours
- •Predicted stay of less than 24 hours
- •Willingness and able to sign a informed consent
排除标准
- •Emergency admitted patients with life threatening illnesses
- •Patients with a tentative length of stay > 24 hours based on the summary of medical and logistical considerations e.g. need of major - surgery, infections with prolonged infusions of antibiotics.
- •Unwillingness to sign a informed consent
- •By discretion of the physician/surgeon
- •Readmission of any reason in the study period (within 30 days)
研究组 & 干预措施
Traditional ward
干预措施: Traditional ward (Other)
Observational unit
Organizational change. Innovative organization of in-hospital care
干预措施: Organizational change (Other)
结局指标
主要结局
Length of stay (LOS)
时间窗: 1 year
Length of hospital stay in hours
次要结局
- Readmission within 30 days(30 days)