NCT00497393

Brief Summary

This randomized controlled trial will introduce a Clinical Decision Unit (CDU) into the University of Alberta Hospital Emergency Department(ED)and assess the influence on ED length of stay, patients who leave without being seen, and other ED Overcrowding outcomes.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
6,217

participants targeted

Target at P75+ for phase_4

Timeline
Completed

Started Jul 2007

Shorter than P25 for phase_4

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

July 1, 2007

Completed
4 days until next milestone

First Submitted

Initial submission to the registry

July 5, 2007

Completed
1 day until next milestone

First Posted

Study publicly available on registry

July 6, 2007

Completed
26 days until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 1, 2007

Completed
4 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2007

Completed
Last Updated

September 12, 2008

Status Verified

September 1, 2008

Enrollment Period

1 month

First QC Date

July 5, 2007

Last Update Submit

September 11, 2008

Conditions

Acute Illness

Keywords

Emergency department, administration, overcrowding

Outcome Measures

Primary Outcomes (1)

  • Total ED length of stay

    in the Emergency Department

Secondary Outcomes (3)

  • Left without being seen (LWBS) rates

    in the Emergency Department

  • nurse and physician satisfaction

    following Emergency Department shift

  • ambulance turnaround times (time

    in the Emergency Department

Study Arms (1)

Control

NO INTERVENTION

regular use of the 2-bed areas in the Emergency department

Behavioral: Clinical Decision Unit

Interventions

Clinical Decision UnitBEHAVIORAL

a dedicated 2-bed area to see patients and then rotate them back into the waiting room area for labs and diagnostic imaging.

Control

Eligibility Criteria

Age17 Years+
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • Only adult patients (\>17 years of age) presenting to the University of Alberta Hospital Emergency Department (UAH ED), during the study interval will be included in the evaluation.

You may not qualify if:

  • Direct admits/Pediatric patients.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of Alberta Hospital

Edmonton, Alberta, T6G 2B7, Canada

Location

MeSH Terms

Conditions

EmergenciesCrowding

Interventions

Clinical Observation Units

Condition Hierarchy (Ancestors)

Disease AttributesPathologic ProcessesPathological Conditions, Signs and SymptomsSpatial BehaviorBehavior

Intervention Hierarchy (Ancestors)

Hospital UnitsHealth FacilitiesHealth Care Facilities Workforce and Services

Study Officials

  • Michael Bullard, MD

    University of Alberta Hospital, Edmonton, Alberta, T6G 2B7, Canada

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
NONE
Purpose
HEALTH SERVICES RESEARCH
Intervention Model
PARALLEL
Sponsor Type
OTHER

Study Record Dates

First Submitted

July 5, 2007

First Posted

July 6, 2007

Study Start

July 1, 2007

Primary Completion

August 1, 2007

Study Completion

December 1, 2007

Last Updated

September 12, 2008

Record last verified: 2008-09

Locations

CA(1)