NCT00991471

Brief Summary

The primary objective of this study is to investigate whether the introduction of a physician-nurse supplementary triage assessment team (MDRN STAT) is effective in improving time-based performance indicators for wait times. Secondary objectives will examine the quality of patient care and health care worker satisfaction and the cost-effectiveness of the program

Trial Health

87
On Track

Trial Health Score

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

Enrollment
6,300

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Sep 2009

Shorter than P25 for not_applicable

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

September 1, 2009

Completed
1 month until next milestone

First Submitted

Initial submission to the registry

October 5, 2009

Completed
3 days until next milestone

First Posted

Study publicly available on registry

October 8, 2009

Completed
4 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 1, 2010

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

February 1, 2010

Completed
Last Updated

October 31, 2017

Status Verified

October 1, 2017

Enrollment Period

5 months

First QC Date

October 5, 2009

Last Update Submit

October 27, 2017

Conditions

Keywords

Emergency Department Wait TimesPhysician Nurse at TriageOvercrowdingCostEffectiveness

Outcome Measures

Primary Outcomes (1)

  • Effectiveness of the MDRN STAT on emergency department wait times

    Time from triage to time of discharge from ED

Secondary Outcomes (1)

  • Cost-Effectiveness of a MDRN STAT in the Emergency Department

    6 months, of 50 MDRN STAT shifts, randomized with non-intervention

Study Arms (2)

Interaction with MDRN STAT

EXPERIMENTAL

Interaction with MDRNSTAT at triage to obtain orders for investigations and/or treatment

Behavioral: Interaction with MDRN STAT

Control: No MDRNSTAT

EXPERIMENTAL

Control group

Behavioral: No MDRNSTAT

Interventions

Interaction with MDRNSTAT at triage to obtain orders for investigations and/or treatment

Interaction with MDRN STAT
No MDRNSTATBEHAVIORAL

Standard management of nurse-only triage for assignment of CTAS

Also known as: Standard triage
Control: No MDRNSTAT

Eligibility Criteria

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

You may qualify if:

  • Patients arriving from 8:00-14:30 during a day here a MDRN STAT is assigned

You may not qualify if:

  • None

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Sunnybrook Health Sciences Center

Toronto, Ontario, M1N 0A1, Canada

Location

Related Publications (1)

  • Cheng I, Lee J, Mittmann N, Tyberg J, Ramagnano S, Kiss A, Schull M, Kerr F, Zwarenstein M. Implementing wait-time reductions under Ontario government benchmarks (Pay-for-Results): a Cluster Randomized Trial of the Effect of a Physician-Nurse Supplementary Triage Assistance team (MDRNSTAT) on emergency department patient wait times. BMC Emerg Med. 2013 Nov 11;13:17. doi: 10.1186/1471-227X-13-17.

MeSH Terms

Conditions

EmergenciesCrowding

Interventions

Drug Interactions

Condition Hierarchy (Ancestors)

Disease AttributesPathologic ProcessesPathological Conditions, Signs and SymptomsSpatial BehaviorBehavior

Intervention Hierarchy (Ancestors)

Pharmacological PhenomenaPharmacological and Toxicological PhenomenaPhysiological Phenomena

Study Officials

  • Ivy Cheng, FRCP

    Sunnybrook Hospital Emergency Department

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
HEALTH SERVICES RESEARCH
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Dr. Ivy Cheng

Study Record Dates

First Submitted

October 5, 2009

First Posted

October 8, 2009

Study Start

September 1, 2009

Primary Completion

February 1, 2010

Study Completion

February 1, 2010

Last Updated

October 31, 2017

Record last verified: 2017-10

Locations