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NCT00497393 Clinical Trial

Clinical Decision Unit (CDU) - Evaluation of a Novel Approach to Address Emergency Department Overcrowding

Acute Illness Clinical Trial

Official title:
Clinical Decision Unit (CDU) - Evaluation of a Novel Approach to Address Emergency Department Overcrowding

Clinical Trial Details — Status: Completed

Administrative data
NCT number NCT00497393
Other study ID # B-130607
Secondary ID
Status Completed
Phase Phase 4
First received July 5, 2007
Last updated September 11, 2008
Start date July 2007
Est. completion date December 2007

Study information
Verified date September 2008
Source University of Alberta
Contact n/a
Is FDA regulated No
Health authority Canada: Ethics Review Committee
Study type Interventional

Clinical Trial 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.

Description:

The study will take place over a 6-week period that will be spilt into three-two-week blocks. Using computerized blocks of 2 weeks, days of the week will be randomly allocated so that each day of the week receives one intervention (CDU) and one control day for the study period. The CDU involves transforming an ED bed location to a 6-chair internal waiting room with 2 adjacent beds assigned to act as assessment and treatment locations. Patients will transition between the chair and stretcher to optimize the use of ED space.

Recruitment information / eligibility
Status Completed
Enrollment 6217
Est. completion date December 2007
Est. primary completion date August 2007
Accepts healthy volunteers No
Gender Both
Age group 17 Years and older
Eligibility Inclusion Criteria:

- 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.

Exclusion Criteria:

- Direct admits/Pediatric patients.

Study Design

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Health Services Research

Related Conditions & MeSH terms

Intervention

Behavioral:
• Clinical Decision Unit
a dedicated 2-bed area to see patients and then rotate them back into the waiting room area for labs and diagnostic imaging.

Locations
Country Name City State
Canada University of Alberta Hospital Edmonton Alberta

Sponsors (2)
Lead Sponsor Collaborator
University of Alberta Capital Health, Canada

Country where clinical trial is conducted

Canada, 

Outcome
Type Measure Description Time frame Safety issue
Primary Total ED length of stay in the Emergency Department No
Secondary Left without being seen (LWBS) rates in the Emergency Department Yes
Secondary nurse and physician satisfaction following Emergency Department shift No
Secondary ambulance turnaround times (time in the Emergency Department No
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