Ankle Fracture Clinical Trial
Official title:
Can Triage Nurse Initiated Radiographs in Accordance With the Ottawa Ankle Rule Shorten Emergency Department Length of Stay At a Tertiary Care Center?
The purpose of the study is to help doctors in emergency departments know whether triage nurse initiated radiographs, in accordance to the Ottawa ankle rule, before emergency physician assessment will shorten emergency patients' visit. The investigators will examine the number of missed fractures between the two groups, the emergency physicians' willingness to apply OAR and triage nurses' satisfaction.
Status | Unknown status |
Enrollment | 142 |
Est. completion date | February 2013 |
Est. primary completion date | January 2013 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 19 Years and older |
Eligibility |
Inclusion Criteria: - Patients aged = 19 presenting with an isolated blunt ankle injury Exclusion Criteria: - Injury >10 days - Isolated skin injury - Referred patient with outside x-ray - Obvious fracture or deformity - Polytrauma - Pregnancy - Diminished sensation due to neurological deficit - Uncooperative, intoxicated or patients with altered mental status - Patients returning for reassessment of same injury - Injury due to or suspicious for domestic violence |
Country | Name | City | State |
---|---|---|---|
Canada | Vancouver General Hospital | Vancouver | British Columbia |
Lead Sponsor | Collaborator |
---|---|
Vancouver Coastal Health | University of British Columbia |
Canada,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Median length of stay (LOS) of patients presenting to a tertiary care academic center with blunt ankle injuries | Median LOS will be measured and compared among patients with ankle injuries that were assessed by OAR trained triage nurses who applied the OAR and ordered X-rays if necessary vs those patients who were triaged as per usual practice, with no OAR application. | 6 months | |
Secondary | Fracture missed by Triage Nurse: | Assess if fractures were missed by triage nurse via + X-rays ordered by EP or via follow-up questionnaire 2 weeks later to determine if other investigations were performed after the pt's visit to the ED | Estimated at 6 months. | |
Secondary | Triage nurses' satisfaction | Assess triage nurse' feedback regarding comfortability in applying the OAR, training, and whether the OAR has increased workload. | estimated at 6 months | |
Secondary | Percent agreement regarding necessity for X-ray between emergency nurse and physician | estimated at 6 months | ||
Secondary | Emergency physician's compliance with OAR | Determine if emergency physicians are applying OAR during this study period | estimated at 6 months | |
Secondary | Patient satisfaction with triage nurse initiated imaging | Estimated at 6 months |
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