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Emergencies clinical trials

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NCT ID: NCT02040896 Completed - Emergency Clinical Trials

Who Contributes to the Ordering of CT Scans in Emergency Department Patients?

Start date: January 2014
Phase:
Study type: Observational

The primary objectives are: 1. To investigate which healthcare workers and other individuals contribute to the decision to order computed tomography (CT) scans for emergency department (ED) patients. 2. To investigate the specific reasons healthcare workers and other individuals order or request CT scans for ED patients. 3. To determine the frequency of clinically important actions following CT scan results. Once the drivers of ED CT utilization are identified, interventions including education, incentives for compliance with evidence-based best practices, and interventions for noncompliance could be targeted appropriately.

NCT ID: NCT02030158 Completed - Clinical trials for Severe Sepsis and Septic Shock

Statistical Analysis Plan for an Individual Patient Data Meta-analysis of Three, International Trials Comparing Protocolised With Usual Resuscitation in Patients Presenting to the Emergency Department With Severe Sepsis and Septic Shock

Start date: January 2015
Phase:
Study type: Observational

This is the statistical analysis plan for an individual patient data meta-analysis (IPDMA) of three EGDT clinical trials.

NCT ID: NCT02015884 Completed - Clinical trials for Rudeness/Incivility, Aggression or Violence Against Healthcare Workers in an Ophthalmic Emergencies Unit.

Antisocial Behavior on Healthcare Professionals in an Emergency Unit.

PREVURGO
Start date: May 2013
Phase: N/A
Study type: Observational

At the hospital, the attacks against health professionals are becoming commonplace, making working conditions difficult. The ophthalmological emergencies are a perfect testing ground to evaluate the effectiveness of a series of original actions to prevent the occurrence of violence against healthcare workers. The main objective is to measure the impact of an integrated prevention of the occurrence of antisocial behavior or attacks against the healthcare workers. The prevention program combines five interventions (steps): 1) a computer sorting algorithm and specific screens for calling patients in waiting rooms, 2) a clear signage to direct patients between waiting rooms, treatment rooms and administrative et medical offices, 3) Posts information on the activity of emergency services displayed on screens, in the waiting rooms, 4) a mediator/go-between/conciliator, 5) and a dummy surveillance camera. This is an interrupted time series study. All patients admitted to the ophthalmological emergency unit of a university hospital located in Lyon, France, are included in the study, from June 2013 to Sept 2015

NCT ID: NCT02000674 Completed - Shock Clinical Trials

Succinylcholine vs Rocuronium for Prehospital Emergency Intubation

CURASMUR
Start date: December 2013
Phase: Phase 3
Study type: Interventional

All adult patients with spontaneous cardiac activity and requiring tracheal intubation in the pre hospital emergency context will be included in order to compare the use of succinylcholine vs Rocuronium for prehospital emergency intubation.

NCT ID: NCT02000518 Completed - Clinical trials for Neurological Outcome

Emergency Radiotherapy in Metastatic Spinal Cord Compression of Patients With Non-small Cell Lung Cancer

CK-INF
Start date: July 2012
Phase: N/A
Study type: Observational [Patient Registry]

Acute neurological deficit in metastatic spinal cord compression is an emergency condition in radiation oncology. Despite some reports about the high efficacy of radiation treatment for oncological emergencies, a standard of care is not well defined, especially the time interval of immediate RT after deficit, and neurological outcome with respect to poor survival in non-small cell lung cancer patients. The objective of this trial is to investigate neurological outcome after emergency radiotherapy in metastatic spinal cord compression of non-small cell lung cancer patients with acute neurological deficit.

NCT ID: NCT01984645 Completed - Emergency Clinical Trials

Primary-care-provider Identification And Notification

PIANO
Start date: September 2012
Phase: N/A
Study type: Interventional

New York-Presbyterian Hospital has created a system that notifies its primary care providers whenever their patients are admitted to the hospital. In this study, the investigators want to evaluate how accurate this system is and how it is affecting the primary providers and their health care delivery.

NCT ID: NCT01981564 Completed - Asthma Clinical Trials

Asthma Express: Bridging the Emergency to Primary Care in Underserved Children

Start date: April 15, 2013
Phase: N/A
Study type: Interventional

Asthma is the number one cause of pediatric emergency department (ED) visits in young minority children and is responsible for high healthcare costs. The ED is often the point of contact for many inner city children and many families view the ED as the child's primary source of asthma care. This study plans to test a new model of asthma care, Asthma Express (AEx), that includes a follow-up asthma visit in the ED for an asthma "check-up" , asthma education, a prescription for preventive asthma medications, an appointment for the child to see their pediatric provider and a home visit to assist families with environmental control methods to prevent asthma symptoms.

NCT ID: NCT01978925 Completed - Hypertension Clinical Trials

Pharmaceutical Care in Emergency Department

AMPaRAR
Start date: November 2013
Phase: N/A
Study type: Interventional

The purpose of this study is to evaluate the effectiveness of pharmaceutical care, compared to usual care, in patient discharge in an emergency department in patients with hypertension and/or diabetes mellitus type 2.

NCT ID: NCT01973296 Completed - Clinical trials for ED Patients With Chronic Medical Illnesses

Implementing an Emergency Department to Home Care Transition Intervention

Start date: November 2013
Phase: N/A
Study type: Interventional

The purpose of this study is to determine whether a new way of educating/coaching chronically ill patients discharged from the Emergency Room will help them receive post-ER health care and strengthen their links to a regular, personal doctor.

NCT ID: NCT01969240 Completed - Clinical trials for Acute Coronary Syndrome

Shared Decision Making in the Emergency Department: Chest Pain Choice Trial

CPC
Start date: October 2013
Phase: N/A
Study type: Interventional

Our long-term goal is to promote evidence-based patient-centered evaluation in the acute setting to more closely tailor testing to disease risk. To compare the use of risk stratification tools with usual clinical approaches to treatment selection or administration, we propose the following: 1. Test if Chest Pain Choice safely improves validated patient-centered outcome measures in a pragmatic parallel patient randomized trial. Hypothesis: The intervention will significantly increase patient knowledge, engagement, and satisfaction with no increase in adverse events. 2. Test if the decision aid has an effect on healthcare utilization within 30 days after enrollment. Hypothesis: The intervention will significantly reduce the rate of hospital admission, rate of cardiac testing, and total healthcare utilization.