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Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT05937763
Other study ID # 148-2306
Secondary ID
Status Recruiting
Phase
First received
Last updated
Start date October 2, 2023
Est. completion date September 2024

Study information

Verified date March 2024
Source Oak Valley Health
Contact Andrew Arcand, MD
Phone 905-472-7373
Email AArcand@oakvalleyhealth.ca
Is FDA regulated No
Health authority
Study type Observational

Clinical Trial Summary

Emergency Departments (EDs) across Ontario are being inundated with unprecedented high patient volumes and a staffing shortage that directly impacts patient care and flow. An area of concern among EDs is the offload zone where patients are brought in by ambulance. EMS offload time is the time it takes paramedics to transfer a patient to the appropriate area within an emergency department and give hospital staff a summary of what concerns the patient is seeking care for. There are multiple factors that may delay this time, including limited staff in the offload area to complete the transfer process due to competing patient care responsibilities. The adaptive staffing model study will look to add a primary care paramedic (PCP) or a registered nurse (RN) in the offload zone during times of high ambulance volume (August to January) to help with patient care within the offload zone. This single-centered community hospital study will evaluate the benefits of having a PCP or RN, compared to the current model, on ambulance offload times, patient safety outcomes, patient treatment times, and staff well-being using three different models of staffing.


Recruitment information / eligibility

Status Recruiting
Enrollment 5917
Est. completion date September 2024
Est. primary completion date March 2024
Accepts healthy volunteers No
Gender All
Age group N/A and older
Eligibility Inclusion Criteria: - Patients brought in by ambulance to hospitals emergency department offload area Exclusion Criteria: - Patients not arriving to the hospitals emergency department offload area

Study Design


Related Conditions & MeSH terms


Intervention

Other:
Staffing model
Staffing the hospitals emergency department offload zone with a PCP or RN or current workflow.

Locations

Country Name City State
Canada Markham Stouffville Hospital Markham Ontario

Sponsors (1)

Lead Sponsor Collaborator
Oak Valley Health

Country where clinical trial is conducted

Canada, 

Outcome

Type Measure Description Time frame Safety issue
Primary Triage Time The aim of this objective is to compare time to triage and time to transfer of care for three models of staffing. 6 months
Primary Return to Service The aim of this objective is to determine if an adaptive staffing model during peak volumes reduces ambulance offload times and return to service. 6 months
Secondary Time to provider assessment 6 months
Secondary Provider Feedback Survey Explore provider perceptions (ED staff and paramedics) of each model with the aim of determining which model provides better patient care during peak volumes. Participants will self-report their perceived barriers, challenges and benefits of the staffing interventions. 6 months
Secondary Time to treatment 6 months
Secondary Time to disposition 6 months
Secondary Number of incident reports Patient safety events 6 months
Secondary Case costing 6 months
Secondary Well-being Index (questionnaire) Explore staff and paramedic well-being on intervention model 6 months