Development of a Multipurpose Dashboard to Monitor the Situation of Emergency Departments

Emergency Medicine Clinical Trial

— eCREAM-UC2  

Official title:

Development of a Multipurpose Dashboard to Monitor the Situation of Emergency Departments. An Observational Prospective Study

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT06372379
• Other study ID #: 8780_UC2
• Status: Not yet recruiting
• Start date: September 2024
• Est. completion date: September 2027

Study information

• Verified date: April 2024
• Source: Mario Negri Institute for Pharmacological Research
• Contact: Chiara Pandolfini
• Phone: 0039 02 39014 253
• Email: chiara.pandolfini[@]marionegri.it
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

An emergency department (ED) is a healthcare service that provides the first clinical assessment and treatment to patients with various acute conditions. These departments, however, are often overwhelmed by the large volume of patients. As a consequence, ED crowding has become a global concern and has been correlated to reduced timeliness and effectiveness of care and increased patient mortality. Concerning input, 20% to 30% of patients are brought to the ED by ambulance; the remaining are self-presenting for the vast majority. Notably, non-urgent conditions characterize a high proportion of all ED visits worldwide, and almost all of these visits involve self-presenting patients. Increasing the awareness of these patients about the mandate of EDs and the real-time situation of the neighboring emergency departments has the potential to reduce the self-presentation of patients with minor, non-urgent conditions. Such patient empowerment can be achieved through a dashboard. Concerning throughput, working in the ED requires emergency physicians and nurses to treat many patients at once while maintaining situational awareness of the surroundings. This is especially true for the head of the department, but it also holds for all physicians. It can be crucial, for example, for physicians to know if there is a bottleneck in the flow of the entire patient care process, such as a particularly high average waiting time for radiology reporting or cardiologic consultation. The availability of this information allows countermeasures to be put in place to regain efficiency. All this can be achieved through dedicated dashboards automatically fed from various information system. In addition, appropriate dashboards also enable health policymakers to monitor specific epidemiological phenomena, such as the emergence of certain infectious diseases, in a timely manner.

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 162000
• Est. completion date: September 2027
• Est. primary completion date: January 2025
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Adult

• Arrived at emergency department between 1 January 2025 and 31 December 2025

Exclusion Criteria:

• None

Related Conditions & MeSH terms

• Emergencies
• Emergency Medicine

Intervention

Other:
• no intervention
no intervention

Locations

Country	Name	City	State
n/a

Sponsors (4)

Lead Sponsor	Collaborator
Mario Negri Institute for Pharmacological Research	Astir S.r.l., Fondazione Bruno Kessler, Orobix Life S.r.l.

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Daschboards	Develop three different control panels for three different end-users, specifically: Dashboard for citizens; Dashboard for healthcare providers; Dashboard for healthcare policymakers The aim is to extract the needed information from heterogeneous sources and to feed the dashboards according to the needs of the end-users. On the whole, for citizens, the dashboard will be designed to empower them to choose the most appropriate ED to attend or to consider a different, more relevant or more efficient, health service; for healthcare providers, the dashboard will provide a clear and immediate picture of the ED situation in terms of patient flow and workflow; for healthcare policymakers, the dashboard will provide the ability to monitor specific phenomena of interest, such as ED crowding level, possible incidence of pre-specified epidemiological phenomena, availability and timeliness of primary and secondary patient transfers, ambulance offload delays, etc.	September 2024 - September 2027