Clinical Trials Logo

Clinical Trial Details — Status: Not yet recruiting

Administrative data

NCT number NCT06372379
Other study ID # 8780_UC2
Secondary ID
Status Not yet recruiting
Phase
First received
Last updated
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
Health authority
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
Accepts healthy volunteers
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

Study Design


Related Conditions & MeSH terms


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
See also
  Status Clinical Trial Phase
Completed NCT04021771 - Trial of Simulation-based Mastery Learning to Communicate Diagnostic Uncertainty N/A
Not yet recruiting NCT06354764 - Propensity to Hospitalize Patients From the ED in European Centers.
Completed NCT05870137 - Assessing Mixed Reality for Emergency Medical Care Delivery in a Simulated Environment N/A
Completed NCT05073406 - Cognition at Altitude in HEMS - Part II N/A
Completed NCT03457272 - Development and Evaluation of a Patient Safety Model N/A
Completed NCT04138446 - Effects of Acute Hypobaric Hypoxia Exposure on Neurocognitive Performance of Pre-hospital Emergency Service Providers N/A
Completed NCT02661607 - Point of Care Echocardiography Versus Chest Radiography for the Assessment of Central Venous Catheter Placement N/A
Recruiting NCT05937763 - ED Adaptive Staffing Study
Completed NCT03848559 - Airway Management With Simulated Microgravity Using a Submerged Model N/A
Completed NCT04328519 - The Charlson Comorbidity Index: Predicting Severity in Emergency Departments
Completed NCT03314480 - REDucing Unnecessary Computed Tomography Imaging for MaxillOfacial INjury
Enrolling by invitation NCT05809648 - A Study to Assess the Accuracy of Magnetocardiography (MCG) to Diagnose True Ischemia in Patients With Chest Pain in the ED
Completed NCT03099915 - Asthma Attack in the Emergency Department : Reasons Of This Attendance
Completed NCT04206566 - Pre-hospital Advanced Airway Management Studying Expedited Routines
Completed NCT03733158 - Flexible Tip Bougie Catheter Intubation N/A
Completed NCT03420027 - Prehospital and Emergency Feasibility of MACOCHA Score Assessment to Predict Difficult Tracheal Intubation
Recruiting NCT03486171 - Tracheal Intubation and Prehospital Emergency Setting
Not yet recruiting NCT06240572 - Development of a Natural Language Processing Tool to Enable Clinical Research in Emergency Medicine
Completed NCT00448331 - Facilitated Referral for Children Screening Positive for Mental Illness Phase 0
Completed NCT04460196 - Healthcare Renunciation During the Confinement Period in Connection With the COVID-19 Epidemic in Adult Emergency Departments