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Clinical Decision Unit (CDU) - Evaluation of a Novel Approach to Address Emergency Department Overcrowding

NCT ID: NCT00497393

Last Updated: 2008-09-12

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

6217 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-07-31

Study Completion Date

2007-12-31

Brief Summary

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This randomized controlled trial will introduce a Clinical Decision Unit (CDU) into the University of Alberta Hospital Emergency Department(ED)and assess the influence on ED length of stay, patients who leave without being seen, and other ED Overcrowding outcomes.

Detailed Description

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The study will take place over a 6-week period that will be spilt into three-two-week blocks. Using computerized blocks of 2 weeks, days of the week will be randomly allocated so that each day of the week receives one intervention (CDU) and one control day for the study period. The CDU involves transforming an ED bed location to a 6-chair internal waiting room with 2 adjacent beds assigned to act as assessment and treatment locations. Patients will transition between the chair and stretcher to optimize the use of ED space.

Conditions

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Acute Illness

Keywords

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Emergency department, administration, overcrowding

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

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Control

regular use of the 2-bed areas in the Emergency department

Group Type NO_INTERVENTION

Clinical Decision Unit

Intervention Type BEHAVIORAL

a dedicated 2-bed area to see patients and then rotate them back into the waiting room area for labs and diagnostic imaging.

Interventions

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Clinical Decision Unit

a dedicated 2-bed area to see patients and then rotate them back into the waiting room area for labs and diagnostic imaging.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Only adult patients (\>17 years of age) presenting to the University of Alberta Hospital Emergency Department (UAH ED), during the study interval will be included in the evaluation.

Exclusion Criteria

* Direct admits/Pediatric patients.
Minimum Eligible Age

17 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Capital Health, Canada

OTHER

Sponsor Role collaborator

University of Alberta

OTHER

Sponsor Role lead

Responsible Party

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University of Alberta

Principal Investigators

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Michael Bullard, MD

Role: PRINCIPAL_INVESTIGATOR

University of Alberta Hospital, Edmonton, Alberta, T6G 2B7, Canada

Locations

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University of Alberta Hospital

Edmonton, Alberta, Canada

Site Status

Countries

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Canada

Other Identifiers

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B-130607

Identifier Type: -

Identifier Source: org_study_id