MedDataX Logo

The Effect of an Physician-Nurse Supplementary Triage Assistance Team on Emergency Department Patient Wait Times

NCT ID: NCT00991471

Last Updated: 2017-10-31

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

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

6300 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-09-30

Study Completion Date

2010-02-28

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

The primary objective of this study is to investigate whether the introduction of a physician-nurse supplementary triage assessment team (MDRN STAT) is effective in improving time-based performance indicators for wait times. Secondary objectives will examine the quality of patient care and health care worker satisfaction and the cost-effectiveness of the program

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

In 2007, the Ontario Ministry of Health and Long-term Care (MOHLTC) declared emergency department wait-times a government priority. The crisis of overcrowding and access block has become an international epidemic, affecting developing countries in Europe, North America, and Australasia. The MOHLTC has targeted 23 Ontario hospitals' prolonged wait times. Sunnybrook Health Sciences Center has been selected. Therefore, this is a quality improvement study of patient wait-times and care.

During a 20-week period, the MDRN STAT will be present on randomly chosen weekdays (8:00-16:00) for 50 shifts. Wait-times, such as time from triage time to: physician assessment, stretcher occupation, treatment orders (drugs), investigation orders (laboratory, diagnostic imaging), investigation acquisition (diagnostic imaging), consultation, bed request, discharge from ED (i.e. length of stay (LOS)) time, will be analyzed. In addition, the left-without-being-seen rate (LWBS) and rate of return will be analyzed. These results will be compared to the Ontario wait-time strategy P4R targets, as well as the Canadian Triage Acuity Scale (CTAS guidelines). Economic analysis of this intervention will be done. The hospital will independently perform patient satisfaction surveys. Health care worker satisfaction survey data will be analyzed.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Emergencies

Keywords

Explore important study keywords that can help with search, categorization, and topic discovery.

Emergency Department Wait Times Physician Nurse at Triage Overcrowding CostEffectiveness

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Interaction with MDRN STAT

Interaction with MDRNSTAT at triage to obtain orders for investigations and/or treatment

Group Type EXPERIMENTAL

Interaction with MDRN STAT

Intervention Type BEHAVIORAL

Interaction with MDRNSTAT at triage to obtain orders for investigations and/or treatment

Control: No MDRNSTAT

Control group

Group Type EXPERIMENTAL

No MDRNSTAT

Intervention Type BEHAVIORAL

Standard management of nurse-only triage for assignment of CTAS

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Interaction with MDRN STAT

Interaction with MDRNSTAT at triage to obtain orders for investigations and/or treatment

Intervention Type BEHAVIORAL

No MDRNSTAT

Standard management of nurse-only triage for assignment of CTAS

Intervention Type BEHAVIORAL

Other Intervention Names

Discover alternative or legacy names that may be used to describe the listed interventions across different sources.

Standard triage

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Patients arriving from 8:00-14:30 during a day here a MDRN STAT is assigned

Exclusion Criteria

* None
Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Sunnybrook Health Sciences Centre

OTHER

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Ivy Cheng

Dr. Ivy Cheng

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Ivy Cheng, FRCP

Role: PRINCIPAL_INVESTIGATOR

Sunnybrook Hospital Emergency Department

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Sunnybrook Health Sciences Center

Toronto, Ontario, Canada

Site Status

Countries

Review the countries where the study has at least one active or historical site.

Canada

References

Explore related publications, articles, or registry entries linked to this study.

Cheng I, Lee J, Mittmann N, Tyberg J, Ramagnano S, Kiss A, Schull M, Kerr F, Zwarenstein M. Implementing wait-time reductions under Ontario government benchmarks (Pay-for-Results): a Cluster Randomized Trial of the Effect of a Physician-Nurse Supplementary Triage Assistance team (MDRNSTAT) on emergency department patient wait times. BMC Emerg Med. 2013 Nov 11;13:17. doi: 10.1186/1471-227X-13-17.

Reference Type DERIVED
PMID: 24207160 (View on PubMed)

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

226-2009

Identifier Type: -

Identifier Source: org_study_id