Utility of the History and Physical Exam in the Emergency Department

NCT ID: NCT01154517

Last Updated: 2010-07-01

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

Total Enrollment

128 participants

Study Classification

OBSERVATIONAL

Study Start Date

2009-07-31

Study Completion Date

2010-06-30

Brief Summary

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The study is trying to prove that the history and physical exam (H\&P) in the emergency department is the most important tool in exam of patients. The investigator is attempting to correlate the time of the H\&P of residents and attendings to the accuracy of diagnosis.

Detailed Description

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The purpose of the study is to examine the utility of the history and physical exam in the emergency room towards obtaining a diagnosis. The goal of this observational study is to correlate physician level of experience and time spent on history and physical exam, to the correct diagnosis.

The aim of this study is:

1. To draw a connection between time and accuracy of the history and physical exam.
2. To draw a connection between time and level of experience as a physician based on post-graduate level.
3. To assess the number of laboratory and radiographic studies and the post-graduate level.
4. To assess the relevance of the labs and radiographs ordered. (Relevance is defined as something that changes plan of care.)

Time is a critical component of the ED physician. Our study will analyse if modern medicine has created a more laboratory/image based need to ascertain a diagnosis or if history and physical examination alone can predict the ultimate diagnosis.

Conditions

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Abdominal Pain Back Pain Dyspnea Headache Weakness

Study Design

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Study Time Perspective

PROSPECTIVE

Eligibility Criteria

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Inclusion Criteria

* Anyone over the age of 18 with a generalized complaints able to provide consent

Exclusion Criteria

* Anyone under 18 yrs and anyone with a very specific, system based complaint.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Henry Ford Health System

OTHER

Sponsor Role lead

Responsible Party

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Henry Ford

Principal Investigators

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Jennifer Stevenson, DO

Role: STUDY_DIRECTOR

Henry Ford Macomb

Locations

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Henry Ford Macomb Hospital

Clinton Township, Michigan, United States

Site Status

Countries

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United States

Other Identifiers

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3617

Identifier Type: -

Identifier Source: org_study_id

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