ED Adaptive Staffing Study

NCT ID: NCT05937763

Last Updated: 2024-03-22

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

RECRUITING

Total Enrollment

5917 participants

Study Classification

OBSERVATIONAL

Study Start Date

2023-10-02

Study Completion Date

2024-09-30

Brief Summary

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Emergency Departments (EDs) across Ontario are being inundated with unprecedented high patient volumes and a staffing shortage that directly impacts patient care and flow. An area of concern among EDs is the offload zone where patients are brought in by ambulance. EMS offload time is the time it takes paramedics to transfer a patient to the appropriate area within an emergency department and give hospital staff a summary of what concerns the patient is seeking care for. There are multiple factors that may delay this time, including limited staff in the offload area to complete the transfer process due to competing patient care responsibilities. The adaptive staffing model study will look to add a primary care paramedic (PCP) or a registered nurse (RN) in the offload zone during times of high ambulance volume (August to January) to help with patient care within the offload zone. This single-centered community hospital study will evaluate the benefits of having a PCP or RN, compared to the current model, on ambulance offload times, patient safety outcomes, patient treatment times, and staff well-being using three different models of staffing.

Detailed Description

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Conditions

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Emergency Medicine Well-Being, Psychological

Study Design

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Observational Model Type

COHORT

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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Primary Care Paramedic (PCP) Block

A PCP will be staffed in the emergency department offload zone 3 days a week (Monday, Wednesday, and Friday) on a 10am - 10pm shift, in addition to the standard staffing model.

Staffing model

Intervention Type OTHER

Staffing the hospitals emergency department offload zone with a PCP or RN or current workflow.

Registered Nurse (RN) Block

An experienced emergency department RN with triage training will be staffed in the emergency department offload zone 3 days a week (Monday, Wednesday, and Friday) in a 10am - 10pm shift, in addition to the standard staffing model

Staffing model

Intervention Type OTHER

Staffing the hospitals emergency department offload zone with a PCP or RN or current workflow.

Current Workflow Block

The currently hospitals staffing models of the emergency department offload zone.

No interventions assigned to this group

Interventions

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Staffing model

Staffing the hospitals emergency department offload zone with a PCP or RN or current workflow.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Patients brought in by ambulance to hospitals emergency department offload area

Exclusion Criteria

* Patients not arriving to the hospitals emergency department offload area
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Oak Valley Health

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Markham Stouffville Hospital

Markham, Ontario, Canada

Site Status RECRUITING

Countries

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Canada

Central Contacts

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Andrew Arcand, MD

Role: CONTACT

905-472-7373

Michelle Dimas, MSc

Role: CONTACT

905-472-7373 ext. 6253

Facility Contacts

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Michelle Dimas, MSc

Role: primary

9054727373 ext. 6253

Other Identifiers

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148-2306

Identifier Type: -

Identifier Source: org_study_id

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