A New Crowding Indicator in the Emergency Department

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

NOT_YET_RECRUITING

Total Enrollment

828 participants

Study Classification

OBSERVATIONAL

Study Start Date

2025-09-01

Study Completion Date

2026-08-31

Brief Summary

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Fenice has proposed a new indicator to measure the level of crowding in the ER. The aim of this study is to evaluate, in a national multicenter context, the degree of agreement between the Fenice indicator and the perception of crowding of the ER operators and to compare this agreement with that between NEDOCS and the perception of the operators.

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WITHDRAWN

Detailed Description

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The NEDOCS (National Emergency Department OverCrowding Study) is currently the most widely used indicator in Italy to measure the level of crowding in Emergency Departments (EDs). However, despite its widespread use, it presents several critical issues. First of all, it was developed in a context very different from the current Italian one, since it was built on data collected in 2002 in 8 medium-large US university EDs. It is therefore not possible to take for granted that this indicator can accurately describe the current crowding conditions of Italian EDs. Furthermore, the factors that make up the NEDOCS are often calculated differently by the various hospital facilities, compromising the comparability of the estimates.

Fenice has proposed a new indicator to measure the level of crowding in EDs. The indicator was developed to measure one of the objective consequences of crowding in EDs, namely the increase in waiting time for patients with a problem classified as minor urgency or deferrable to triage (codes 3 and 4). In parallel, the Fenice study has shown that NEDOCS is not very sensitive to this objective consequence of crowding.

The aim of this study is to evaluate, in a national multicenter context, the degree of agreement between the Fenice indicator and the perception of crowding of the operators of the ER and to compare this agreement with that between NEDOCS and the perception of the operators.

Conditions

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Emergency Department Crowding

Study Design

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Observational Model Type

COHORT

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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Elegible population

All patients arrived in ED during the year 2024 and patientes arrived in the period of active monitoring of the perception of crowding.

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

Patients that are in EDs at the time of the survey

Exclusion Criteria

Patients that are in EDs, but not at the time of the survey

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Giovanni Nattino

Role: STUDY_CHAIR

Istituto di Ricerche Farmacologiche Mario Negri IRCSS

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Giovanni Nattino

Role: CONTACT

[email protected]

Role: primary

[email protected]

+39 081 855 2320

Other Identifiers

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CAOS

Identifier Type: -

Identifier Source: org_study_id

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A New Crowding Indicator in the Emergency Department

Study Results

Basic Information

Brief Summary

Related Clinical Trials

Evaluation of the Quality of Care in the Emergency Department by Studying the Appropriateness of Admissions of Patients Accessing the Emergency Department (Fondazione IRCCS Ca' Granda Ospedale Maggione Policlinico)

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Detailed Description

Conditions

Study Design

Study Groups

Elegible population

Eligibility Criteria

Inclusion Criteria

Exclusion Criteria

Sponsors

Mario Negri Institute for Pharmacological Research

Responsible Party

Principal Investigators

Giovanni Nattino

Locations

Spedali civili

IRCCS San Martino

Ospedale Santa Maria delle Croci

Ospedali riuniti di Anzio e Nettuno

Azienda Ospedaliera San Camillo Forlanini

Presidio Osped. Riunito

AOU San Luigi Gonzaga

P.O. Sant'Andrea

AOU Maggiore della Carità

Ospedale Santa Maria delle Grazie

Countries

Central Contacts

Giovanni Nattino

Facility Contacts

Cristiano Perani, MD

Luca Castellani, MD

Andrea Portoraro

Gabriele Valli

Emanuele Guglielmelli

Fabio Mecca

Valeria Caramello, MD

Aldo Tua

Francesco Gavelli, MD

Giovanni Porta

Other Identifiers

CAOS

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