Triage Liaison Physician - Evaluation of a Novel Approach to Address Emergency Department Overcrowding
This randomized controlled trial will introduce a triage liaison physician (TLP) into the University of Alberta Hospital Emergency Department (ED) and assess the influence on patients who leave without being seen, ED length of stay, and other ED Overcrowding outcomes.
|Study Design:||Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Health Services Research
|Official Title:||Randomized Controlled Trial of a Liaison Physician at the Triage Desk to Reduce Emergency Department Overcrowding and Improve Patient Flow.|
- Median patient length of stay [ Time Frame: while in the Emergency Department ] [ Designated as safety issue: No ]
- Left without being seen [ Time Frame: while in the Emergency Department ] [ Designated as safety issue: Yes ]
- ambulance turnaround times [ Time Frame: while in the Emergency Department ] [ Designated as safety issue: No ]
- satisfaction (physicians and nurses) [ Time Frame: following their Emergency Department shift ] [ Designated as safety issue: No ]
- TLP activity [ Time Frame: while in the Emergency Department ] [ Designated as safety issue: No ]
|Study Start Date:||December 2005|
|Study Completion Date:||June 2006|
|Primary Completion Date:||February 2006 (Final data collection date for primary outcome measure)|
No Intervention: 1
No triage liaison physician
Behavioral: Triage Liaison Physician
triage liaison physician stationed with nurses at the triage desk of the Emergency Department.
ED Overcrowding is a significant cause of delayed care, patient dissatisfaction, and poor outcomes in North American EDs. This intervention has not been widely studied; however, it represents an opportunity for improving patient flows in EDs.