Clinical Decision Unit (CDU) - Evaluation of a Novel Approach to Address Emergency Department Overcrowding
This randomized controlled trial will introduce a Clinical Decision Unit (CDU) into the University of Alberta Hospital Emergency Department(ED)and assess the influence on ED length of stay, patients who leave without being seen, 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:||Clinical Decision Unit (CDU) - Evaluation of a Novel Approach to Address Emergency Department Overcrowding|
- Total ED length of stay [ Time Frame: in the Emergency Department ] [ Designated as safety issue: No ]
- Left without being seen (LWBS) rates [ Time Frame: in the Emergency Department ] [ Designated as safety issue: Yes ]
- nurse and physician satisfaction [ Time Frame: following Emergency Department shift ] [ Designated as safety issue: No ]
- ambulance turnaround times (time [ Time Frame: in the Emergency Department ] [ Designated as safety issue: No ]
|Study Start Date:||July 2007|
|Study Completion Date:||December 2007|
|Primary Completion Date:||August 2007 (Final data collection date for primary outcome measure)|
No Intervention: Control
regular use of the 2-bed areas in the Emergency department
Behavioral: Clinical Decision Unit
a dedicated 2-bed area to see patients and then rotate them back into the waiting room area for labs and diagnostic imaging.
The study will take place over a 6-week period that will be spilt into three-two-week blocks. Using computerized blocks of 2 weeks, days of the week will be randomly allocated so that each day of the week receives one intervention (CDU) and one control day for the study period. The CDU involves transforming an ED bed location to a 6-chair internal waiting room with 2 adjacent beds assigned to act as assessment and treatment locations. Patients will transition between the chair and stretcher to optimize the use of ED space.
|University of Alberta Hospital|
|Edmonton, Alberta, Canada, T6G 2B7|
|Principal Investigator:||Michael Bullard, MD||University of Alberta Hospital, Edmonton, Alberta, T6G 2B7, Canada|