The CLOQS Trial - Countdown Lights to Optimize Quality in Stroke

The recruitment status of this study is unknown because the information has not been verified recently.
Verified July 2011 by Sunnybrook Health Sciences Centre.
Recruitment status was  Recruiting
Sponsor:
Collaborators:
University Health Network, Toronto
St. Michael's Hospital, Toronto
Information provided by:
Sunnybrook Health Sciences Centre
ClinicalTrials.gov Identifier:
NCT01148602
First received: June 17, 2010
Last updated: July 19, 2011
Last verified: July 2011
  Purpose

To reduce door-to-needle times in acute stroke treatment. Using an organizational behaviour intervention (a large stopwatch), we will post a visual cue to remind all parties that "time is brain". We hypothesize that this simple visual cue will improve door-to-CT scan times and door-to-needle treatment times, and thus improve treatment response, and reduce adverse events.


Condition Intervention
Acute Stroke
Other: LED countdown timer

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Health Services Research
Official Title: The CLOQS Trial - Countdown Lights to Optimize Quality in Stroke

Resource links provided by NLM:


Further study details as provided by Sunnybrook Health Sciences Centre:

Primary Outcome Measures:
  • Improved door-to-CT and door-to-needle times. [ Time Frame: 18 months ] [ Designated as safety issue: No ]
    Improved door-to-CT scan times and door-to-needle treatment times with tPA, with potentially improved response to treatment and reduction in adverse events.


Estimated Enrollment: 500
Study Start Date: June 2010
Estimated Study Completion Date: September 2012
Estimated Primary Completion Date: June 2012 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
No Intervention: 'Off Clock'
Stopwatch timers will NOT be used for "off clock" weeks, so patients presenting with hyperacute stroke will be managed normally without the visual timer.
Active Comparator: 'On Clock"
Stopwatch timers will be posted for all patients presenting during "ON clock" weeks. All patients presenting with hyperacute stroke will be managed normally with the addition of a visual stopwatch timer.
Other: LED countdown timer
We will attach a large, "in-your-face" red LED stopwatch-clock to the patient's stretcher at the moment of ED arrival to act as a constant visual reminder to all team members (physicians, RN's, CT technologists) of the urgency of the situation.
Other Names:
  • Clocks
  • CLOQS
  • Clock

Detailed Description:

We will construct a large, "in-your-face" red LED stopwatch-clock that is the intervention. The clock will be attached to the stretcher of patients presenting for hyperacute stroke treatment (consideration of tissue plasminogen activator (tPA) treatment at the moment of their Emergency department arrival. This will act as a constant visual reminder to all team members (physicians, RN's, CT technologists) of the urgency of the situation. The study will be a block randomization, by week of presentation. All patients presenting during "on" weeks will have a stopwatch timer with them during the hyperacute stroke workup. During "off" weeks, the clocks will not be used.

  Eligibility

Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • All patients who present to the emergency room with acute stroke for consideration of treatment with tPA.
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01148602

Contacts
Contact: Jennifer Breaton, RN, MHSc 416 480 6100 ext 83724 jennifer.breaton@sunnybrook.ca

Locations
Canada, Ontario
Sunnybrook Health Sciences Centre Recruiting
Toronto, Ontario, Canada, M4n 3M5
Contact: Breaton       jennifer.breaton@sunnybrook.ca   
University Health Network - Toronto Western Hospital Recruiting
Toronto, Ontario, Canada
Contact: Breaton       jennifer.breaton@sunnybrook.ca   
St. Michael's Hospital Recruiting
Toronto, Ontario, Canada
Contact: Breaton       jennifer.breaton@sunnybrook.ca   
Sponsors and Collaborators
Sunnybrook Health Sciences Centre
University Health Network, Toronto
St. Michael's Hospital, Toronto
Investigators
Principal Investigator: Richard Swartz, MD University of Toronto Stroke Program
  More Information

Additional Information:
No publications provided

Responsible Party: Dr. Richard Swartz, Sunnybrook Health Sciences Centre
ClinicalTrials.gov Identifier: NCT01148602     History of Changes
Other Study ID Numbers: UTSP Innovation
Study First Received: June 17, 2010
Last Updated: July 19, 2011
Health Authority: Canada: Ethics Review Committee

Keywords provided by Sunnybrook Health Sciences Centre:
Acute stroke
Emergency departments
Quality Improvement
Improved Processes
tPA
door-to-needle
door-to-treatment

Additional relevant MeSH terms:
Stroke
Cerebral Infarction
Cerebrovascular Disorders
Brain Diseases
Central Nervous System Diseases
Nervous System Diseases
Vascular Diseases
Cardiovascular Diseases
Brain Infarction
Brain Ischemia

ClinicalTrials.gov processed this record on August 19, 2014