The CLOQS Trial - Countdown Lights to Optimize Quality in Stroke
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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 |
- 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:
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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 |
Inclusion Criteria:
- All patients who present to the emergency room with acute stroke for consideration of treatment with tPA.
Contacts and Locations| Contact: Jennifer Breaton, RN, MHSc | 416 480 6100 ext 83724 | jennifer.breaton@sunnybrook.ca |
| 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 | |
| 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 May 21, 2013