Emergency Department Re-evaluation Software Pilot Study

Duke University20 enrolled

Overview

This is a research study to determine a method in improving emergency department waiting room care by using new software program.

This is a pilot study to determine the effectiveness of an emergency department re-evaluation software, to improve patient flow through an emergency department. The end goal of the study is to provide proof of the efficacy of the software and provide data such that the software can be improved upon. The study will include ED waiting room patients. The study will involve interaction with the software on a tablet for patients and software on a desktop for providers. The providers utilizing the software will not be considered part of the study, but rather focusing on the outcomes of the patients using the software. Patients will be selected by the provider as available for re-evaluation. Each patient will then be randomized into either a control group (software not used) and a "study" group (software used). Data analysis will be performed in conjunction with clinical statisticians at our institution. The risks of this study are primarily derived from patient privacy concerns, which have been addressed in the risk section.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Enrollment

Conditions

Emergency Department Waiting Room Congestion

Interventions

ED management softwareOTHER

Patients utilize software after being screened, but prior to being re-evaluated by physician

Eligibility

Sex: ALLMin age: 18 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion: * Individuals that are 18 and older who have been identified with completed lab work. * Their primary language must be English to follow the instructions of the study. * Cognitively sound Exclusion: * Minors * Emergency Severity Index (ESI) class 1 patients * Individual who cannot legally give consent * Pregnant patients * Non-english speakers

Locations (1)

Duke University Hospital Emergency Department

Durham, North Carolina, United States

Outcomes

Primary Outcomes

Change in LBTC (left before treatment complete) rates

The primary objective of this study is to determine efficacy of the designed software, which focuses on the identification and disposition of patients who would otherwise become left before treatment complete (LBTC) patients in the ED waiting room.

Time frame: Baseline, up to 1 year

Secondary Outcomes

Change in disposition time

This study will also track the total time from study intervention to disposition to determine if utilization of the software decreases disposition time.

Time frame: Baseline, up to 1 year

Data from ClinicalTrials.gov

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