The goal of this Single center prospective cross-sectional study is to identify the facilitators and barriers among caregivers in the emergency department that influence disposition of patients with solid and hematology malignancies. The main question it aims to answer is to categorize the facilitators and barriers identified by three groups of emergency department (ED) staff. Participants will be asked for permission, afterwards a short interview will be held with the different ED caregivers (ED nurse, attending physician and supervising physician).
The goal of this to identify the facilitators and barriers among caregivers in the emergency department (ED) that influence disposition of patients with solid and hematology malignancies. Participants will be asked for permission, afterwards a short interview will be held with the different caregivers (ED nurse, attending physician and supervising physician) in the ED. The interviews will be held in the order of the ED care pathway, meaning ED nurse first, treating physician second and supervising physician at last. The interviews will be conducted for every patient with each of the caregivers. Each interview will be conducted after the caregiver has made the first examination of the patient. The interview focuses on several parts of the emergency care process: The first part is regarding the actions that are executed during an ED visit. We will establish which actions are executed and why. The second part is regarding the suspected outcome for the patient. The third part will be about any potential improvements to the emergency care process for the patient.
Study Type
OBSERVATIONAL
Enrollment
59
The interview focuses on several parts of the emergency care process: The first part is regarding the actions that are executed during an emergency department visit. We will establish which actions are executed and why. The second part is regarding the suspected outcome for the patient. The third part will be about any potential improvements to the emergency care process for the patient.
Erasmus MC
Rotterdam, South Holland, Netherlands
Clusters of facilitator and barriers identified by the emergency department (ED) nurse
(Sub)Clusters of facilitator and barriers identified by the ED nurse for the ED care of patients with cancer
Time frame: Through study completion, an average of 6 months
Clusters of facilitator and barriers identified by the treating physician
(Sub)Clusters of facilitator and barriers identified by the treating physician for the ED care of patients with cancer
Time frame: Through study completion, an average of 6 months
Clusters of facilitator and barriers identified by the supervising physician
(Sub)Clusters of facilitator and barriers identified by the supervising physician for the ED care of patients with cancer
Time frame: Through study completion, an average of 6 months
Emergency department (ED) length of stay (LOS)
Emergency department length of stay
Time frame: Through study completion, an average of 6 months
Disposition
Outcome after ED admission, being home or admission
Time frame: Through study completion, an average of 6 months
Correlation between ED-LOS and disposition
Correlation between ED-LOS and disposition
Time frame: Through study completion, an average of 6 months
Years of medical experience
Number of years a medical staffmember is working in health care
Time frame: Through study completion, an average of 6 months
Need for imaging
Was imaging ordered during ED visit and which kind
Time frame: Through study completion, an average of 6 months
ED nurse agreement of disposition
Agreement between ED nurse expected disposition and the actual disposition
Time frame: Through study completion, an average of 6 months
Attending physician agreement of disposition
Agreement between treating physician expected disposition and the actual disposition
Time frame: Through study completion, an average of 6 months
Supervising physician agreement of disposition
Agreement between supervising physician expected disposition and the actual disposition
Time frame: Through study completion, an average of 6 months
Time-to-disposition
The time between patient's arrival at the ED and the decision to disposition
Time frame: Through study completion, an average of 6 months
Time-to-ward
The time between the decision to hospitalize and the arrival at the ward
Time frame: Through study completion, an average of 6 months
Correlation between time-to-disposition and the ED-LOS
Correlation between time-to-disposition and the ED-LOS
Time frame: Through study completion, an average of 6 months
Correlation between time-to-ward and the ED-LOS
Correlation between time-to-ward and the ED-LOS
Time frame: Through study completion, an average of 6 months
Difference in categories
The difference in the percentages in categories between the different caregivers
Time frame: Through study completion, an average of 6 months
ED nurse summary of actions
Summary of actions taken by ED nurse in the ED care for patients with cancer
Time frame: Through study completion, an average of 6 months
Attending physician summary of actions
Summary of actions taken by attending physician in the ED care for patients with cancer
Time frame: Through study completion, an average of 6 months
Supervising physician summary of actions
Summary of actions taken by supervising physician in the ED care for patients with cancer
Time frame: Through study completion, an average of 6 months
ED crowding
Degree of crowding in the ED, consisting of number of patients in the ED and the ED crowding color code
Time frame: Through study completion, an average of 6 months
Difference in clusters per group between day, evening and night
Difference in clusters per ED staff group between day, evening and night
Time frame: Through study completion, an average of 6 months
Difference in clusters per group between weekdays and weekend
Difference in clusters per group between weekdays (Monday 08:00 till Friday 16:00) and weekend (Friday 16:01 till Monday 7:59)
Time frame: Through study completion, an average of 6 months
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.