Acute IllnessPhase 4NCT00435890
Triage Liaison Physician - Evaluation of a Novel Approach to Address Emergency Department Overcrowding
A Phase 4 study testing Triage Liaison Physician in people with Acute Illness, run by University of Alberta at 1 site in Canada.
Trial summary
This randomized controlled trial will introduce a triage liaison physician (TLP) into the University of Alberta Hospital Emergency Department (ED) and assess the influence on patients who leave without being seen, ED length of stay, and other ED Overcrowding outcomes. Read more about this study
- Who is it for?
- Ages 17 years and older
- Conditions the study is for
- Acute Illness
- What is being tested?
- Triage Liaison Physician
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 5,718 participants
- Where
- 1 siteCanada
- Study dates
- Dec 2005to Jun 2006
- Phase
- Phase 4
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 17 years and older
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Who may be able to join
- Only adult patients (> 17 years of age) presenting to the University of Alberta Hospital Emergency Department (UAH ED), during the study interval will be included in the evaluation.
Who cannot join
- Direct admits/Pediatric patients.
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Randomized Controlled Trial of a Liaison Physician at the Triage Desk to Reduce Emergency Department Overcrowding and Improve Patient Flow.
This randomized controlled trial will introduce a triage liaison physician (TLP) into the University of Alberta Hospital Emergency Department (ED) and assess the influence on patients who leave without being seen, ED length of stay, and other ED Overcrowding outcomes.
Read the detailed description
ED Overcrowding is a significant cause of delayed care, patient dissatisfaction, and poor outcomes in North American EDs. This intervention has not been widely studied; however, it represents an opportunity for improving patient flows in EDs.
- Conditions
- Acute Illness
- Being tested
- Triage Liaison Physician
- Keywords
- ED Overcrowding, Length of stay, Emergency triage, triage
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Triage Liaison PhysicianBehavioural
triage liaison physician stationed with nurses at the triage desk of the Emergency Department.
| Study group | Role | What they receive |
|---|---|---|
| 1 | No intervention | No triage liaison physician Receives: Behavioral: Triage Liaison Physician |
What is being measured
The primary outcome is the main question the study is designed to answer.
Median patient length of stay
Measured: while in the Emergency Department
Secondary outcomes (4)
Left without being seen
Measured: while in the Emergency Department
ambulance turnaround times
Measured: while in the Emergency Department
satisfaction (physicians and nurses)
Measured: following their Emergency Department shift
TLP activity
Measured: while in the Emergency Department
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted16 Feb 2007 (estimated)
- Study startDec 2005
- Primary completionFeb 2006
- Study completionJun 2006
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Acute IllnessStudies of the same condition, open and under way.
- More trials run by University of AlbertaThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 4
- Primary purpose
- Health services research
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 5,718 participants (actual)
Sponsor and investigators
- Lead sponsor
- University of Alberta
- Sponsor type
- University, hospital or other
- Investigators
- Brian H Rowe, MD, Study director, University of Alberta
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00435890
- Sponsor's protocol ID
- B-091105
- Status last verified
- Sep 2008
- First submitted
- 15 Feb 2007
- Last updated
- 12 Sep 2008
- Results posted
- No
- Data monitoring committee
- No
Publications
Holroyd BR, Bullard MJ, Latoszek K, Gordon D, Allen S, Tam S, Blitz S, Yoon P, Rowe BH. Impact of a triage liaison physician on emergency department overcrowding and throughput: a randomized controlled trial. Acad Emerg Med. 2007 Aug;14(8):702-8. doi: 10.1197/j.aem.2007.04.018.
PubMed 17656607
Study at a glance
From the registry record, last updated by the sponsor on 12 Sep 2008. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Randomized Controlled Trial of a Liaison Physician at the Triage Desk to Reduce Emergency Department Overcrowding and Improve Patient Flow.
- ClinicalTrials.gov ID
- NCT00435890
- Acronym / sponsor ID
- B-091105
- Conditions
- Acute Illness
- Keywords
- ED Overcrowding, Length of stay, Emergency triage, triage
- Phase
- Phase 4
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 5,718 participants (actual)
- Lead sponsor
- University of AlbertaUniversity, hospital or other
- Study start
- Dec 2005
- Primary completion
- Feb 2006 (actual)
- Study completion
- Jun 2006 (actual)
- First posted
- 16 Feb 2007 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This randomized controlled trial will introduce a triage liaison physician (TLP) into the University of Alberta Hospital Emergency Department (ED) and assess the influence on patients who leave without being seen, ED length of stay, and other ED Overcrowding outcomes.
Detailed description
ED Overcrowding is a significant cause of delayed care, patient dissatisfaction, and poor outcomes in North American EDs. This intervention has not been widely studied; however, it represents an opportunity for improving patient flows in EDs.
Study design
- Primary purpose
- Health services research
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| 1 | No intervention | Behavioral: Triage Liaison PhysicianNo triage liaison physician |
Who may qualify
- Ages
- 17 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (1 listed)
- Only adult patients (> 17 years of age) presenting to the University of Alberta Hospital Emergency Department (UAH ED), during the study interval will be included in the evaluation.
Key exclusion criteria (1 listed)
- Direct admits/Pediatric patients.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Triage Liaison Physiciantriage liaison physician stationed with nurses at the triage desk of the Emergency Department. | Behavioural | 1 |
Primary outcome
Median patient length of stay
Time frame: while in the Emergency Department
4 secondary outcomes
Left without being seen
Time frame: while in the Emergency Department
ambulance turnaround times
Time frame: while in the Emergency Department
satisfaction (physicians and nurses)
Time frame: following their Emergency Department shift
TLP activity
Time frame: while in the Emergency Department
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 12 Sep 2008.
- Background: PubMed 17656607Holroyd BR, Bullard MJ, Latoszek K, Gordon D, Allen S, Tam S, Blitz S, Yoon P, Rowe BH. Impact of a triage liaison physician on emergency department overcrowding and throughput: a randomized controlled trial. Acad Emerg Med. 2007 Aug;14(8):702-8. doi: 10.1197/j.aem.2007.04.018.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Brian H Rowe, MD study director
University of Alberta
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 4 study testing Triage Liaison Physician in people with Acute Illness, run by University of Alberta at 1 site in Canada.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 12 Sep 2008. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Canada. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Median patient length of stay (time frame: while in the Emergency Department). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00435890, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 12 Sep 2008.