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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | No Intervention | No triage liaison physician |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Triage Liaison Physician | Behavioral | triage liaison physician stationed with nurses at the triage desk of the Emergency Department. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Median patient length of stay | while in the Emergency Department |
| Measure | Description | Time Frame |
|---|---|---|
| Left without being seen | while in the Emergency Department | |
| ambulance turnaround times | while in the Emergency Department | |
| satisfaction (physicians and nurses) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Brian H Rowe, MD | University of Alberta | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Alberta Hospital | Edmonton | Alberta | T6G 2B7 | Canada |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 17656607 | Background | 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. |
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| following their Emergency Department shift |
| TLP activity | while in the Emergency Department |