Emergency Department Re-evaluation Software Pilot Study

Study Overview
=================
Brief Summary
-----------------
This is a research study to determine a method in improving emergency department waiting room care by using new software program.

Detailed Description
-----------------
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.

Official Title
-----------------
Pilot Study for Patient Re-evaluation Software to Improve Emergency Department Waiting Room Congestion

Conditions
-----------------
Emergency Department Waiting Room Congestion

Intervention / Treatment
-----------------
* Other: ED management software


Participation Criteria
=================
Eligibility Criteria
-----------------
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

Ages Eligible for Study
-----------------
Minimum Age: 18 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
Accepts Healthy Volunteers

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Study Arm<br>Patients who undergo use of the software prior to being re-evaluated by a physician | Other: ED management software<br>* Patients utilize software after being screened, but prior to being re-evaluated by physician<br>|
| No Intervention: Healthy Control<br>Patients undergo care without using the software | |

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 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. | Baseline, up to 1 year | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 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. | Baseline, up to 1 year |