Status:
COMPLETED
Best Strategies for Implementation of Clinical Pathways in Emergency Department Settings
Lead Sponsor:
Children's Hospital of Eastern Ontario
Collaborating Sponsors:
Ottawa Hospital Research Institute
Institute for Clinical Evaluative Sciences
Conditions:
Asthma
Diarrhea & Vomiting
Eligibility:
All Genders
3-17 years
Brief Summary
An Ontario-wide study to identify best strategies to promote uptake of high quality, expert developed Clinical Pathways (CPs) within Emergency Departments. The investigators will work with 16 Communi...
Detailed Description
To meet the first objective, we will use Michie's Theoretical Domains Framework (TDF) to identify and organize CP-relevant behaviours. We will conduct qualitative interviews, guided by the TDF and inv...
Eligibility Criteria
Inclusion
- Inclusion Criteria:
- Selecting from 149 community EDs in Ontario, we will recruit EDs that do not have a CP in place for either Pediatric Asthma or Pediatric V\&D. To minimize contamination between sites, we will request data from Health Force Ontario, an organization that assists with physician coverage at different EDs, to ensure ED physicians are not working at more than one study site. An additional inclusion criterion is commitment to the implementation intervention by an administrative lead on behalf of the hospital. Specific inclusion/exclusion criteria for use with patients have been defined for each CP.
- Medical records departments at each site will be asked to pull relevant charts, using International Statistical Classification of Diseases and Related Health Problems (ICD)-10 codes for all diagnoses related to our index conditions (Asthma and with V\&D) during the defined study periods. In our experience, this approach has worked successfully with community ED studies. Chart auditors will review all records to ensure eligibility criteria are met. All retrieved and eligible patient charts will be audited.
Exclusion
Key Trial Info
Start Date :
January 1 2013
Trial Type :
OBSERVATIONAL
Allocation :
ACTUAL
End Date :
April 13 2018
Estimated Enrollment :
6330 Patients enrolled
Trial Details
Trial ID
NCT01815710
Start Date
January 1 2013
End Date
April 13 2018
Last Update
July 26 2019
Active Locations (1)
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1
Children's Hospital of Eastern Ontario
Ottawa, Ontario, Canada, K1H 8L1