NCT05937763

ED Adaptive Staffing Study

Feasibility and Evaluation of an Adaptive STaffing Model in a Community Emergency Department (FAST-ED)

• Status: Unknown
• Phase: —
• Study type: Observational
• Enrollment: 5,917 (estimated)
• Sponsor: Oak Valley Health · Academic / Other
• Sex: All
• Age: —
• Healthy volunteers: Not accepted

Summary

Emergency Departments (EDs) across Ontario are being inundated with unprecedented high patient volumes and a staffing shortage that directly impacts patient care and flow. An area of concern among EDs is the offload zone where patients are brought in by ambulance. EMS offload time is the time it takes paramedics to transfer a patient to the appropriate area within an emergency department and give hospital staff a summary of what concerns the patient is seeking care for. There are multiple factors that may delay this time, including limited staff in the offload area to complete the transfer process due to competing patient care responsibilities. The adaptive staffing model study will look to add a primary care paramedic (PCP) or a registered nurse (RN) in the offload zone during times of high ambulance volume (August to January) to help with patient care within the offload zone. This single-centered community hospital study will evaluate the benefits of having a PCP or RN, compared to the current model, on ambulance offload times, patient safety outcomes, patient treatment times, and staff well-being using three different models of staffing.

Conditions

• Emergency Medicine
• Well-Being, Psychological

Interventions

Type	Name	Description
OTHER	Staffing model	Staffing the hospitals emergency department offload zone with a PCP or RN or current workflow.

Timeline

• Start date: 2023-10-02
• Primary completion: 2024-03-01
• Completion: 2024-09-01
• First posted: 2023-07-10
• Last updated: 2024-03-22

Locations

1 site across 1 country: Canada