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Effectiveness of an Observational Unit at St. Olavs Hospital

This study has been completed.
Information provided by (Responsible Party):
St. Olavs Hospital Identifier:
First received: February 23, 2010
Last updated: March 6, 2017
Last verified: March 2017
The trial is designed to evaluate the effectiveness of a newly established Observational unit at St. Olavs Hospital in terms of readmission rates, compared to the provision of care in normal/traditional units for defined diagnosis and medical problems.

Condition Intervention
Emergency Patients Other: Traditional ward Other: Organizational change

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Care Provider)
Primary Purpose: Health Services Research
Official Title: An Open Randomized Trial of the Effectiveness of an Observational Unit at St. Olavs Hospital

Resource links provided by NLM:

Further study details as provided by St. Olavs Hospital:

Primary Outcome Measures:
  • Length of stay (LOS) [ Time Frame: 1 year ]
    Length of hospital stay in hours

Secondary Outcome Measures:
  • Readmission within 30 days [ Time Frame: 30 days ]
    Readmission to hospital for any reason within 30 calender days

Enrollment: 105
Study Start Date: March 2010
Study Completion Date: March 2011
Primary Completion Date: March 2011 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Active Comparator: Traditional ward Other: Traditional ward
provision of care in a traditional unit/ward.
Experimental: Observational unit
Organizational change. Innovative organization of in-hospital care
Other: Organizational change
Observational unit (new organizational unit) for organizing in-hospital care
Other Name: Healthcare innovation

Detailed Description:
Observational units are thought to be more efficient than traditional ward units, but the evidence is scarce. The trial will in a randomized fashion evaluate the study hypothesis at an organizational level and not confined to specific diagnosis. The hypothesis to be tested is to confirm or reject the equal effectiveness of an Observational unit compared to a traditional ward for organizing in-hospital care.There are established eligibility and exclusion criteria based on clinical experience. Endpoint is length of stay and readmission within 30 days. In addition the study will give information on the use of diagnostic and treatment resources used and collect some basic demographic variables.

Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Emergency admitted patients only
  • All patients on the list (appendix 1) with a tentative length of stay < 24 hours
  • Predicted stay of less than 24 hours
  • Willingness and able to sign a informed consent

Exclusion Criteria:

  • Emergency admitted patients with life threatening illnesses
  • Patients with a tentative length of stay > 24 hours based on the summary of medical and logistical considerations e.g. need of major - surgery, infections with prolonged infusions of antibiotics.
  • Unwillingness to sign a informed consent
  • By discretion of the physician/surgeon
  • Readmission of any reason in the study period (within 30 days)
  Contacts and Locations
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Please refer to this study by its identifier: NCT01092234

St. Olavs Hospital
Trondheim, Norway, 7006
Sponsors and Collaborators
St. Olavs Hospital
Principal Investigator: Erik Rødevand, MD St. Olavs Hospital
Study Chair: Siv Mørkved, Professor St. Olavs Hospital
  More Information

Additional Information:
Responsible Party: St. Olavs Hospital Identifier: NCT01092234     History of Changes
Other Study ID Numbers: 2010/105-02
NO883974832 ( Other Identifier: St.Olavs Hospital )
Study First Received: February 23, 2010
Last Updated: March 6, 2017
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No

Keywords provided by St. Olavs Hospital:
Observational units
Length of stay (LOS)

Additional relevant MeSH terms:
Disease Attributes
Pathologic Processes processed this record on September 21, 2017