Unnecessary, Avoidable Lengths of Stay: a Strategy for Clinician Empowerment and Effectiveness Evaluation
|ClinicalTrials.gov Identifier: NCT01422811|
Recruitment Status : Completed
First Posted : August 24, 2011
Last Update Posted : August 24, 2011
- Background: In recent years an increasing trend in excessive lengths of stay has been recorded at the Parma University Hospital, compared with regional mean values. Excessive lengths of stay have been demonstrated to constitute not just an economic problem, but also a clinical and public health issue. Since the measures taken at our institution so far have not proven effective, the investigators carried out a literature review, which mostly detected observational studies, restricted to the assessment of the impact of a single intervention.
- Objectives: This project intends to evaluate the effectiveness of a multifaceted strategy aiming to empower clinicians on the issues associated with excessively long and avoidable hospital stays, and enable them to identify corrective measures (according to the principles of clinical governance).
- Study design: cluster-randomized, parallel group, open-label, community trial
- Methods: trained personnel will periodically record causes for excessive lengths of stay in all participating wards using an ad hoc data collection sheet. In the wards randomized to the experimental group, interventions aimed to clinician empowerment - provision of reminders and periodical audits - will be implemented.
- Expected results: A reduction in the experimental vs. the control arm unnecessary lengths of stay is expected, although the introduced measures will also presumably lead to improvement in the wards where they are not implemented.
|Condition or disease||Intervention/treatment||Phase|
|Hospitalization Length of Stay||Behavioral: Multicomponent strategy to reduce avoidable length of stay Other: No intervention||Phase 3|
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||3862 participants|
|Intervention Model:||Parallel Assignment|
|Masking:||Double (Participant, Outcomes Assessor)|
|Primary Purpose:||Health Services Research|
|Official Title:||Unnecessary, Avoidable Lengths of Stay: a Strategy for Clinician Empowerment and Effectiveness Evaluation|
|Study Start Date :||February 2008|
|Actual Primary Completion Date :||February 2009|
|Actual Study Completion Date :||February 2010|
Behavioral: Multicomponent strategy to reduce avoidable length of stay
The strategy comprises two integrated components:
|No Intervention: Control||
Other: No intervention
No interventions (reporting, auditing) are planned; nevertheless control ward physicians know study aims and are informed about their patient's data collection.
- Percentage of patient-days compatible with discharge [ Time Frame: 12 month period [02/2008 - 02/2009] +1 follow up month [02/2010] ]
- Overall length of stay (in days) [ Time Frame: 12 month period [02/2008 - 02/2009] ]Overall length of stay = discharge date - admission date
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01422811
|Azienda Ospedaliero-Universitaria di Parma|
|Parma, Italy, 43126|
|Principal Investigator:||Caterina Caminiti||Azienda Ospedaliero-Universitaria di Parma|