EmergenciesNCT01586832
Stocking of a Busy Emergency Department
An observational study of Emergencies, run by Lehigh Valley Hospital at 1 site in United States.
Trial summary
Stocking of essential supplies in an emergency department (ED) is crucial in order to efficiently and effectively take care of patients. When equipment and supplies are not available to patient care providers, an imbalance in the delivery of care is created. Read more about this study
- Who is it for?
- Any ageHealthy volunteers can take part
- Conditions the study is for
- Emergencies
- How many people
- 565 participants
- Where
- 1 siteUnited States
- Study dates
- Jan 2008to Dec 2013
- Phase
- Observational
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages Any age
- All sexes
- Healthy volunteers accepted
- Child, Adult, Older adult
Study population: Participants will include the nurses in the emergency department who will be observed during their shift.
Who may be able to join
- Nurse is an employee of LVHHN, and is working at the CC site.
- Nurse is working a full shift (7a-7p, 7p-7a, 7a-3p, 3p-11p, 11p-7a).
- The nurse being observed is working in Pod 1, Pod 2, Pod 3, or Pod 4 at the CC site.
- The supply needed is related to a procedural task for patient care.
Who cannot join
- The nurse is working at LVH-M or LVH-17.
- The nurse being observed is working in the express care area or trauma bay.
- The supply being obtained is a supply that is not maintained in the cart (Appendix 2).
- The nurse is scheduled for a shift less than 8 hours.
Trial locations and contacts
1 site in 1 country.
United States1 site
Lehigh Valley Health Network
Allentown, Pennsylvania, 18103
About this study
Stocking of essential supplies in an emergency department (ED) is crucial in order to efficiently and effectively take care of patients. When equipment and supplies are not available to patient care providers, an imbalance in the delivery of care is created. The amount of time nurses spend away from the bedside obtaining supplies has only been superficially studied; however, one study proposed that the majority of nurses spend 5 to 20 percent or more of their time during a shift. This results in 30 minutes to two-and-a-half hours of a twelve hour shift being lost to retrieving supplies that are not available.
Cabinets and drawers have recently been eliminated in the rooms and stock is kept in "supply towers" that contain all the necessary supplies to adequately take care of patients with the exception of medications, or stationary supplies. Towers are restocked every morning by a stocking technician by taking the towers to the stock room, resupplying them based on previously established PAR levels, and utilizing a standard chart that describes exactly what supply, and how many to stock within a specified area of the cart.
Read more
During their shift, the stocking technician must also respond to pages concerning low stock levels.
Hypothesis:
Nurses spend a significant amount of time away from the patient bedside during their shift looking for supplies.
Read the detailed description
Objectives:
- Determine the amount of time nurses spend outside of a patient room obtaining supplies to care for the patient.
- Determine what supplies are obtained when the room is left.
- Determine how many times per shift the nurse leaves to obtain the same item.
- Determine if utilizing a "supply tower" located in patient rooms decreases the amount of time nurses spend obtaining supplies outside of a patient room to care for patients.
- Determine if implementation of a full time stocking technician decreases the amount of time that nurses spend outside a patient's room obtaining stock.
- Conduct spot checks on carts to determine if PAR levels are over, under, or exactly as established.
- Conditions
- Emergencies
- Keywords
- Hospital Supplies, Stocking of Supplies
- Medical subject headings
- Emergencies
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
| Study group | Role | What they receive |
|---|---|---|
| ED Nurses | Nurses in the emergency department (ED) providing patient care using supplies found in the "stocking towers" |
What is being measured
The primary outcome is the main question the study is designed to answer.
time nurses spend away from patients bedside
The average time nurses spend away from the bedside searching for supplies for patient care during an ED stay (an expected average of 2.5 hours)
Measured: Outcome will be assessed for one year as the average time nurses spend away from the bedside searching for supplies for patient care during an ED stay (an expected average of 2.5 hours)
Secondary outcomes (1)
Supplies searched for
This is the type of supply that the nurse was searching for that was not available at the bedside.
Measured: Outcome will be assessed for one year as the type of supply that the nurses are searching for that was not available at the bedside searching for supplies for patient care during an ED stay (an expected average of 2.5 hours)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted27 Apr 2012 (estimated)
- Study startJan 2008
- Primary completionDec 2013
- Study completionDec 2013
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for EmergenciesStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 565 participants (actual)
Sponsor and investigators
- Lead sponsor
- Lehigh Valley Hospital
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Marna Rayl Greenberg, Lehigh Valley Hospital
- Investigators
- David Richardson, MD, Principal investigator, Lehigh Valley Health Network
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01586832
- Sponsor's protocol ID
- 2-20080104
- Status last verified
- Oct 2016
- First submitted
- 19 Jul 2011
- Last updated
- 14 Oct 2016
- Results posted
- No
- Data monitoring committee
- No
- Individual data sharing
- No: However, the overall study results were published in JONA, vol 44, issue 11, November, 2014.
Study at a glance
From the registry record, last updated by the sponsor on 14 Oct 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Stocking of a Busy Emergency Department
- ClinicalTrials.gov ID
- NCT01586832
- Acronym / sponsor ID
- 2-20080104
- Conditions
- Emergencies
- Keywords
- Hospital Supplies, Stocking of Supplies
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 565 participants (actual)
- Lead sponsor
- Lehigh Valley HospitalUniversity, hospital or other
- Study start
- Jan 2008
- Primary completion
- Dec 2013 (actual)
- Study completion
- Dec 2013 (actual)
- First posted
- 27 Apr 2012 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Stocking of essential supplies in an emergency department (ED) is crucial in order to efficiently and effectively take care of patients. When equipment and supplies are not available to patient care providers, an imbalance in the delivery of care is created. The amount of time nurses spend away from the bedside obtaining supplies has only been superficially studied; however, one study proposed that the majority of nurses spend 5 to 20 percent or more of their time during a shift. This results in 30 minutes to two-and-a-half hours of a twelve hour shift being lost to retrieving supplies that are not available.
Cabinets and drawers have recently been eliminated in the rooms and stock is kept in "supply towers" that contain all the necessary supplies to adequately take care of patients with the exception of medications, or stationary supplies. Towers are restocked every morning by a stocking technician by taking the towers to the stock room, resupplying them based on previously established PAR levels, and utilizing a standard chart that describes exactly what supply, and how many to stock within a specified area of the cart.
During their shift, the stocking technician must also respond to pages concerning low stock levels.
Hypothesis:
Nurses spend a significant amount of time away from the patient bedside during their shift looking for supplies.
Detailed description
Objectives:
- Determine the amount of time nurses spend outside of a patient room obtaining supplies to care for the patient.
- Determine what supplies are obtained when the room is left.
- Determine how many times per shift the nurse leaves to obtain the same item.
- Determine if utilizing a "supply tower" located in patient rooms decreases the amount of time nurses spend obtaining supplies outside of a patient room to care for patients.
- Determine if implementation of a full time stocking technician decreases the amount of time that nurses spend outside a patient's room obtaining stock.
- Conduct spot checks on carts to determine if PAR levels are over, under, or exactly as established.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| ED Nurses | – | –Nurses in the emergency department (ED) providing patient care using supplies found in the "stocking towers" |
Who may qualify
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Child, Adult, Older adult
- Study population
- Participants will include the nurses in the emergency department who will be observed during their shift.
Key inclusion criteria (4 listed)
- Nurse is an employee of LVHHN, and is working at the CC site.
- Nurse is working a full shift (7a-7p, 7p-7a, 7a-3p, 3p-11p, 11p-7a).
- The nurse being observed is working in Pod 1, Pod 2, Pod 3, or Pod 4 at the CC site.
- The supply needed is related to a procedural task for patient care.
Key exclusion criteria (4 listed)
- The nurse is working at LVH-M or LVH-17.
- The nurse being observed is working in the express care area or trauma bay.
- The supply being obtained is a supply that is not maintained in the cart (Appendix 2).
- The nurse is scheduled for a shift less than 8 hours.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
time nurses spend away from patients bedside
Time frame: Outcome will be assessed for one year as the average time nurses spend away from the bedside searching for supplies for patient care during an ED stay (an expected average of 2.5 hours)
The average time nurses spend away from the bedside searching for supplies for patient care during an ED stay (an expected average of 2.5 hours)
1 secondary outcome
Supplies searched for
Time frame: Outcome will be assessed for one year as the type of supply that the nurses are searching for that was not available at the bedside searching for supplies for patient care during an ED stay (an expected average of 2.5 hours)
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 14 Oct 2016.
- Individual participant dataSharing planned: No. However, the overall study results were published in JONA, vol 44, issue 11, November, 2014.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
David Richardson, MD principal investigator
Lehigh Valley Health Network
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Emergencies, run by Lehigh Valley Hospital at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 14 Oct 2016. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
time nurses spend away from patients bedside (time frame: Outcome will be assessed for one year as the average time nurses spend away from the bedside searching for supplies for patient care during an ED stay (an expected average of 2.5 hours)). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 14 Oct 2016.