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Implementation of an ED surge management platform: a study protocol.

Nahid Rahimipour Anaraki1, Jennifer Jewer2, Oliver Hurley1

  • 1Centre for Rural Health Studies, Faculty of Medicine, Memorial University of Newfoundland, St. John's, NL, A1B 3V6, Canada.

Implementation Science Communications
|March 3, 2022
PubMed
Summary
This summary is machine-generated.

This study introduces a framework to manage and evaluate the SurgeCon platform, aiming to reduce emergency department wait times and improve patient satisfaction. The approach uses RE-AIM and CFIR frameworks for comprehensive assessment.

Keywords:
Emergency departmentImplementation scienceSurgeCon

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Area of Science:

  • Healthcare Management
  • Quality Improvement Science
  • Implementation Science

Background:

  • Emergency departments (EDs) face challenges with overcrowding and long wait times globally.
  • The SurgeCon quality improvement program was developed to enhance ED efficiency and patient satisfaction.
  • A novel framework, integrating RE-AIM and CFIR, is proposed for managing and evaluating ED surge management platforms.

Purpose of the Study:

  • To present a structured framework for the implementation and evaluation of an ED surge management platform.
  • To assess the scalability, adaptability, sustainability, and costs of the SurgeCon intervention.
  • To provide insights into enhancing the uptake and benefits of ED surge management solutions.

Main Methods:

  • A stepped wedge cluster design will be employed across four hospital EDs.
  • Data collection will occur pre-, during, and post-intervention implementation.
  • Key performance indicators (KPIs), patient-reported outcomes, and implementation outcomes will be measured using a mixed-methods approach, guided by RE-AIM and CFIR.

Main Results:

  • This section is not yet available as the study is ongoing.
  • The study is registered on ClinicalTrials.gov (NCT04789902).

Conclusions:

  • The study is expected to yield an actionable framework for ED surge management implementation and evaluation.
  • The findings aim to bridge research and practice by involving diverse stakeholders.
  • The implementation approach is anticipated to be generalizable to other ED settings.