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SurgeCon: An Emergency Department Surge Management Platform
Sponsor: Memorial University of Newfoundland
Summary
Wait times and overcrowding are challenging emergency departments (EDs) around the world. Several countries with advanced healthcare systems cannot keep pace with patient demand, and Canada ranks among the longest wait times compared to peer-industrialized countries. In fact, the Canadian Institute for Health Information (CIHI) identified an 11% increase in ED wait times from 2015-2016 to 2016-2017. This translates to long wait times that deter patients from pursuing necessary care and increases their likelihood of leaving without being seen by an ED physician. In Newfoundland and Labrador (NL), this issue has precipitated strikingly serious situations regarding long wait times that have made the province a case-in-point for ED issues. To counter this, the investigators propose an innovative quality-improvement intervention called SurgeCon that includes a protocol-driven software platform and several other initiatives to reduce wait times and improve the sustainability of health systems without significant workforce changes. The investigators piloted SurgeCon at the ED in Carbonear, Newfoundland and Labrador (NL) and found there was a 32% reduction in ED wait time.
Official title: A Stepped Wedge Cluster Randomized Trial Designed to Evaluate the Effects of SurgeCon: A Quality Improvement Surge Management Platform
Key Details
Gender
All
Age Range
Any - Any
Study Type
INTERVENTIONAL
Enrollment
436052
Start Date
2021-01-01
Completion Date
2026-03-31
Last Updated
2025-10-01
Healthy Volunteers
No
Conditions
Interventions
SurgeCon
The SurgeCon intervention is a pragmatic ED management platform that includes three distinct intervention components which include 1) Restructuring ED Organization \& Workflow, 2) Establishing a Patient-Centric ED Environment, and 3) E-Health Action-Based ED Management that together act to improve ED efficiency and patient satisfaction and value of care.
Locations (4)
Burin Peninsula Healthcare Centre
Burin, Newfoundland and Labrador, Canada
Dr. G.B. Cross Memorial Hospital
Clarenville, Newfoundland and Labrador, Canada
Health Sciences Centre
St. John's, Newfoundland and Labrador, Canada
St. Clare's Mercy Hospital
St. John's, Newfoundland and Labrador, Canada