The CLOQS Trial - Countdown Lights to Optimize Quality in Stroke "CLOQS"

Completed

Phase N/A Results N/A

Trial Description

To reduce door-to-needle times in acute stroke treatment. Using an organizational behaviour intervention (a large stopwatch), we will post a visual cue to remind all parties that "time is brain". We hypothesize that this simple visual cue will improve door-to-CT scan times and door-to-needle treatment times, and thus improve treatment response, and reduce adverse events.

Detailed Description

We will construct a large, "in-your-face" red LED stopwatch-clock that is the intervention. The clock will be attached to the stretcher of patients presenting for hyperacute stroke treatment (consideration of tissue plasminogen activator (tPA) treatment at the moment of their Emergency department arrival. This will act as a constant visual reminder to all team members (physicians, RN's, CT technologists) of the urgency of the situation. The study will be a block randomization, by week of presentation. All patients presenting during "on" weeks will have a stopwatch timer with them during the hyperacute stroke workup. During "off" weeks, the clocks will not be used.

Conditions

Interventions

  • LED countdown timer Other
    Other Names: Clocks; CLOQS; Clock
    Intervention Desc: We will attach a large, "in-your-face" red LED stopwatch-clock to the patient's stretcher at the moment of ED arrival to act as a constant visual reminder to all team members (physicians, RN's, CT technologists) of the urgency of the situation.
    ARM 1: Kind: Experimental
    Label: 'On Clock"
    Description: Stopwatch timers will be posted for all patients presenting during "ON clock" weeks. All patients presenting with hyperacute stroke will be managed normally with the addition of a visual stopwatch timer.
  • LED stopwatch-clock timers Other
    Other Names: Clocks; CLOQS; Clock; LED countdown timer
    Intervention Desc: We will attach a large, "in-your-face" red LED stopwatch-clock timers to the patient's stretcher at the moment of ED arrival to act as a constant visual reminder to all team members (physicians, RN's, CT technologists) of the urgency of the situation.
    ARM 1: Kind: Experimental
    Label: 'On Clock"
    Description: LED stopwatch-clock timers will be posted for all patients presenting during "ON clock" weeks. All patients presenting with hyperacute stroke will be managed normally with the addition of a visual stopwatch timer.

Trial Design

  • Allocation: Randomized
  • Masking: Open Label
  • Purpose: Health Services Research
  • Intervention: Single Group Assignment

Outcomes

Type Measure Time Frame Safety Issue
Primary Improved door-to-CT and door-to-needle times. 18 months No

Sponsors