911 Nurse Triage Line
Primary Purpose
Emergencies
Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Triage nurse
No triage nurse
Sponsored by

About this trial
This is an interventional health services research trial for Emergencies
Eligibility Criteria
Inclusion Criteria:
- Low-acuity call
Exclusion Criteria:
- Incarcerated
Sites / Locations
- Office of Unified Communications
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Active Comparator
Arm Label
Triage Nurse
No Triage Nurse
Arm Description
Triage nurse
No triage nurse
Outcomes
Primary Outcome Measures
Ambulance dispatch
Ambulance is dispatched in response to the 911 call
Ambulance transport
Caller is transported in dispatched ambulance
ED visit, 24 hours
Emergency department visit within 24 hours
ED visit, 6 months
Emergency department visit with 6 months
Primary care visit, 24 hours
Primary care visit within 24 hours
Primary care visit, 6 months
Primary care visit within 6 months
911 use, 24 hours
Whether caller made subsequent calls to 911 within 24 hours
911 use, 6 months
Whether caller made subsequent calls to 911 within 6 months
Health expenditures
Total dollars and log-transformed dollars of Medicaid health expenditures
Secondary Outcome Measures
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT05589168
Brief Title
911 Nurse Triage Line
Official Title
911 Nurse Triage Line Randomized Controlled Trial
Study Type
Interventional
2. Study Status
Record Verification Date
October 2022
Overall Recruitment Status
Completed
Study Start Date
April 19, 2018 (Actual)
Primary Completion Date
March 1, 2019 (Actual)
Study Completion Date
March 1, 2019 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
The Lab @ DC
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
5. Study Description
Brief Summary
Each year, millions of Americans call 911 for time-sensitive issues that don't require Emergency Medical Services (EMS). In need of medical help, these callers may treat 911 as an entry point into the healthcare system, yet an ambulance to the emergency department can harm both their own long-term health and the health of others. In a field experiment in Washington, DC, the investigators randomly assign nurses directly into 911 calls in order to triage low-acuity calls. While other 911 reforms have denied callers access to alternative resources, this effort reforms 911 by offering appropriate care.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Emergencies
7. Study Design
Primary Purpose
Health Services Research
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
6053 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Triage Nurse
Arm Type
Experimental
Arm Description
Triage nurse
Arm Title
No Triage Nurse
Arm Type
Active Comparator
Arm Description
No triage nurse
Intervention Type
Behavioral
Intervention Name(s)
Triage nurse
Intervention Description
Triage nurse joins 911 call
Intervention Type
Behavioral
Intervention Name(s)
No triage nurse
Intervention Description
Triage nurse does not join 911 call (business as usual)
Primary Outcome Measure Information:
Title
Ambulance dispatch
Description
Ambulance is dispatched in response to the 911 call
Time Frame
During or immediately subsequent to call
Title
Ambulance transport
Description
Caller is transported in dispatched ambulance
Time Frame
During or immediately subsequent to call
Title
ED visit, 24 hours
Description
Emergency department visit within 24 hours
Time Frame
24 hours
Title
ED visit, 6 months
Description
Emergency department visit with 6 months
Time Frame
6 months
Title
Primary care visit, 24 hours
Description
Primary care visit within 24 hours
Time Frame
24 hours
Title
Primary care visit, 6 months
Description
Primary care visit within 6 months
Time Frame
6 months
Title
911 use, 24 hours
Description
Whether caller made subsequent calls to 911 within 24 hours
Time Frame
24 hours
Title
911 use, 6 months
Description
Whether caller made subsequent calls to 911 within 6 months
Time Frame
6 months
Title
Health expenditures
Description
Total dollars and log-transformed dollars of Medicaid health expenditures
Time Frame
6 months
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
Low-acuity call
Exclusion Criteria:
Incarcerated
Facility Information:
Facility Name
Office of Unified Communications
City
Washington
State/Province
District of Columbia
ZIP/Postal Code
20032
Country
United States
12. IPD Sharing Statement
Plan to Share IPD
Undecided
Links:
URL
https://osf.io/j89ns/
Description
Pre-Analysis Plan
Learn more about this trial
911 Nurse Triage Line
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