Emergency Care at Home

Description

This study will assess the efficacy of receiving emergency care at home versus in the brick-and-mortar emergency department.

Conditions

Emergency Medical Services, Emergency Department Visits

Study Overview

Study Details

Study overview

This study will assess the efficacy of receiving emergency care at home versus in the brick-and-mortar emergency department.

Emergency Care at Home: A Randomized Controlled Trial

Emergency Care at Home

Condition
Emergency Medical Services
Intervention / Treatment

-

Contacts and Locations

Boston

Massachusetts General Hospital, Boston, Massachusetts, United States, 02114

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • * Age \>= 18 years
  • * Resides within Home Hospital geographic area
  • * Lives in permanent housing (i.e., not in temporary housing such as a shelter)
  • * Patient of a Mass General Brigham primary care provider
  • * Primary care provider attests that their triage recommendation is the emergency department
  • * Emergency care at home nurse triages the participant to the emergency department or urgent care
  • * Patient attests that they intend to go to the emergency department
  • * Insurance: workers compensation and motor vehicle accident
  • * Lives in a healthcare facility (Skilled Nursing, Rehab, long term acute care)
  • * Patient/caregiver cannot answer phone or door
  • * Active substance use
  • * Acute psychiatric concerns (e.g., suicidal ideation, even if passive)
  • * Home safety concerns (e.g., intimate partner violence)
  • * High-risk features:
  • * Requires inpatient-level care
  • * Requires specialty consultation
  • * Requires physical, occupational, or speech therapy
  • * Requires blood transfusion
  • * Requires internal physical exam maneuver (e.g. rectal exam, genitourinary exam)
  • * Requires imaging that is not available at home
  • * Requires monitoring that is not available at home
  • * Troubleshooting wound vacs

Ages Eligible for Study

18 Years to

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

No

Collaborators and Investigators

Brigham and Women's Hospital,

Study Record Dates

2025-03-02