Acute alcohol intoxication Mental and Behavioural Disorders
Conditions
Interventions
WS1 (work strand 1) will use ethnographic studies
observations and interviews with stakeholders, policy makers and practitioners
interviews with patients attending AIMS and surveys of ED and AIMS users. WS1 focuses on four research questions:
1. What is the impact of AIMS on the work practices and professional identities of fr
Sponsors
Cardiff University
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. AIMS staff and other stakeholders 2. AIMS user interviews and questionnaire survey: Any adult who has attended an AIMS and is discharged to their usual place of residence 3. Any adult ED user who registered between the hours of 8pm and 4am on Fridays and Saturdays and was discharged home after ED treatment
Exclusion criteria
Exclusion criteria: 1. Staff (non-participant observations and interviews) who decline to participate in the study. 2. Previous participants 3. Inability to provide informed written consent 4. Prisoner or under arrest 5. Vulnerable adults (e.g. learning difficulties) 6. Significant acute illness or pain 7. Persistent intoxication 8. Inability to speak English 9. Deceased (sample of patients to be sent to the DBS (Demographic Batch Service) to confirm) 10. Children or young persons aged under 16 years at the date of their attendance at the ED, 11. Any attendances at Minor Injuries Units or Walk-in Centres 12. Any patients who were admitted to hospital via Medical or Surgical Admissions Units and therefore have not visited the ED Department 13. Any patients who are known to be current inpatients 14. Planned attendances at outpatient clinics which are run within the ED Department (such as fracture clinics) 15. Patients attending primarily to obtain contraception (e.g. the morning after pill), patients who suffered a miscarriage or another form of abortive pregnancy outcome whilst at the hospital, and patients with a concealed pregnancy; these exclusions will be applied by following Picker guidance and according to the usual process for undertaking the Picker Survey at each Trust
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| ED attendances, measured using routine data collected from participating ED sites. Health & Social Care Information Centre (HSCIC) Hospital Episodes Statistics (HES) and HES A&E data will be sought covering 2010 to most recent accessible records | — |
Secondary
| Measure | Time frame |
|---|---|
| The following outcomes will be compared between ATC and control areas: 1. Hospital admissions, assessed using analysis of routine data from health, and ambulance services from 2010 to most recent accessible records) 2. ED key performance indicators, assessed using analysis of performance and routine data from health, and ambulance services from 2010 to most recent accessible records) 3. Ambulance key performance indicators, assessed using analysis of performance and routine data from health, and ambulance services from 2010 to most recent accessible records 4. ED user survey responses, assessed using postal questionnaires from participating A&E sites in January- March 2017) The following outcomes will be reported descriptively for ATCs: 1. ATC process activities, assessed using analysis of service and routine data from AIMS covering their full operational period 2. Adverse events during or after ATC care assessed using analysis of service and routine data from AIMS covering their full operational period 3. ATC user survey responses assessed using self-completed questionnaire in November- December 2016 | — |
Countries
United Kingdom, Wales
Contacts
Public ContactSimon Moore
Outcome results
None listed