[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100649019":3},{"organization":4,"armGroups":7,"interventions":19,"overallOfficials":30,"centralContacts":34,"locations":40,"responsibleParty":56,"collaborators":58,"id":61,"slug":62,"hasResults":63,"nctId":64,"briefTitle":65,"officialTitle":66,"acronym":25,"eligibilityCriteria":67,"healthyVolunteers":63,"sex":68,"minAge":69,"maxAge":25,"enrollmentInfo":70,"targetDuration":25,"studyType":73,"phases":74,"briefSummary":76,"conditions":77,"keywords":80,"overallStatus":86,"whyStopped":25,"lastUpdateSubmitDate":87,"lastUpdatePostDateStruct":88,"startDateStruct":91,"completionDateStruct":93,"leadSponsor":95,"locationsCount":96},{"fullName":5,"class":6},"Ottawa Hospital Research Institute","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"CAEP AHF Checklist Implementation","EXPERIMENTAL","Implementation of the CAEP Acute Heart Failure (AHF) Best Practices Checklist in emergency departments. This includes both the clinical intervention (use of the Checklist to guide assessment, treatment, and disposition of AHF patients) and implementation strategies to promote uptake, such as physician education sessions, local champions, reminders, audit and feedback, and access to a smartphone application",[13],"Behavioral: CAEP Acute Heart Failure (AHF) Best Practices Checklist Implementation",{"label":15,"type":6,"description":16,"interventionNames":17},"Usual Care","Usual emergency department care for patients with acute heart failure prior to implementation of the CAEP AHF Checklist, with no exposure to active implementation strategies.",[18],"Other: Usual care",[20,26],{"type":21,"name":22,"description":23,"armGroupLabels":24,"otherNames":25},"BEHAVIORAL","CAEP Acute Heart Failure (AHF) Best Practices Checklist Implementation","Implementation of the CAEP Acute Heart Failure (AHF) Best Practices Checklist to guide physician assessment, treatment, and disposition of patients presenting with AHF in the emergency department. The intervention includes structured implementation strategies to support behavior change and uptake, including identification of local physician champions, education sessions and presentations, review of barriers and facilitators, development of local action plans, reminders, audit and feedback on adherence, and access to a smartphone application providing the Checklist as a point-of-care reference.",[9],null,{"type":6,"name":27,"description":28,"armGroupLabels":29,"otherNames":25},"Usual care","Standard emergency department care for patients with acute heart failure prior to implementation of the CAEP AHF Checklist, with no exposure to active implementation strategies.",[15],[31],{"name":32,"affiliation":5,"role":33},"Ian Stiell, MD, MSc","PRINCIPAL_INVESTIGATOR",[35],{"name":32,"role":36,"phone":37,"phoneExt":38,"email":39},"CONTACT","+16137985555","18683","istiell@ohri.ca",[41],{"facility":5,"status":25,"city":42,"state":43,"zip":44,"country":45,"countryCode":46,"cosmosGeoPoint":47,"geoPoint":52,"contacts":53},"Ottawa","Ontario","K1Y 4E9","Canada","CA",{"type":48,"coordinates":49},"Point",[50,51],-75.69812,45.41117,{"lat":51,"lon":50},[54],{"name":32,"role":36,"phone":55,"phoneExt":38,"email":39},"6137985555",{"type":57,"investigatorFullName":25,"investigatorTitle":25,"investigatorAffiliation":25,"oldNameTitle":25,"oldOrganization":25},"SPONSOR",[59],{"name":60,"class":6},"The Ottawa Hospital Academic Medical Association","100649019","implementation-of-acute-heart-failure-checklist-100649019",false,"NCT07727304","Implementation of Acute Heart Failure Checklist","An Implementation Study to Improve Care of Patients With Acute Heart Failure in the Emergency Department","Inclusion Criteria:\n\n* All resident and staff physicians managing patients with AHF in the ED are the primary study participants and this includes emergency, medicine, cardiology, and hospitalists.\n* The patients that will be included are consecutive adults age \\>18 years and who present to the ED with recent onset of or recent increase in shortness of breath due to AHF, as determined by health records review.\n* Eligibility of patients will be reviewed by the blinded study Steering Committee.\n* Included will be both patients subsequently admitted to hospital and those discharged from the ED, as both will be impacted by the recommendations of the CAEP AHF Checklist.\n\nExclusion Criteria:\n\n* who do not fit the definition of AHF;\n* if the primary reason for the ED visit was not AHF (e.g. pneumonia, pulmonary embolism);\n* who have acute myocardial infarction (either ST elevation or non-ST elevation) diagnosed in the ED, because the primary problem for these patients is not heart failure and they require specialized treatment beyond the scope of the Checklist; or\n* who are considered terminal, with death expected within 60 days.","ALL","18 Years",{"count":71,"type":72},5040,"ESTIMATED","INTERVENTIONAL",[75],"NA","Patients with acute heart failure (AHF) commonly present to the emergency department (ED) with difficulty breathing and often have poor outcomes or death. Care of AHF is very complex and, unfortunately, there are no specific guidelines for how physicians should manage AHF in the ED. The investigators recently created the Canadian Association of Emergency Physicians (CAEP) AHF Best Practices Checklist, a concise document that provides specific guidance for ED care.\n\nOur ultimate goal is to conduct a 12-site cluster study to introduce the CAEP AHF Checklist in multiple EDs. Before the investigators can do so, it is essential to demonstrate feasibility in a smaller-scale study. Our objective for this application is to conduct an internal pilot study to demonstrate feasibility of measuring implementation outcomes and refine the protocol if necessary. The investigators will develop strategies to encourage successful adoption of the Checklist by physicians in the ED and allocate 4 large Ontario EDs to implement the Checklist for 1,700 adult AHF patients.\n\nThis study will be very important for patients and the healthcare system. If the investigators show that the CAEP AHF Checklist improves patient management and outcomes, this would lead to widespread uptake of the Checklist by all EDs in Canada.",[78,79],"Acute Heart Failure (AHF)","Implementation Research",[81,82,83,84,85],"Best Practices Checklist","Acute Heart Failure","Emergency Department","Guidelines","Implementation","NOT_YET_RECRUITING","2026-07-22",{"date":89,"type":90},"2026-07-27","ACTUAL",{"date":92,"type":72},"2026-08-01",{"date":94,"type":72},"2030-06-01",{"name":5,"class":6},1]