Checklists Resuscitation Emergency Department

Sponsor

Region Skane (Other)

Overall Status

Not yet recruiting

CT.gov ID

NCT05649891

Collaborator

(none)

2,000

Enrollment

Arm

Anticipated Duration (Months)

Study Details

Study Description

Brief Summary

The study will systematically evaluate how an emergency manual-a collection of checklists and fact sheets-affects the performance of resuscitation teams during the management of priority one patients in an emergency department.

Condition or Disease	Intervention/Treatment	Phase
Shortness of Breath Chest Pain Abdominal Pain Altered Mental Status Syncope Seizures Vertigo Trauma Allergic Reaction Fever Cardiac Arrest Asthma Acute COPD Exacerbation Acute Pneumonia Pulmonary Edema - Acute Bradycardia Tachycardia Shock Burns Poisoning Diabetic Ketoacidosis Hyperglycemic Hyperosmolar Nonketotic Syndrome	Other: Emergency Manual	N/A

Detailed Description

Simulation-based studies indicate that crisis checklist use improves management of patients with critical conditions in the emergency department (ED). This six-month-long study prospectively evaluates a digital emergency manual-a collection of crisis checklists and fact sheets-during the management of priority 1 patients in the Skåne University Hospital at Lund's ED.

Study Design

Study Type:

Interventional

Anticipated Enrollment :

2000 participants

Allocation:

N/A

Intervention Model:

Single Group Assignment

Masking:

None (Open Label)

Primary Purpose:

Treatment

Official Title:

Clinical Use of an Emergency Manual by Resuscitation Teams and Impact on Performance in the Emergency Department

Anticipated Study Start Date :

Sep 1, 2023

Anticipated Primary Completion Date :

Mar 1, 2024

Anticipated Study Completion Date :

Mar 1, 2024

Arms and Interventions

Arm	Intervention/Treatment
Experimental: Patients managed with Emergency Manual access Consecutive priority 1 patients managed by resuscitation teams with access to an Emergency Manual	Other: Emergency Manual Collection of crisis checklists and fact sheets

Arm

Intervention/Treatment

Experimental: Patients managed with Emergency Manual access

Consecutive priority 1 patients managed by resuscitation teams with access to an Emergency Manual

Other: Emergency Manual

Collection of crisis checklists and fact sheets

Outcome Measures

Primary Outcome Measures

Degree of indication of interventions performed thanks to Do-Confirm Emergency Manual use [1 hour]
The primary outcome measures are the proportions of interventions performed thanks to Do-Confirm EM use graded as indicated, of neutral relevance, and not indicated.

Secondary Outcome Measures

Team's subjective evaluation of Emergency Manual value [1 hour]
The team's subjective evaluation of the EM's value is recorded prior to the logging out from the EM using a Likert scale of 1 to 6.
Degree of indication of interventions that might have been performed had the Emergency Manual been used [1 hour]
Fifty patients that presented during the six-month period preceding EM implementation, are identified. These 50 patients are selected based on matching to the 50 patients where the EM was used, using age, presenting complaint and relevant co-morbidities. In addition, fifty patients where the EM was not used during the pilot study period are also identified based on the same matching process. The EM is accessed to determine whether additional interventions would have been performed, had the EM been used. All interventions-those actually performed as well as those that might have been performed had the EM been used-are then assessed for degree of indication by three external reviewers.
Structured interviews [Up to 8 weeks]
Teams can electronically request contact with the investigators to report specific events related to EM use. If so, the following data is extracted during a structured interview: patient age, sex, presenting complaint and suspected diagnosis seniority of the physician initially in charge of the case events or concerns relating to EM use mode of EM use (Do-Confirm, Read-Do, Sampling) and sections relevant to the case personnel's assessment of the impact of the EM on patient care personnel's assessment of impact of the EM on team members and teamwork personnel's suggestions for EM improvement