Checklists Resuscitation Emergency Department

Pneumonia Clinical Trial

Official title:

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

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT05649891
• Other study ID #: 2022-01896-01
• Status: Not yet recruiting
• Phase: N/A
• Start date: September 2023
• Est. completion date: March 2024

Study information

• Verified date: December 2022
• Source: Region Skane
• Contact: Eric Dryver, MD
• Phone: +46-738-198261
• Email: eric.dryver[@]med.lu.se
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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.

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.

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 2000
• Est. completion date: March 2024
• Est. primary completion date: March 2024
• Accepts healthy volunteers: No
• Gender: All
• Age group: N/A and older

Eligibility

Inclusion Criteria:

• Consecutive priority 1 patients managed in the resuscitation room of Skåne University Hospital at Lund's Emergency Department

Exclusion Criteria:

• None

Related Conditions & MeSH terms

• Abdominal Pain
• Allergic Reaction
• Altered Mental Status
• Asthma Acute
• Bradycardia
• Burns
• Cardiac Arrest
• Chest Pain
• COPD Exacerbation Acute
• Diabetic Ketoacidosis
• Dyspnea
• Emergencies
• Fever
• Hypersensitivity
• Ketosis
• Pneumonia
• Poisoning
• Pulmonary Edema
• Seizures
• Shock
• Shortness of Breath
• Syncope
• Tachycardia
• Trauma
• Vertigo

Intervention

Other:
• Emergency Manual
Collection of crisis checklists and fact sheets

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Region Skane

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Degree of indication of interventions performed thanks to Do-Confirm Emergency Manual use	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.	1 hour
Secondary	Team's subjective evaluation of Emergency Manual value	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.	1 hour
Secondary	Degree of indication of interventions that might have been performed had the Emergency Manual been used	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.	1 hour
Secondary	Structured interviews	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	Up to 8 weeks