All Inpatient in Short Stays Emergencies Clinical Trial
Official title:
Satisfaction Understanding of Patients and Relatives in Emergency Room
Evaluation of global understanding and with items of patients admitted to the emergency.
Prospective observational study randomized in cluster during 6 weeks in 14 centers
Patients' comprehension in the emergency department (ED) is relatively low. This is more
evident for in-patients with more complex diseases. The preliminary study conducted suggests
that patients' comprehension was improved by the use of standardized information and by
opening a dialogue. This study however had its limits. It does not deliver proper
information guideline to physicians working in the ED.
This study is reproduced on a larger scale for in-patients in the ED concerning their
comprehension about the medical information given and thus improving the scientific
evidence. This study has been conducted on a national level in 2 phases with 14
investigating centers spread in Paris and other provinces:
First, an observational period was conducted during 2 weeks in each center in order to
document their homogeneity. At the same time, this period permitted to have a reference
level of comprehension. During this period, investigators continued to give medical
information to their patients as usual. The aim is to adjust the results of the
comprehensions levels in 2 groups after the experimental study on the "baseline" data.
Second, an experimental period of 4 weeks: 7 centers are identified as "formal procedure
group" and their investigators are provided with formal procedures on the patient's
comprehension in the ED based on updated literature data. At the same time, recommendations
are given on the information given to patients. 7 other centers "control group" only formal
presentation on the patient's comprehension in the ED on updated literature data.
According to the center where the patient is included, he will be either in the "formal
procedure group" or the "control group".
Among all in-patients in the ED, it is planned to include:
- 700 patients in the observational period (50 in each center)
- 1400 patients in the experimental period (700 in the formal procedure group and 700 in
the control group)
Improvement in the information given to patients is expected due to the participation of the
centers in this study. This improvement is expected in both arms only due to the fact of
their participation. Better information level is expected in the "formal procedure group".
If this study proves a better information in the procedure group, then our aim will be to
propose recommendations to ED physicians to improve the information given to in-patients in
the ED.
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Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Health Services Research