Triage Clinical Trial
Official title:
Triaging and Referring in Adjacent General and Emergency Departments (the TRIAGE-trial): a Cluster Randomised Controlled Trial
Introduction: Patients who might also go to the general practitioner (GP) frequently consult
emergency departments (ED). This leads to additional costs for both government and patient
and a high workload for emergency physicians in Flanders. The Belgian government wants to
address this problem by improved collaboration between EDs and general practice cooperatives
(GPCs).
Intervention: Patients presenting at the ED during out-of-hours (OOH) will be triaged and
allocated to the most appropriate service. For this purpose the Manchester Triage System
(MTS) which is commonly used in Flemish hospitals, will be extended (eMTS). By doing so a
trained nurse will be able to diverge suitable patients towards the GPC.
Methodology: The investigators will conduct a cluster randomised controlled trial in which
eligible ED patients will be diverged to the GPC using the eMTS. The investigators will
collect data using the iCAREdata database. The investigators will study the use of the eMTS,
the effectiveness and effects of triage, work load changes, epidemiology at both departments,
patient safety, health insurance (HIS) and patient expenditures. Furthermore, facilitators
and barriers will be studied and an incident analysis of problem cases will be performed.
Outcome: The primary outcome is the proportion of patients who enter the ED and are handled
by the GP after triage. Secondary outcome measurements are related to safety: referral rate
to the ED by the GP, proportion of patients not following the triage advice and file review
for selected patients.
n/a
| Status | Clinical Trial | Phase | |
|---|---|---|---|
| Completed |
NCT04301206 -
Videos and Simple Text to Empower Parents to Handle Their Sick Children
|
N/A | |
| Completed |
NCT02559531 -
Reliability of the Swiss Emergency Triage Scale (SETS®) Used by Emergency Medical Service (EMS) Providers
|
N/A | |
| Completed |
NCT01219868 -
Physician-nurse Team to Reduce Emergency Department (ED) Overcrowding
|
N/A | |
| Recruiting |
NCT06034184 -
Enhancing Mass Casualty Triage Through Virtual Reality Simulation
|
N/A | |
| Completed |
NCT04055298 -
Is Self-triage by Patients Using a Symptom-checker Safe?
|
N/A | |
| Completed |
NCT02980159 -
Impact of a Triage Liaison Physician
|
N/A | |
| Completed |
NCT03401411 -
ICU Triage Practices in a Cancer Hospital
|
N/A | |
| Recruiting |
NCT03357835 -
Trauma Triage Decision With Software (TraumaDS)
|
N/A | |
| Completed |
NCT04474236 -
Lung Ultrasound for COVID-19 Initial Triage and Monitoring
|
||
| Enrolling by invitation |
NCT06332586 -
The Learning Effect of Applying Diversified Teaching in Emergency Injury Classification -Taking the Emergency Nurse of a Regional Hospital in Yunlin County as an Example
|
N/A | |
| Completed |
NCT05944406 -
Enhancing Triage Accuracy: A Clinical Audit of the Manchester Triage System Implementation
|
||
| Active, not recruiting |
NCT04137874 -
Paramedic - Norwegian Acute Stroke Prehospital Project
|
N/A | |
| Completed |
NCT02090452 -
Mobile Transmission of Prehospital Vital Signs to the Emergency Department
|
N/A | |
| Completed |
NCT05473988 -
Optimization of Treatment Priority of the Manchester Triage System
|
||
| Recruiting |
NCT04923308 -
The Effect of Chiropractor-informed Triage on Low Back Pain Patient Outcomes and Trajectories
|
||
| Completed |
NCT01434433 -
Alere Triage fs B-type Natriuretic Peptide (BNP) Method Comparison Evaluation
|
||
| Completed |
NCT05388292 -
Decision Support System on Emergency Triage
|
N/A | |
| Recruiting |
NCT03720106 -
The Way to Goal-oriented Therapy Planning in Neurorehabilitation
|
N/A | |
| Enrolling by invitation |
NCT04862936 -
The Prediction Model of Elderly Patients in Taiwan Triage and Acuity Scale
|
||
| Completed |
NCT02643459 -
Risk Stratification in Acute Care: The Meaning of suPAR Measurement in Triage
|
N/A |