Application of Geographical Information System Data in the Emergency Department, Effect on Trauma Team and Medical Emergency Team Wait

Telemedical Solutions in Medical Emergencies, Advantages and Disadvantages for Patients, Healthcare Professionals, and Healthcare System. Study 4: Application of Geographical Information System Data in the Emergency Department, Effect on Trauma Team and Medical Emergency Team Wait - a Before and After Study

In the Emergency Department Regional Hospital Horsens a monitor will display Geographical Information System data (GIS data) for all ambulances with the hospital as final destination. The location, estimated time of arrival (ETA) and urgency code for the ambulances will be showed. Furthermore the patient's name, personal identification number and the primary message received by the emergency medical dispatch center resulting in ambulance dispatch will be displayed. This may enable the coordinating nurse to optimize timing of the ad hoc trauma team and medical emergency team activation. The teams are activated if the patient's condition is assessed to be of the highest urgency and/or severity - triage 1 or "red". The coordinating nurse makes this assessment on the basis of information from the ambulance personnel and makes the decision to activate the team and when to do it. In this study the investigators want to examine if the availability of GIS data in the emergency department results in reduced waiting time for the members of the trauma team and medical emergency team. The study will be conducted as a before and after study.

Study Overview

• Status: Completed
• Conditions: All Acutely Ill or Injured Patients
• Intervention / Treatment: Device: Geographic Information System

• Study Type: Interventional
• Enrollment (Actual): 599
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Denmark
  • Central Denmark Regione
    • Horsens, Central Denmark Regione, Denmark, 8700
      • Emergency Departmartment Regional Hospital Horsens

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 15 years and older (Child, Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Critically Ill or Severely injured patients transported by ambulance
• Patients must be in triage category 1/"red"
• Emergency Medical Team og Trauma Team must be activated.

Study Plan

How is the study designed?

Design Details

• Allocation: N/A
• Interventional Model: Single Group Assignment
• Masking: None (Open Label)

Number of Arms

1

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Geographical Information System; Availability of Geographical Information System data from ambulances destined for the Emergency Department of Regional Hospital Horsens.	Device: Geographic Information System; GIS data is delivered by "SimaTech Enterprise System" communicating via the mobile network and TETRA (in Denmark called SINE). It is developed as a Java Enterprise application and is executed on a JBOSS application platform; Other Names: "ADO - AMK Dynamisk Overvågning" (Emergency Medical Dispatch Dynamic Surveillance)

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Waiting time	Triage 1 or "red" of a patient indicates the highest urgency and/or severity of illness. If the coordinating nurse at the emergency department assess that a patient on the to the department is "red" the trauma team or medical emergency team is activated. The time is registered automatically in the internal telephone system of the hospital. The patient's time of arrival is registered manually. The time from activation to arrival can then be calculated and is defined as "Waiting time".	Time from activation of trauma team to arrival of patient, expected assesment within 1 minute after patients arrival, expected to be presented up to 36 months after assesment .

Collaborators and Investigators

• Sponsor: University of Aarhus
• Collaborators: Aarhus University Hospital; Central Denmark Region; Regional Hospital Horsens, Central Denmark Region
• Investigators: Principal Investigator: Nikolaj Raaber, MD, Central Denmark Region; Study Director: Erika Christensen, MD, medical director, Central Denmark Region

Publications and helpful links

General Publications

• Raaber N, Duvald I, Riddervold I, Christensen EF, Kirkegaard H. Geographic information system data from ambulances applied in the emergency department: effects on patient reception. Scand J Trauma Resusc Emerg Med. 2016 Mar 31;24:39. doi: 10.1186/s13049-016-0232-5.

Study record dates

Study Major Dates

• Study Start: May 1, 2014
• Primary Completion (Actual): November 1, 2014
• Study Completion (Actual): November 1, 2014

Study Registration Dates

• First Submitted: May 12, 2014
• First Submitted That Met QC Criteria: July 11, 2014
• First Posted (Estimate): July 14, 2014

Study Record Updates

• Last Update Posted (Estimate): December 9, 2015
• Last Update Submitted That Met QC Criteria: December 8, 2015
• Last Verified: March 1, 2014

More Information

Terms related to this study

• Keywords: Telemedicine; Geographic Information System; Emergency Care Information Systems; Emergency Hospital Service
• Additional Relevant MeSH Terms: Pathologic Processes; Disease Attributes; Emergencies
• Other Study ID Numbers: NRAA4