- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05388292
Decision Support System on Emergency Triage
Effect of Computer-based Decision Support System on Emergency Triage Management
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Background: Triage in the emergency department overstrains employees due to patient density, diversity, and time pressure.
Aim: The objective of this study is to design a computer-based Decision Support System (DSS) using the ESI (Emergency Severity Index) and ATS (Australasian Triage Scale) algorithms, integrate it into the Hospital Information Management System (HIMS), evaluate the effect of the triage management in the emergency department and ensure the continuity of the system.
Study design: This is a quasi-experimental study with a single-group pre-test and post-test design. The study consisted of three stages.
Methods: In the first stage, a SQL (Structured Query Language) Script was developed to evaluate the accuracy and duration of pre-and post-DSS triage decisions. In the second stage (pre-test), the accuracy and duration of pre-DSS triage decisions were evaluated. In the second stage, a DSS was prepared with rule-based decision trees method using the ESI and ATS algorithms and was integrated into the HIMS. In the third and last stage (post-test), the effect of the developed Emergency Triage Decision Support System (ETDSS) on triage management was evaluated against the accuracy and duration of triage decisions.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
-
Antalya, Turkey
- Akdeniz University
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
Data of adult patients who applied to the adult emergency department and whose triage record was opened by a triage nurse.
Patient data with no probable or definitive diagnosis of COVID-19.
Exclusion Criteria:
Data of pediatric trauma patients (under 18 years of age) Patient data for which the triage record was opened by non-nursing healthcare professionals Patient data recorded in triage by nurses who did not receive ATKDS, Emergency nurse triage, ESI, ATS training Data of patients who applied with a probable/definite diagnosis of COVID-19 and underwent PCR testing Patient data in the date range when extraordinary changes were made in the adult emergency department patient triage area and evaluation process due to the COVID 19 pandemic and the developed system could not be used (must use the SB COVID Algorithm)
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Other: Development of triage decision support system
This is a quasi-experimental study with a single-group pre-test and post-test design. The study consisted of three stages. In the first stage, a structured Query Language Script was developed to evaluate the accuracy and duration of pre-and post-DSS triage decisions. In the second stage (pre-test), the accuracy and duration of pre-DSS triage decisions were evaluated. In the second stage, a DSS was prepared with rule-based decision trees method using the ESI and ATS algorithms and was integrated into the HIMS. In the third and last stage (post-test), the effect of the developed Emergency Triage Decision Support System on triage management was evaluated against the accuracy and duration of triage decisions. |
Evaluating the impact of the developed Emergency Triage Decision Support System on triage management
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Emergency Triage Decision Support System triage management was evaluated against the accuracy and duration of triage decisions
Time Frame: 8 weeks (triage decision' accuracy in eight-week hospital information management system data)
|
The effect of the decision support system on the triage decision accuracy
|
8 weeks (triage decision' accuracy in eight-week hospital information management system data)
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Emergency Triage Decision Support System
Time Frame: 8 weeks (triage decision' duration in eight-week hospital information management system data)
|
The effect of decision support system on triage decision duration
|
8 weeks (triage decision' duration in eight-week hospital information management system data)
|
Collaborators and Investigators
Sponsor
Investigators
- Study Chair: Fatma Cebeci, 1962
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 2012-KAEK-20-2019
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Emergencies
-
Central Hospital, Nancy, FranceCompleted
-
Betsi Cadwaladr University Health BoardRecruitingMedical EmergenciesUnited Kingdom
-
Universidad de AntioquiaCompleted
-
Second Affiliated Hospital, School of Medicine,...UnknownMedical EmergenciesChina
-
Technische Universität DresdenCompletedPerformance in Simulated Emergencies | Stress During Simulator Scenario | Behaviour of Physicians in Simulated EmergenciesGermany
-
Charite University, Berlin, GermanyZentralinstitut für die Kassenärztliche Versorgung in DeutschlandUnknownNon-urgent EmergenciesGermany
-
Peking University People's HospitalBeijing Emergency Medical Center; Beijing Red Cross Emergency CenterCompletedEmergencies [Disease/Finding]China
-
M.D. Anderson Cancer CenterRecruitingOncologic Complications and EmergenciesUnited States
-
Copenhagen Academy for Medical Education and SimulationCompletedCardiopulmonary Resuscitation | Education | Medical Emergencies
-
Chinese University of Hong KongUnknownEmergencies | Cancer | Oncologic Complications and EmergenciesChina
Clinical Trials on Emergency triage decision support system
-
Sun Yat-sen UniversityRecruitingEye Diseases | EmergenciesChina
-
Second Affiliated Hospital, School of Medicine,...First People's Hospital of Hangzhou; Tongji Hospital; Henan Provincial People... and other collaboratorsCompletedEmergencies | TriageChina
-
University of California, San FranciscoCompletedHypertension | Renal Insufficiency, ChronicUnited States
-
European Institute of OncologyPfizerRecruiting
-
Imperial College LondonSanofi; Axtria, Inc.RecruitingMyocardial Infarction | Ischemic Stroke | Acute Coronary SyndromeUnited Kingdom
-
Hannover Medical SchoolTechnische Universitaet Braunschweig; Helmholtz Centre for Infection ResearchCompletedSepsis | SIRS | Pediatric SIRSGermany
-
Dartmouth-Hitchcock Medical CenterNational Cancer Institute (NCI)CompletedPsychotic Disorders | Tobacco Smoking | Mental IllnessUnited States
-
Aifred HealthMcGill UniversityCompletedDepressionUnited States, Canada
-
University of Alabama at BirminghamCompletedObesity | Diabetes | OverweightUnited States
-
IRCCS Centro San Giovanni di Dio FatebenefratelliUnknown