- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05392829
Reorientation of Tripped Patients 4 and 5 in Emergency Department
Reorientation of Tripped Patients 4 and 5 in Emergency Department to the City Medicine
The increase in emergency room visits is partly related to the growing increase in unscheduled care, paradoxically associated with a decrease in the outpatient supply in the city. The "avoidable" passing rate is estimated at 43% in the last major DREES survey on hospital emergencies. Emergency services have been facing this challenge for years, but there is an urgent need to rethink its organizational model with the liberal system to meet this growing demand. Reorientation from the reception of emergencies is one of the avenues envisaged to face this challenge. It offers a different course from that of emergencies, provided that there are care structures equipped and adapted to unscheduled care. The Hospital in Saint-Denis is particularly faced with these challenges given a particular social ecosystem.
Methodology :
This single-center prospective observational study includes all adult patients sorted 4 and 5 by the reception organizing nurse, present during the survey.
The reorientation is one of the solutions proposed in the context of reorganizing access to care throughout the territory, appearing as one of the major public health issues in the coming years, it is appropriate to ask the question on a local scale. particularly exposed to the problem of unscheduled care, if patients are eligible for reorientation The non-medical factors identified as limiting the reorientation are: the absence of social cover, the language barrier, the patients referred by the samu or the fire brigade or a doctor, the patients who came by ambulance (because considered in theory as in the impossibility to move or having already been the subject of a "regulation")
Each 4 or 5 redirected patient is included and completes a questionnaire allowing the collection of information relating to their care pathways.
Primary endpoint :
Determine the proportion of patients not eligible for reorientation on non-medical criteria via a questionnaire, and identify the distribution of factors complicating reorientation
Secondary endpoints :
Identify the needs of patients re-orientated towards city medicine via the analysis of their passage to the emergency room, the reasons for their recourse to the emergency room (reasons, means and modes of arrival) their knowledge of the health system, and their relationship to general medicine
Study Overview
Status
Conditions
Study Type
Enrollment (Anticipated)
Contacts and Locations
Study Contact
- Name: Aurélie Girard
- Phone Number: 01.42.35.61.40
- Email: aurelie.girard@ch-stdenis.fr
Study Contact Backup
- Name: Mathias Wargon, MD
- Phone Number: 01.42.35.61.40
- Email: mathias.wargon@ch-stdenis.fr
Study Locations
-
-
Ile De France
-
Saint-Denis, Ile De France, France, 93200
- Recruiting
- Hôpital Delafontaine
-
Contact:
- Stéphanie Cossec, Study Co
- Phone Number: 6962 01.42.35.61.40
- Email: coordination.rechercheclinique@ghtpdfr.fr
-
Principal Investigator:
- Aurélie GIRARD
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- patients tripped 4 and 5 at the IOA
- patients aged 18 years or older
- patients presenting to the emergency room every day of the week during the day and in the evening
Exclusion Criteria:
- patients triaged 1, 2, 3 at the IOA
- consulting patients for reasons requiring psychiatric advice
- unaccompanied minor patients
- patients brought by the police
- refusal or impossibility to participate
- protected adult patients
Study Plan
How is the study designed?
Design Details
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
socio-demographic characteristics
Time Frame: Day 1
|
medical history, social security coverage, french language
|
Day 1
|
reason for consultation
Time Frame: Day 1
|
emergency assessment
|
Day 1
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
care pathway
Time Frame: Day 1
|
time spent in the emergency room, additional examinations, diagnosic, becoming
|
Day 1
|
Collaborators and Investigators
Investigators
- Principal Investigator: Aurélie GIRARD, Centre Hospitalier de Saint-Denis
Publications and helpful links
General Publications
- Guttmann A, Schull MJ, Vermeulen MJ, Stukel TA. Association between waiting times and short term mortality and hospital admission after departure from emergency department: population based cohort study from Ontario, Canada. BMJ. 2011 Jun 1;342:d2983. doi: 10.1136/bmj.d2983.
- Marchetti M, Lepape M, Lauque D. La réorientation à l'accueil des services d'urgences : évaluation des pratiques professionnelles françaises. Ann Fr Médecine Urgence. 2014;4:349-353. doi:10.1007/s13341-014-0411-9
- Gilbert A, Brasseur E, Ghuysen A, D'Orio V. [New method to regulate unscheduled urgent care : the ODISSEE interactive self-triage platform]. Rev Med Liege. 2020 Mar;75(3):159-163. French.
Helpful Links
- healthcare facilities 2020
- triage in emergency structure
- ensuring first access to care
- National Survey of Hospital Emergency Structures, June 2013
- survey and results DREES 2013
- Information report by Mr. Philippe Boënnec tabled by the Delegation of the National Assembly for the Planning and Sustainable Development of the Territory on the permanence of care
- health professionals as of January 1, 2018
- General Hospital DELAFONTAINE
Study record dates
Study Major Dates
Study Start (ACTUAL)
Primary Completion (ACTUAL)
Study Completion (ANTICIPATED)
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
- CHSD_0015_URGENCES
- 2021-A01989-32 (OTHER: IDRCB)
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 Emergency Department
-
healthEworks LLCNational Institutes of Health (NIH)UnknownCompliance | Emergency Department Aftercare | Emergency Department UtilizationUnited States
-
University of Southern CaliforniaUniversity of California, Los Angeles; National Institute on Aging (NIA); University... and other collaboratorsWithdrawnEmergency DepartmentUnited States
-
University of Wisconsin, MadisonActive, not recruitingEmergency Department VisitUnited States
-
The Hospital for Sick ChildrenCompletedEmergency Department VisitCanada
-
Brigham and Women's HospitalRecruiting
-
Assistance Publique - Hôpitaux de ParisRecruitingHospitalization | Emergency DepartmentFrance
-
Baylor Research InstituteBaylor University; JPS Health NetworkUnknownEmergency Department Overcrowding
-
Hospital Pharmacy of North Norway TrustUniversity Hospital of North Norway; University of Tromso; Nordlandssykehuset HF and other collaboratorsActive, not recruitingEmergency Department | Clinical PharmacistNorway
-
The Behavioural Insights TeamUnknownAvoidable Emergency Department Attendances
-
Wesley Medical CenterCardinal HealthTerminatedEmergency Department | Medication ReconciliationUnited States