Evaluation of Emergency Triage Using a Computerized Simul... | NCT00321243

Studies
Evaluation of Emergency Triage Using a Computerized Simulator

NCT00321243

Sponsor

University Hospital, Geneva

Status

Completed

Last Update Posted

Jun 4, 2008Estimated

Enrollment

150

Phase

Not Applicable

Conditions

Emergencies

Interventions

Visual clues

Countries

Switzerland

Protocol Section

Identification Module Status Module Sponsor/Collaborators Module Oversight Module Description Module Conditions Module Design Module Arms/Interventions Module Outcomes Module Eligibility Module Contacts/Locations Module References Module IPD Sharing Statement Module

Results Section

Participant Flow Module Baseline Characteristics Module Outcome Measures Module Adverse Events Module More Info Module

Annotation Section

Annotation Module

Document Section

Large Document Module

Derived Section

Miscellaneous Info Module Condition Browse Module Intervention Browse Module

Protocol Section

Identification Module

NCT ID

Results Section

No data available

No data is available for this block.

Annotation Section

No data available

No data is available for this block.

Document Section

No data available

No data is available for this block.

Derived Section

Miscellaneous Info Module

Version Holder

Status Module

Record Verification Date

Jun 2008

Overall Recruitment Status or Expanded Access Status

Completed

Last Known Status

Not provided

Delayed Posting

Not provided

Why Stopped

Not provided

Expanded Access Info

Start Date

May 2006

Primary Completion Date

May 2007Actual

Completion Date

May 2007Actual

First Submitted Date

Feb 6, 2006

First Submission Date that Met QC Criteria

May 2, 2006

First Posted Date

May 3, 2006Estimated

Results Waived

Not provided

Results First Submitted Date

Not provided

Results First Submitted that Met QC Criteria

Not provided

Results First Posted Date

Not provided

Certification/Extension (aka Delayed Results) First Submitted Date

Not provided

Certification/Extension First Submitted that Passed QC Review

Not provided

Certification/Extension First Posted Date

Not provided

Last Update Submitted Date

Jun 3, 2008

Last Update Posted Date

Jun 4, 2008Estimated

Sponsor/Collaborators Module

Responsible Party, by Official Title

Not provided

Lead Sponsor

University Hospital, GenevaOTHER

Collaborators

Not provided

Description Module

Brief Summary

A four-level triage scale (the Geneva Emergency Triage Scale, GETS) has been used since 1997 in our emergency department (ED). A recent evaluation of this scale showed that our instrument had an excellent intra-rater reliability but insufficient inter-rater reliability. We also observed a wide variability in the way triage nurses perform (J Clin Epidemiology, 2006 in press). These variations in the triage process are mainly explained by a poor standardization of vital signs measurement. Therefore, we have recently modified our triage instrument and introduced explicit criteria for vital signs evaluation during the triage process.

The objectives of this study are:

To evaluate the inter- and intra-rater reliability of our modified triage scale using a computer simulator
To measure the impact of visual clues on the triage decisions when using the triage simulator
To evaluate the performance of triage nurses and chief physicians in their triage decisions.

We expect to observe:

an improvement of the inter-rater reliability of our instrument compared to the previous version
a better standardization and more systematic use of vital signs measurement
a higher reliability when visual clues are given to the evaluator
lower rates of under- and over-estimation of emergency levels.

Detailed Description

The objectives of this study are:

To evaluate the inter- and intra-rater reliability of our modified triage scale using a computer simulator
To measure the impact of visual clues on the triage decisions when using the triage simulator
To evaluate the performance of triage nurses and chief physicians in their triage decisions.

We expect to observe:

an improvement of the inter-rater reliability of our instrument compared to the previous version
a better standardization and more systematic use of vital signs measurement
a higher reliability when visual clues are given to the evaluator
lower rates of under- and over-estimation of emergency levels.

Design Module

Study Type

Interventional

Number of References to an Expanded Access Study

Not provided

Expanded Access Types

Not provided

Patient Registry

Not provided

Target Follow-Up Duration

Not provided

Phases

Not Applicable

Interventional Study Design

Allocation

Biospecimen

No data available

No data is available for this block.

Enrollment

150

Name	Type	Description	Arm Group Labels	Other Names
Visual clues	Behavioral

Outcomes Module

Primary Outcomes

Measure	Description	Time Frame
Inter-rater and intra-rater reliability
Performance of evaluators

Secondary Outcomes

Measure	Description	Time Frame
Impact of visual clues on reliability

Other Outcomes

Not provided

Eligibility Module

Eligibility Criteria

Inclusion Criteria:

Triage nurses
Emergency physicians

Accepts Healthy Volunteers

Sex

All

Sex/Gender Based

Not provided

Sex/Gender Description

Not provided

Minimum Age

18 Years

Maximum Age

65 Years

Standard Ages

AdultOlder Adult

Study Population

Not provided

Sampling Method

Not provided

Contacts/Locations Module

Central Contacts

Not provided

Overall Officials

Name	Affiliation	Role
Olivier T Rutschmann, MD, MPH	University Hospital, Geneva	Principal Investigator

Locations

Facility	Status	City	State	ZIP	Country	Contacts
Geneva University Hospitals		Geneva	Canton of Geneva	1211	Switzerland

Condition Browse Module

MeSH Terms

ID	Term
D004630	Emergencies

Ancestor Terms

ID	Term
D020969	Disease Attributes
D010335	Pathologic Processes
D013568	Pathological Conditions, Signs and Symptoms

Browse Leaves

Not provided

Browse Branches

Not provided