Impact of a Mediator for Patient Intake in Emergency Departments

Completed

• Conditions: Violent Aggressive Behavior; Mediation
• Interventions: Behavioral: Presence of a mediator in the emergency departments

• Registration Number: NCT03139110
• Lead Sponsor: Hospices Civils de Lyon

Brief Summary

Violence in the workplace is becoming a serious phenomenon in the contemporary world of work. Hospital staff, like any employee working in contact with the public, is particularly exposed to this violence. In emergency departments, the number of patients treated and their heterogeneity, the problems of communicating with healthcare professionals, and waiting times, favor conflict situations. In the already tense context of the emergencies, the incivilities or violent acts have an impact on the well-being of professionals. In order to prevent these situations of violence, a solution could be to integrate a professional with specific skills into the teams to perform mediation functions between caregivers and patients.

The aim of the study is to evaluate the impact of the presence of a mediator in emergency services on personal (verbal or physical) attacks on professionals (caregivers, doctors, administrative staff).

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2017-04-28
• Study First Submitted QC: 2017-05-02
• Study First Posted: 2017-05-03
• Study Start: 2017-11-15
• Primary Completion: 2019-06-01
• Study Completion: 2019-06-01
• Status Verified: 2019-12
• Last Update Submitted: 2019-12-12
• Last Update Posted: 2019-12-16

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 2378

Inclusion Criteria

• Patient aged 18 years or older.
• Registered at the reception of the emergency department between 8 am and 8 pm, excluding bank holidays.

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Exclusion Criteria

• Patient with psychiatric disorders or impairment of judgment related to the taking of toxic substances.
• Patients requiring medical care in less than 30 minutes (sort code).

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Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Mediation	Presence of a mediator in the emergency departments	Patients treated in emergency departments with the presence of a mediator.

Primary Outcome Measures

Name	Time	Method
Incidence of violence or aggression by patients directed towards emergency staff	During the patient stay in the emergency department, an average of 3 hours, up to 8 hours.	The violence or aggression will be collected by professionals of the emergency department. They will be classified in 4 levels of gravity.
Incidence of violence or aggression by patients's accompanying persons directed towards emergency staff	During the patient stay in the emergency department, an average of 3 hours, up to 8 hours.	The violence or aggression will be collected by professionals of the emergency department. They will be classified in 4 levels of gravity.

Trial Locations

Locations (4)

Pôle Information Médicale, Evaluation, Recherche - Hospices Civils de Lyon; 🇫🇷 Lyon, France

Service d'urgences médicales et chirurgicales - Hôpital Edouard Herriot - HCL; 🇫🇷 Lyon, France

Service d'accueil des urgences - Centre hospitalier Lyon Sud - HCL; 🇫🇷 Pierre-Bénite, France

Service médical d'accueil des urgences - Hôpital de la Croix Rousse - HCL; 🇫🇷 Lyon, France