Establishment of Emergency Surgery Triage and Checklist Management System--A Mixed Method Study
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- The number of omitted information
研究概览
简要总结
The goal of this observational study is to develop and test a system for managing emergency surgery patients at Beijing Union Medical College Hospital. The main questions it aims to answer are:
What information is necessary for effective patient triage and handovers between the emergency department, anesthesia, and ICU for surgical patients? How effective and feasible is a standardized handover process in improving patient outcomes and safety?
Participants will:
Be observed and have their handovers documented to identify key information required.
Participate in implementing a new handover checklist and triage system.
Researchers will compare the periods before and after implementing the new system to see if it:
Reduces missed critical information during handovers. Decreases pre-surgery waiting times for critically ill patients. Improves overall patient safety and outcomes, including reducing postoperative complications, mortality rates, length of hospital stay, and medical costs.
详细描述
The study will be conducted in several phases to establish a comprehensive emergency surgery triage and checklist management system at Beijing Union Medical College Hospital.
Phase 1: Literature Review and Initial Assessment First, a comprehensive review of existing literature and past emergency surgery cases will be conducted to identify common issues and best practices.
Phase 2: Expert Panel and Delphi Process An expert panel consisting of hospital management staff, anesthesiologists, emergency surgeons, ICU intensivists, and ER doctors will be formed. This panel will engage in a Delphi process to discuss and develop a standardized system for managing emergency surgery patients.
Phase 3: System Implementation and Testing
The newly developed system will be implemented and tested. Key metrics to be documented, evaluated, and compared include:
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients scheduled for emergency surgery.
- •Patients whose condition is critical before surgery, requiring admission to the resuscitation room, emergency observation, or other hospital wards for treatment.
排除标准
- 未提供
结局指标
主要结局
The number of omitted information
时间窗: Outcome will be assessed on the operative day
The number of omitted information items during the emergency-anesthesia handover.
次要结局
- Patient waiting times, including time to theatre and time to incision.(Outcome will be assessed on the operative day)
- Feasibility of handover checklist(Outcome will be assessed on the operative day)
- In-hospital mortality(From date of admission until discharge, assessed up to 4 weeks)
- In-hospital morbidity(From date of admission until discharge, assessed up to 4 weeks)