A Nursing Triage Protocol for Minor Orthopedic Traumata: the Effect on Flow Time, Quality of Care and Patient Satisfaction in an Emergency Department
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 220
- 试验地点
- 2
- 主要终点
- TLOS
研究概览
简要总结
In 2019, nearly half of all hospital contacts in Belgium took place through the emergency department, and more than a third of patients arrived after an accident or trauma. In instances of overcrowding, patients with minor orthopedic injuries face prolonged waiting times. Previous studies have shown that implementing triage protocols for medical imaging conducted by a triage nurse can reduce the Total Length of Stay (TLOS) for this patient group.
This is a single-center, unblinded, randomized, controlled trial that aims to evaluate the impact of a nurse triage protocol on turnaround time (primary outcome), quality of care, and patient satisfaction. The study population consists of adults who present with minor orthopedic injuries below the elbow or knee and have an Emergency Severity Index (ESI) of 4 or 5. Participants are randomly assigned to either the 'nurse triage protocol' group (n=110) or the 'usual care' group (n=110).
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Diagnostic
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Adults (18 years old)
- •ESI 4 or ESI 5 Recent trauma (< 10 days after trauma)
- •Accidental trauma mechanism
- •Trauma below the elbow (forearm, wrist, hand, finger)
- •Trauma below the knee (lower leg, ankle, foot, toe)
排除标准
- •ESI 1 or ESI 2 or ESI 3
- •Return visit after previous emergency department contact for the same injury (e.g. increased pain, tight cast, ...)
- •Trauma resulting from underlying somatic pathology (e.g. syncope, epileptic attack, vertigo, vasovagal collapse, ...)
- •Atraumatic (pain) complaints (e.g. pain in the calf, toe, foot, wrist, ... without a clear trauma mechanism)
- •Additional, non-orthopedic injuries (e.g. laceration, signs of cerebral commotion, ...)
- •Pregnancy or a suspicion of pregnancy
结局指标
主要结局
TLOS
时间窗: 6-8 weeks
Total length of stay
次要结局
- Patient satisfaction(6-8 weeks)
- Treatment efficiency(6-8 weeks)
研究者
Filip Haegdorens
Principal Investigator
Universiteit Antwerpen