Medical Checklists in the Emergency Department

Not Applicable

Recruiting

• Conditions: Emergencies; Tricyclic Antidepressant Toxicity; Tricyclic Antidepressant Poisoning
• Interventions: Device: Checklist

• Registration Number: NCT05496114
• Lead Sponsor: Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)

Brief Summary

This study aims to investigate whether the use of medical checklists in the emergency department can decrease resuscitation time in critically ill patients.

Detailed Description

A scenario evaluating tricyclic antidepressant poisoning will be carried out with and without medical checklist access. Emergency physicians from the Netherlands who are willing to take part in the study are randomly allocated to perform the scenario with or without checklists.

Study Timeline

• Study First Submitted: 2022-08-08
• Study First Submitted QC: 2022-08-09
• Study First Posted: 2022-08-11
• Study Start: 2023-09-01
• Status Verified: 2024-05
• Last Update Submitted: 2024-05-02
• Last Update Posted: 2024-05-03
• Primary Completion: 2024-09
• Study Completion: 2025-02

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 56

Inclusion Criteria

• Emergency Physicians recognised by KNMG (Koninklijke Nederlandsche Maatschappij tot bevordering van de Geneeskunst) working in the Netherlands

Exclusion Criteria

• Residents (in Dutch: AIOS) Emergency Medicine
• Interns (in Dutch: ANIOS) Emergency Medicine

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Intervention group: with checklist	Checklist	When starting the scenario, a checklist will be given to the emergency physician. The checklist outlines interventions to consider during management of a patient with tricyclic antidepressant poisoning. Each checklist will include indications, contra-indications and for medication, dose, route and rate of administration.

Primary Outcome Measures

Name	Time	Method
Duration of the scenario	Through study completion, indicated 10 months	The primary outcome is the duration of primary resuscitation utilizing the checklists versus treatment on discretion of the treating physician. The simulation will be terminated when all indicated interventions are performed, when the team expresses that they cannot think of any other intervention to perform or when 15 minutes have elapsed.

Secondary Outcome Measures

Name	Time	Method
Number of indicated interventions performed by the emergency physician	Through study completion, indicated 10 months	Based on the checklist, a number of predefined indicated interventions is established. When reviewing the video recordings, it will be noted whether indicated interventions were performed and when these interventions were performed. The order according to which interventions are performed will not impact on this secondary outcome.
Satisfaction of emergency physicians with the checklists	Through study completion, indicated 10 months	Participants, who run the scenarios with checklist access, will be asked to fill out a questionnaire evaluating the checklist (5-point Likert scales).

Trial Locations

Locations (1)

Amsterdam University Medical Center; 🇳🇱 Amsterdam, Netherlands