Checklists Resuscitation Emergency Department

Not Applicable

Not yet recruiting

• Conditions: Shortness of Breath; Cardiac Arrest; Abdominal Pain; Syncope; Seizures; COPD Exacerbation Acute; Pulmonary Edema - Acute; Bradycardia; Shock; Vertigo
• Interventions: Other: Emergency Manual

• Registration Number: NCT05649891
• Lead Sponsor: Region Skane

Brief Summary

The study will systematically evaluate how an emergency manual-a collection of checklists and fact sheets-affects the performance of resuscitation teams during the management of priority one patients in an emergency department.

Detailed Description

Simulation-based studies indicate that crisis checklist use improves management of patients with critical conditions in the emergency department (ED). This six-month-long study prospectively evaluates a digital emergency manual-a collection of crisis checklists and fact sheets-during the management of priority 1 patients in the Skåne University Hospital at Lund's ED.

Study Timeline

• Study First Submitted: 2022-11-21
• Status Verified: 2022-12
• Study First Submitted QC: 2022-12-05
• Last Update Submitted: 2022-12-05
• Study First Posted: 2022-12-14
• Last Update Posted: 2022-12-14
• Study Start: 2023-09
• Primary Completion: 2024-03
• Study Completion: 2024-03

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 2000

Inclusion Criteria

• Consecutive priority 1 patients managed in the resuscitation room of Skåne University Hospital at Lund's Emergency Department

Exclusion Criteria

• None

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Patients managed with Emergency Manual access	Emergency Manual	Consecutive priority 1 patients managed by resuscitation teams with access to an Emergency Manual

Primary Outcome Measures

Name	Time	Method
Degree of indication of interventions performed thanks to Do-Confirm Emergency Manual use	1 hour	The primary outcome measures are the proportions of interventions performed thanks to Do-Confirm EM use graded as indicated, of neutral relevance, and not indicated.

Secondary Outcome Measures

Name	Time	Method
Degree of indication of interventions that might have been performed had the Emergency Manual been used	1 hour	Fifty patients that presented during the six-month period preceding EM implementation, are identified. These 50 patients are selected based on matching to the 50 patients where the EM was used, using age, presenting complaint and relevant co-morbidities. In addition, fifty patients where the EM was not used during the pilot study period are also identified based on the same matching process. The EM is accessed to determine whether additional interventions would have been performed, had the EM been used. All interventions-those actually performed as well as those that might have been performed had the EM been used-are then assessed for degree of indication by three external reviewers.
Team's subjective evaluation of Emergency Manual value	1 hour	The team's subjective evaluation of the EM's value is recorded prior to the logging out from the EM using a Likert scale of 1 to 6.
Structured interviews	Up to 8 weeks	Teams can electronically request contact with the investigators to report specific events related to EM use. If so, the following data is extracted during a structured interview: * patient age, sex, presenting complaint and suspected diagnosis; * seniority of the physician initially in charge of the case; * events or concerns relating to EM use; * mode of EM use (Do-Confirm, Read-Do, Sampling) and sections relevant to the case; * personnel's assessment of the impact of the EM on patient care; * personnel's assessment of impact of the EM on team members and teamwork; * personnel's suggestions for EM improvement