Evaluation of the Impact of a Teleconsultation Performed During Ambulance's Displacement on the On-scene Emergency Team's Stay and Patient's Satisfaction
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 20
- 试验地点
- 2
- 主要终点
- Length of stay of the emergency team at the point of care
研究概览
简要总结
The establishment of pre-hospital care protocols has shown benefits in the prognosis of numerous acute situations, such as myocardial infarction and stroke, but travel time to the hospital is still a key factor in clinical outcomes. Normally carried out by ambulance, the travel time from the hospital to the place of occurrence is underused. New communication technologies, such as telemedicine, have demonstrated high effectiveness in the management of acute illnesses inside and outside the hospital. Upon arrival at the scene, significant time is spent in properly identifying the problem and obtaining a clinical history. The use of telemedicine is current and simplified in the institution. The hypothesis is that telemedicine contact with companions, family members or the patient himself during the ambulance journey, from the hospital to the place of demand, will be associated with a reduction in the time for carrying out diagnostic hypotheses and for the rescue team to stay on site, as well as greater patient satisfaction. OBJECTIVE: To assess the impact of telemedicine used during the ambulance journey, requests for emergency care, on the time spent by the rescue team at the place of care and on patient satisfaction.
详细描述
This is a prospective, open, randomized parallel study, with a single telemedicine center and a single emergency service - both at Hospital Israelita Albert Einstein.
Patients who call the emergency service requesting evaluation by the emergency team in their original place will constitute the study population. Patients over 18 years of age and who agree to participate in the study by signing the informed consent will be included. Patients and/or companions without access to the "WhatsApp" application will be excluded, which would make the video call proposed in this experiment impossible.
- Once the Mobile Emergency Unit is activated by the patient or companion, the ambulance will be sent to the place of care according to institutional protocol.
- After sending the ambulance, in the case of patients over 18 years of age, the administrative team will transfer the call to the telemedicine emergency team, who will immediately tell the patient about the study and request consent to participate.
The consent to participate in the study will be recorded in the medical evolution of the telemedicine chart, filled in by the professional of the emergency medical team of the Telemedicine Department who performs the care. This evolution is available in the institutional chart - Cerner Millenium. It will be recorded with the standard phrase: "the participant (PATIENT'S NAME) agreed to participate in the study entitled Assessment of the impact of teleconsultation carried out during ambulance travel on the length of stay of the emergency team at the place of care, whose number CAAE: 44948821.1.0000.0071. All study information will be transmitted only by the medical team professional of the Telemedicine Department to the patient and/or companion who made contact. The information that will be transmitted to the team ambulance, if the patient is randomized to the intervention group, will be: name, age, reason for the call, associated complaints / relevant history data and possible vital signs, relevant background and medications in use. All these data will also be available in the institutional chart. The patient or companion, upon arriving at the HIAE Emergency Care Unit, will fill in the free and informed consent form (delivered by the transport nurse) when there is a clinical opportunity.
The current care provided by the HIAE Mobile Emergency Unit does not have the participation of a medical team before the arrival of emergency workers at the place of care. Currently, during the entire journey of the ambulance from the base to the place of care for the patient and/or companion, there is no institutional medical evaluation available.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Signing the free and informed consent form.
排除标准
- •Patients / companions without access to the "WhatsApp" application
- •Patients who are not transported to a hospital unit
结局指标
主要结局
Length of stay of the emergency team at the point of care
时间窗: through study completion, an average of 9 months
Comparison the time spent by emergency team at the point of care, before removing the patient to the hospital, with or without telemedicine consultation.
次要结局
- The time spent by emergency team to perform diagnostic hypotheses(through study completion, an average of 9 months)
- Total transport time(through study completion, an average of 9 months)
- Patient or companion satisfaction assessment through Net Promoter Score (NPS) form(through study completion, an average of 9 months)