Testing the effectiveness of a targeted implementation intervention compared with passive dissemination on the uptake of key evidence-based recommended practices in the emergency department management of mild head injury in Australia: A cluster randomised trial

ational Trauma Research Institute0 个研究点目标入组 34 人开始时间: 2012年12月12日最近更新: 2020年1月13日

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•Hospitals: 24 hour (private or public) emergency departments will be eligible for inclusion in the trial.
•Clinician Cohort: Clinicians (both medical and nursing staff member) who have an appointment with the ED and currently engaged in clinical practice will be eligible for inclusion.
•Patient Cohort: Patient participants will be eligible for inclusion if they are at least 18 years old, present to the ED within 24 hours after the traumatic event with potential acute brain injury and who have a GCS score of 14 or 15 at presentation.

•Hospitals will be excluded if they * are either non 24-hour EDs or specialised hospital (e.g. women’s or children) and therefore do not routinely treat adult patients with TBI; * do not have a CT scanner on site; or if there is a significant risk of bias (e.g. risk of contamination due to two EDs having the same ED director or senior influential clinicians working across sites). EDs that participated in the pilot of the intervention will be ineligible for inclusion in the trial.
•Clinician cohort: Academic staff (not currently engaged in the treatment of patients), students/interns, and -for nurses-, bank or agency nurses will be excluded.
•Patient cohort: penetrating injuries, non-traumatic traumatic brain injury such as caused by stroke.
•For the patients who participate in the follow-up (NET-Plus), additional exclusion criteria are: patients not consenting to participate in the follow-up study, and reasons (e.g. non-English speakers) for the patient not being able to answer the questions conducted over the phone

发起方

ational Trauma Research Institute