Effect of Computer-based Decision Support System on Emergency Triage Management
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 5,038
- 试验地点
- 1
- 主要终点
- Emergency Triage Decision Support System triage management was evaluated against the accuracy and duration of triage decisions
研究概览
简要总结
The objective of this study is to design a computer-based Decision Support System (DSS) using the ESI (Emergency Severity Index) and ATS (Australasian Triage Scale) algorithms, integrate it into the Hospital Information Management System (HIMS), evaluate the effect of the triage management in the emergency department and ensure the continuity of the system.
详细描述
Background: Triage in the emergency department overstrains employees due to patient density, diversity, and time pressure.
Aim: The objective of this study is to design a computer-based Decision Support System (DSS) using the ESI (Emergency Severity Index) and ATS (Australasian Triage Scale) algorithms, integrate it into the Hospital Information Management System (HIMS), evaluate the effect of the triage management in the emergency department and ensure the continuity of the system.
Study design: This is a quasi-experimental study with a single-group pre-test and post-test design. The study consisted of three stages.
Methods: In the first stage, a SQL (Structured Query Language) Script was developed to evaluate the accuracy and duration of pre-and post-DSS triage decisions. In the second stage (pre-test), the accuracy and duration of pre-DSS triage decisions were evaluated. In the second stage, a DSS was prepared with rule-based decision trees method using the ESI and ATS algorithms and was integrated into the HIMS. In the third and last stage (post-test), the effect of the developed Emergency Triage Decision Support System (ETDSS) on triage management was evaluated against the accuracy and duration of triage decisions.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Prevention
- 盲法
- None
盲法说明
This is a quasi-experimental study with a single-group pre-test and post-test design.
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Data of adult patients who applied to the adult emergency department and whose triage record was opened by a triage nurse.
- •Patient data with no probable or definitive diagnosis of COVID-19.
排除标准
- •Data of pediatric trauma patients (under 18 years of age) Patient data for which the triage record was opened by non-nursing healthcare professionals Patient data recorded in triage by nurses who did not receive ATKDS, Emergency nurse triage, ESI, ATS training Data of patients who applied with a probable/definite diagnosis of COVID-19 and underwent PCR testing Patient data in the date range when extraordinary changes were made in the adult emergency department patient triage area and evaluation process due to the COVID 19 pandemic and the developed system could not be used (must use the SB COVID Algorithm)
研究组 & 干预措施
Development of triage decision support system
This is a quasi-experimental study with a single-group pre-test and post-test design.
The study consisted of three stages. In the first stage, a structured Query Language Script was developed to evaluate the accuracy and duration of pre-and post-DSS triage decisions. In the second stage (pre-test), the accuracy and duration of pre-DSS triage decisions were evaluated. In the second stage, a DSS was prepared with rule-based decision trees method using the ESI and ATS algorithms and was integrated into the HIMS. In the third and last stage (post-test), the effect of the developed Emergency Triage Decision Support System on triage management was evaluated against the accuracy and duration of triage decisions.
干预措施: Emergency triage decision support system (Other)
结局指标
主要结局
Emergency Triage Decision Support System triage management was evaluated against the accuracy and duration of triage decisions
时间窗: 8 weeks (triage decision' accuracy in eight-week hospital information management system data)
The effect of the decision support system on the triage decision accuracy
次要结局
- Emergency Triage Decision Support System(8 weeks (triage decision' duration in eight-week hospital information management system data))
研究者
Songül BİŞKİN ÇETİN
Principal Investigator
Akdeniz University