The Impact of Medical Checklists on the Management of Acute Situations in the Emergency Department. A Simulation-based Randomised Controlled Trial.
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 56
- 试验地点
- 1
- 主要终点
- Duration of the scenario
研究概览
简要总结
This study aims to investigate whether the use of medical checklists in the emergency department can decrease resuscitation time in critically ill patients.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Emergency Physicians recognised by KNMG (Koninklijke Nederlandsche Maatschappij tot bevordering van de Geneeskunst) working in the Netherlands
排除标准
- •Residents (in Dutch: AIOS) Emergency Medicine
- •Interns (in Dutch: ANIOS) Emergency Medicine
研究组 & 干预措施
Intervention group: with 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.
干预措施: Checklist (Device)
Control group: without checklist
Emergency physicians will be asked to perform the scenario as they would in their daily practice. They will be allowed to use their usual cognitive aids (eg, phone, internet) but not allowed to request help from others.
结局指标
主要结局
Duration of the scenario
时间窗: 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.
次要结局
- Number of indicated interventions performed by the emergency physician(Through study completion, indicated 10 months)
- Satisfaction of emergency physicians with the checklists(Through study completion, indicated 10 months)
研究者
Malu van der Capellen
Principal Investigator
Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)