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Impact of a Triage Liaison Physician

This study has been completed.
Sponsor:
ClinicalTrials.gov Identifier:
NCT02980159
First Posted: December 2, 2016
Last Update Posted: July 27, 2017
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
Information provided by (Responsible Party):
Olivier T. Rutschmann, University Hospital, Geneva
  Purpose
Due to an increasing number of patients admitted in emergency departments, many patients cannot be evaluated immediately after their admission. The function of "triage liaison physician" was introduced in Spring 2015. The objective of this study is to evaluate the impact of this new function on patients' flow in the ED.

Condition Intervention
Emergencies Triage Other: Triage liaison physician

Study Type: Observational
Study Design: Observational Model: Cohort
Time Perspective: Retrospective
Official Title: Impact of a Triage Liaison Physician on the Time to First Medical Evaluation in the Emergency Departement

Further study details as provided by Olivier T. Rutschmann, University Hospital, Geneva:

Primary Outcome Measures:
  • Proportion of patients evaluated within SETS objectives [ Time Frame: Within 120 minutes after ED triage ]
    Proportion of patients evaluated within time objective as defined by SETS standards.


Secondary Outcome Measures:
  • Time to first medical contact [ Time Frame: Within 24 hours after ED triage ]
    Time elapsed between triage and first medical evaluation


Enrollment: 69893
Study Start Date: November 2016
Study Completion Date: June 2017
Primary Completion Date: June 2017 (Final data collection date for primary outcome measure)
Groups/Cohorts Assigned Interventions
Before triage liaison physician
All patients admitted before the introduction of the function of triage liaison physician.
After triage liaison physician
All patients admitted after the introduction of the function of triage liaison physician.
Other: Triage liaison physician
A triage liaison physician is present from 7:30 am to 10:30 pm, Monday to Friday, with the mission to evaluate quickly patients who cannot be immediately installed in an ED room

Detailed Description:

Geneva University Hospitals (GUH) emergency department (ED) admits more than 64000 patients every year. These patients are triaged using the Swiss Emergency Triage Scale (SETS), a 4-level triage scale. The SETS imposes time objectives until the first medical evaluation (20 minutes for SETS 2, 2 hours for SETS 3). In 2014, only 60% of level-2 and 63% of level-3 emergencies were evaluated within 20 and 120 minutes respectively.

A triage liaison physician was introduced in Spring 2015 with the mission to help triage nurse in their decisions and to evaluate quickly the patients that cannot be immediately installed in an ED evaluation room.

The objective of this study is to evaluate the impact of the triage liaison physician on the times to first medical evaluation.

  Eligibility

Information from the National Library of Medicine

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Ages Eligible for Study:   16 Years and older   (Child, Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population
All patient admitted in GUH ED during 2 years.
Criteria

Inclusion Criteria:

  • >= 16 y
  • admitted in GUH ED

Exclusion Criteria:

  • patients triaged to outpatient clinics
  Contacts and Locations
Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02980159


Locations
Switzerland
Geneva University Hospitals, ED
Geneva, Switzerland, 1211
Sponsors and Collaborators
University Hospital, Geneva
Investigators
Principal Investigator: Olivier T Rutschmann, MD, MPH University Hospital, Geneva
  More Information

Responsible Party: Olivier T. Rutschmann, Professor, Chief deputy, University Hospital, Geneva
ClinicalTrials.gov Identifier: NCT02980159     History of Changes
Other Study ID Numbers: CCER 2016-00179
First Submitted: November 24, 2016
First Posted: December 2, 2016
Last Update Posted: July 27, 2017
Last Verified: July 2017
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

Additional relevant MeSH terms:
Emergencies
Disease Attributes
Pathologic Processes