Using Telemedicine to Optimize Teamwork and Infection Control of Critical and Highly-infectious Patients in an Emergency Department
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|ClinicalTrials.gov Identifier: NCT04591873|
Recruitment Status : Not yet recruiting
First Posted : October 19, 2020
Last Update Posted : October 19, 2020
Since 2000, various emerging infectious diseases have repeatedly caused serious impact on the health of the global population and the healthcare systems. With the growing international transportation and improving accessibility of the healthcare systems, hospitals have been inevitably the first sentinels dealing with emerging infectious diseases. The biological disasters, such as the Severe Acute Respiratory Syndrome (SARS) in 2003, the Middle East Respiratory Syndrome (MERS) outbreak in South Korean in 2015, and the Coronavirus disease 2019 (COVID-19) outbreak this year, challenged our vulnerable healthcare systems and caused great loss of lives.
Regarding the ongoing global epidemics and possible community outbreaks of the COVID-19, the management of biological disasters for an overcrowded emergency department should be planned. In the early 2020, the emergency department used a double-triage and telemedicine method to treat non-critical patient with suspected COVID-19. This application reduced the exposure time of the first responders and reserve adequate interview quality. However, for the critical patients treated in the isolated resuscitation rooms, the unique environment limited the teamwork and communication for the resuscitation team. These factors might led to poorer quality of critical care.
The investigators designed a telemedicine-teamwork model, which connected the isolation room, prepare room and nursing station by an video-conferencing system in the emergency department. This model try to break the barriers of space between the rooms and facilitate the teamwork communications between each unit. Besides, by providing a more efficient workflow, this model could lower the total exposure time for all workers in the contaminated area. This study was conducted to evaluate the benefits of the telemedicine-teamwork model and provide a practical, safe and effective alternative to critical care of the patients with suspected highly infectious diseases.
|Condition or disease||Intervention/treatment|
|Critical Illness Infections, Respiratory Emergency Service, Hospital Telemedicine||Other: telemedicine Other: traditional communication tools|
|Study Type :||Observational|
|Estimated Enrollment :||100 participants|
|Official Title:||Application of Telemedicine to Optimize Teamwork and Infection Control of Critical Patients in Isolation Rooms in the Emergency Department During Novel Coronavirus Disease 2019 Outbreak|
|Estimated Study Start Date :||October 10, 2020|
|Estimated Primary Completion Date :||October 10, 2021|
|Estimated Study Completion Date :||October 30, 2021|
|Critical patients in the emergency department||
Using telemedicine system to communicate
Other: traditional communication tools
Use telephone or direct verbal communication
- time to complete intubation [ Time Frame: immediately after intervention ]
- teamwork score [ Time Frame: immediately after intervention ]Team Emergency Assessment Measure, minimal score is 0 and the maximal score is 4. Higher score means a better outcome.
- exposure time in isolation rooms [ Time Frame: immediately after intervention ]
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): NCT04591873
|Contact: Chien-Hao Lin, MD||+88623123456 ext email@example.com|
|National Taiwan University Hospital|
|Taipei, Taiwan, 100|
|Contact: Chien-Hao Lin, MD +88623123456 ext 62831 firstname.lastname@example.org|
|Principal Investigator:||Chien-Hao Lin, MD||National Taiwan University Hospital|