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Application of Geographical Information System Data in the Emergency Department, Effect on Trauma Team and Medical Emergency Team Wait

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ClinicalTrials.gov Identifier: NCT02188966
Recruitment Status : Completed
First Posted : July 14, 2014
Last Update Posted : December 9, 2015
Sponsor:
Collaborators:
Regional Hospital Horsens, Central Denmark Region
Central Denmark Region
Aarhus University Hospital
Information provided by (Responsible Party):
University of Aarhus

Study Description
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Brief Summary:
In the Emergency Department Regional Hospital Horsens a monitor will display Geographical Information System data (GIS data) for all ambulances with the hospital as final destination. The location, estimated time of arrival (ETA) and urgency code for the ambulances will be showed. Furthermore the patient's name, personal identification number and the primary message received by the emergency medical dispatch center resulting in ambulance dispatch will be displayed. This may enable the coordinating nurse to optimize timing of the ad hoc trauma team and medical emergency team activation. The teams are activated if the patient's condition is assessed to be of the highest urgency and/or severity - triage 1 or "red". The coordinating nurse makes this assessment on the basis of information from the ambulance personnel and makes the decision to activate the team and when to do it. In this study the investigators want to examine if the availability of GIS data in the emergency department results in reduced waiting time for the members of the trauma team and medical emergency team. The study will be conducted as a before and after study.

Condition or disease Intervention/treatment Phase
All Acutely Ill or Injured Patients Device: Geographic Information System Not Applicable

Study Design
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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 599 participants
Allocation: N/A
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Official Title: Telemedical Solutions in Medical Emergencies, Advantages and Disadvantages for Patients, Healthcare Professionals, and Healthcare System. Study 4: Application of Geographical Information System Data in the Emergency Department, Effect on Trauma Team and Medical Emergency Team Wait - a Before and After Study
Study Start Date : May 2014
Actual Primary Completion Date : November 2014
Actual Study Completion Date : November 2014

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Arms and Interventions
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Arm Intervention/treatment
Experimental: Geographical Information System
Availability of Geographical Information System data from ambulances destined for the Emergency Department of Regional Hospital Horsens.
 Device: Geographic Information System
GIS data is delivered by "SimaTech Enterprise System" communicating via the mobile network and TETRA (in Denmark called SINE). It is developed as a Java Enterprise application and is executed on a JBOSS application platform
Other Name: "ADO - AMK Dynamisk Overvågning" (Emergency Medical Dispatch Dynamic Surveillance)


Outcome Measures
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Primary Outcome Measures :
  1. Waiting time [ Time Frame: Time from activation of trauma team to arrival of patient, expected assesment within 1 minute after patients arrival, expected to be presented up to 36 months after assesment . ]
    Triage 1 or "red" of a patient indicates the highest urgency and/or severity of illness. If the coordinating nurse at the emergency department assess that a patient on the to the department is "red" the trauma team or medical emergency team is activated. The time is registered automatically in the internal telephone system of the hospital. The patient's time of arrival is registered manually. The time from activation to arrival can then be calculated and is defined as "Waiting time".


Eligibility Criteria
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Ages Eligible for Study:   15 Years and older   (Child, Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Critically Ill or Severely injured patients transported by ambulance
  • Patients must be in triage category 1/"red"
  • Emergency Medical Team og Trauma Team must be activated.
Contacts and Locations
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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): NCT02188966


Locations
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Denmark
Emergency Departmartment Regional Hospital Horsens
Horsens, Central Denmark Regione, Denmark, 8700
Sponsors and Collaborators
University of Aarhus
Regional Hospital Horsens, Central Denmark Region
Central Denmark Region
Aarhus University Hospital
Investigators
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Principal Investigator: Nikolaj Raaber, MD Central Denmark Region
Study Director: Erika Christensen, MD, medical director Central Denmark Region
More Information
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Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):

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Responsible Party: University of Aarhus
ClinicalTrials.gov Identifier: NCT02188966    
Other Study ID Numbers: NRAA4
First Posted: July 14, 2014    Key Record Dates
Last Update Posted: December 9, 2015
Last Verified: March 2014
Keywords provided by University of Aarhus:
Geographic Information System
Emergency Care Information Systems
Telemedicine
Emergency Hospital Service
Additional relevant MeSH terms:
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Emergencies
Disease Attributes
Pathologic Processes