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Cross Checking to Reduce Adverse Events in the Emergency Department (Charmed)

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.
ClinicalTrials.gov Identifier: NCT02356926
Recruitment Status : Completed
First Posted : February 6, 2015
Last Update Posted : February 23, 2017
Information provided by (Responsible Party):
Assistance Publique - Hôpitaux de Paris

Brief Summary:
Multicenter cluster randomized study to evaluate the reduction of the rate of severe medical errors with implementation of systematic cross checkings between emergency physician.

Condition or disease
Emergency Patients

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Study Type : Observational
Actual Enrollment : 1680 participants
Observational Model: Case-Crossover
Time Perspective: Prospective
Official Title: Cross Checking to Reduce Adverse Events Resulting From Medical Errors in the Emergency Department
Study Start Date : February 2016
Actual Primary Completion Date : January 2017
Actual Study Completion Date : January 2017

Resource links provided by the National Library of Medicine

Usual care and routine management
Cross checking
Systematic cross checking between emergency physicians at 11:30, 14:00 and 16:30

Primary Outcome Measures :
  1. Rate of adverse events and preventable adverse events in the 7 days after admission to the emergency [ Time Frame: 7 days ]

    Occurrence of SAEs or "near miss" in the 7 days after admission to the emergency, defined as:

    • Serious Adverse Event (SAE): A damage or injury that may be the result of a medical intervention, or lack thereof.
    • Or "near miss" medical error with the potential to cause damage that has been intercepted or who luckily did not reach the patient

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Probability Sample
Study Population
Emergency patients

Inclusion Criteria:

  • All patients that visit the ED during one of the two periods of recruitment, monday to friday between 8:30am and 4:30pm, will be screened for inclusion. We chose this time interval as they correspond to period that can be exposed to a cross checking, which will occur at 11:30 am, 2:00 pm and 4:30 pm.

Exclusion Criteria:

  • Patients whose care is not provided by an EP (for example psychiatrist or maxillo-facial surgeon)
  • Scheduled return attendance to the ED
  • Low severity, defined by

    1. Triage level 5 on a 1 to 5 scale 13,14
    2. Patients referred to a "minor" or "fast track" unit
    3. Patients discharged home less than 1 hours after first contact with an EP

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): NCT02356926

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Hospital Pitié-Salpêtrière
Paris, France
Sponsors and Collaborators
Assistance Publique - Hôpitaux de Paris
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Principal Investigator: Yonathan Freund Assistance Publique - Hôpitaux de Paris
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
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Responsible Party: Assistance Publique - Hôpitaux de Paris
ClinicalTrials.gov Identifier: NCT02356926    
Other Study ID Numbers: NI14017
CRC13074 ( Other Identifier: AP-HP )
First Posted: February 6, 2015    Key Record Dates
Last Update Posted: February 23, 2017
Last Verified: June 2016
Keywords provided by Assistance Publique - Hôpitaux de Paris:
Adverse events
Medical errors
Emergency department
Cross checking
Additional relevant MeSH terms:
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Disease Attributes
Pathologic Processes