Standardized Comparison of Triage in EMS
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Purpose
The objective of this study is to evaluate the reliability and validity of acuity estimates by paramedics employing the Canadian Triage Acuity Scale (CTAS) in the out of hospital setting. The study has the potential to help guide policy decisions pertaining to the safe transfer of ambulance patients to alternative destinations reducing ED overcrowding and ambulance off load time. Emergency Department triage nurses employ the same acuity scale and if this study is successful the emergency departments and the EMS services could communicate about capacity to handle patients based on acuity, volumes and waiting times.
| Condition |
|---|
|
Healthy |
| Study Type: | Observational |
| Study Design: | Observational Model: Case-Only Time Perspective: Prospective |
| Official Title: | Study to Evaluate the Safety and Efficacy of Redirecting Ambulance Patients to Destinations Based on Acuity |
| Estimated Enrollment: | 800 |
| Study Start Date: | February 2003 |
| Study Completion Date: | December 2008 |
Show Detailed Description
Eligibility| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
| Sampling Method: | Probability Sample |
This study is taking place in 7 EMS systems in Ontario: Peterborough, Thunder Bay, Hamilton, Simcoe/Muskoka, Durham, Peel, and Toronto.
The participants(Both Primary care paramedics and Advance Care Parmaeidcs)are riding as civilian observers under contract to the Sunnybrook and Women's College Health Sciences Centre Research Institute and have signed liability release forms.
The main focus of the SCORE study is to determine how well paramedics in the field can correctly assign CTAS scores. By showing that it can be done reliably, decisions can be made on suitable destinations, especially for the low acuity patient.
Inclusion Criteria:
- All patients
Contacts and Locations| Canada, Ontario | |
| Hamilton Health Sciences | |
| Hamilton, Ontario, Canada, L8V 1C3 | |
| Sunnybrook-Osler Centre for Prehospital Care | |
| Toronto, Ontario, Canada, M9W 7K6 | |
| Principal Investigator: | Laurie Morrison, MD | Sunnybrook Health Sciences Center |
More Information
Additional Information:
No publications provided
| Responsible Party: | Dr.Laurie J Morrison, Sunnybrook Health Sciences Centre |
| ClinicalTrials.gov Identifier: | NCT00468780 History of Changes |
| Other Study ID Numbers: | 724180022 |
| Study First Received: | May 1, 2007 |
| Last Updated: | August 9, 2011 |
| Health Authority: | Canada: Ministry of Health |
Keywords provided by Sunnybrook Health Sciences Centre:
|
Canadian Triage Acuity Scale paramedics triage nurse |
triage levels inter-rater reliability health services outcomes |
ClinicalTrials.gov processed this record on May 16, 2013