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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

Tracking Information
First Submitted Date  ICMJE May 12, 2014
First Posted Date  ICMJE July 14, 2014
Last Update Posted Date December 9, 2015
Study Start Date  ICMJE May 2014
Actual Primary Completion Date November 2014   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures  ICMJE
 (submitted: July 11, 2014)
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".
Original Primary Outcome Measures  ICMJE Same as current
Change History
Current Secondary Outcome Measures  ICMJE Not Provided
Original Secondary Outcome Measures  ICMJE Not Provided
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title  ICMJE Application of Geographical Information System Data in the Emergency Department, Effect on Trauma Team and Medical Emergency Team Wait
Official Title  ICMJE 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
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.
Detailed Description Not Provided
Study Type  ICMJE Interventional
Study Phase  ICMJE Not Applicable
Study Design  ICMJE Allocation: N/A
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Condition  ICMJE All Acutely Ill or Injured Patients
Intervention  ICMJE 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)
Study Arms  ICMJE Experimental: Geographical Information System
Availability of Geographical Information System data from ambulances destined for the Emergency Department of Regional Hospital Horsens.
Intervention: Device: Geographic Information System
Publications * Raaber N, Duvald I, Riddervold I, Christensen EF, Kirkegaard H. Geographic information system data from ambulances applied in the emergency department: effects on patient reception. Scand J Trauma Resusc Emerg Med. 2016 Mar 31;24:39. doi: 10.1186/s13049-016-0232-5.

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status  ICMJE Completed
Actual Enrollment  ICMJE
 (submitted: December 8, 2015)
599
Original Estimated Enrollment  ICMJE
 (submitted: July 11, 2014)
200
Actual Study Completion Date  ICMJE November 2014
Actual Primary Completion Date November 2014   (Final data collection date for primary outcome measure)
Eligibility Criteria  ICMJE

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.
Sex/Gender  ICMJE
Sexes Eligible for Study: All
Ages  ICMJE 15 Years and older   (Child, Adult, Older Adult)
Accepts Healthy Volunteers  ICMJE No
Contacts  ICMJE Contact information is only displayed when the study is recruiting subjects
Listed Location Countries  ICMJE Denmark
Removed Location Countries  
 
Administrative Information
NCT Number  ICMJE NCT02188966
Other Study ID Numbers  ICMJE NRAA4
Has Data Monitoring Committee No
U.S. FDA-regulated Product Not Provided
IPD Sharing Statement  ICMJE Not Provided
Responsible Party University of Aarhus
Study Sponsor  ICMJE University of Aarhus
Collaborators  ICMJE
  • Regional Hospital Horsens, Central Denmark Region
  • Central Denmark Region
  • Aarhus University Hospital
Investigators  ICMJE
Principal Investigator: Nikolaj Raaber, MD Central Denmark Region
Study Director: Erika Christensen, MD, medical director Central Denmark Region
PRS Account University of Aarhus
Verification Date March 2014

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP