Clinical trial NCT02188966: Application of Geographical Information System Data in the Emergency Department, Effect on Trauma Team and Medical Emergency Team Wait
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 type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: All Acutely Ill or Injured Patients
Keywords: Geographic Information System
Emergency Care Information Systems
Telemedicine
Emergency Hospital Service
Lead sponsor: University of Aarhus
Sponsor class: OTHER
Collaborators: name: Regionshospitalet Horsens
name: Central Denmark Region
name: Aarhus University Hospital
First posted: 2014-07-14
Enrollment: 599
Sex: ALL
Minimum age (years): 15
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP

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.


Eligibility 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.

Primary outcomes:
measure: Waiting time
timeFrame: 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 .
Secondary outcomes:
Other outcomes:
Locations:
city: Horsens
country: Denmark
facility: Emergency Departmartment Regional Hospital Horsens
state: Central Denmark Regione
Study officials:
affiliation: Central Denmark Region
name: Nikolaj Raaber, MD
role: PRINCIPAL_INVESTIGATOR
affiliation: Central Denmark Region
name: Erika Christensen, MD, medical director
role: STUDY_DIRECTOR
References:
citation: 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.