Clinical trial NCT03139110: Impact of a Mediator for Patient Intake in Emergency Departments
Official title: Welcoming Patients in Emergency Departments: Impact of the Mediator
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Violent Aggressive Behavior
Mediation
Lead sponsor: Hospices Civils de Lyon
Sponsor class: OTHER
First posted: 2017-05-03
Enrollment: 2378
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: The population participating in the study is composed of:

* patients admitted to the emergency department,
* persons accompanying patients,
* professionals of the emergency departments (nurses, MD, administrative staff).

Brief summary: Violence in the workplace is becoming a serious phenomenon in the contemporary world of work. Hospital staff, like any employee working in contact with the public, is particularly exposed to this violence. In emergency departments, the number of patients treated and their heterogeneity, the problems of communicating with healthcare professionals, and waiting times, favor conflict situations. In the already tense context of the emergencies, the incivilities or violent acts have an impact on the well-being of professionals. In order to prevent these situations of violence, a solution could be to integrate a professional with specific skills into the teams to perform mediation functions between caregivers and patients.

The aim of the study is to evaluate the impact of the presence of a mediator in emergency services on personal (verbal or physical) attacks on professionals (caregivers, doctors, administrative staff).


Eligibility criteria: Inclusion Criteria:

* Patient aged 18 years or older.
* Registered at the reception of the emergency department between 8 am and 8 pm, excluding bank holidays.

Exclusion Criteria:

* Patient with psychiatric disorders or impairment of judgment related to the taking of toxic substances.
* Patients requiring medical care in less than 30 minutes (sort code).

Primary outcomes:
measure: Incidence of violence or aggression by patients directed towards emergency staff
timeFrame: During the patient stay in the emergency department, an average of 3 hours, up to 8 hours.
measure: Incidence of violence or aggression by patients's accompanying persons directed towards emergency staff
timeFrame: During the patient stay in the emergency department, an average of 3 hours, up to 8 hours.
Secondary outcomes:
Other outcomes:
Locations:
city: Lyon
country: France
facility: Pôle Information Médicale, Evaluation, Recherche - Hospices Civils de Lyon
city: Lyon
country: France
facility: Service d'urgences médicales et chirurgicales - Hôpital Edouard Herriot - HCL
city: Lyon
country: France
facility: Service médical d'accueil des urgences - Hôpital de la Croix Rousse - HCL
city: Pierre-Bénite
country: France
facility: Service d'accueil des urgences - Centre hospitalier Lyon Sud - HCL
Study officials:
References:
citation: Charrier P, Occelli P, Buchet-Poyau K, Douplat M, Delaroche-Gaudin M, Fayard-Gonon F, Jacquin L, Potinet V, Sigal A, Tazarourte K, Touzet S. Strategies used by emergency care professionals to handle interpersonal difficulties with patients: a qualitative study. BMJ Open. 2021 Feb 8;11(2):e042362. doi: 10.1136/bmjopen-2020-042362.