EmergenciesNCT02980159
Impact of a Triage Liaison Physician
An observational study of Emergencies and Triage, run by University Hospital, Geneva at 1 site in Switzerland.
Trial summary
Due to an increasing number of patients admitted in emergency departments, many patients cannot be evaluated immediately after their admission. The function of "triage liaison physician" was introduced in Spring 2015. Read more about this study
- Who is it for?
- Ages 16 years and older
- Conditions the study is for
- Emergencies, Triage
- What is being tested?
- Triage liaison physician
- How many people
- 69,893 participants
- Where
- 1 siteSwitzerland
- Study dates
- Nov 2016to Jun 2017
- Phase
- Observational
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 16 years and older
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Study population: All patient admitted in GUH ED during 2 years.
Who may be able to join
- >= 16 y
- admitted in GUH ED
Who cannot join
- patients triaged to outpatient clinics
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Impact of a Triage Liaison Physician on the Time to First Medical Evaluation in the Emergency Departement
Due to an increasing number of patients admitted in emergency departments, many patients cannot be evaluated immediately after their admission. The function of "triage liaison physician" was introduced in Spring 2015. The objective of this study is to evaluate the impact of this new function on patients' flow in the ED.
Read the detailed description
Geneva University Hospitals (GUH) emergency department (ED) admits more than 64000 patients every year. These patients are triaged using the Swiss Emergency Triage Scale (SETS), a 4-level triage scale. The SETS imposes time objectives until the first medical evaluation (20 minutes for SETS 2, 2 hours for SETS 3). In 2014, only 60% of level-2 and 63% of level-3 emergencies were evaluated within 20 and 120 minutes respectively.
A triage liaison physician was introduced in Spring 2015 with the mission to help triage nurse in their decisions and to evaluate quickly the patients that cannot be immediately installed in an ED evaluation room.
The objective of this study is to evaluate the impact of the triage liaison physician on the times to first medical evaluation.
- Conditions
- Emergencies, Triage
- Being tested
- Triage liaison physician
- Medical subject headings
- Emergencies
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Triage liaison physicianOther
A triage liaison physician is present from 7:30 am to 10:30 pm, Monday to Friday, with the mission to evaluate quickly patients who cannot be immediately installed in an ED room
| Study group | Role | What they receive |
|---|---|---|
| Before triage liaison physician | All patients admitted before the introduction of the function of triage liaison physician. | |
| After triage liaison physician | All patients admitted after the introduction of the function of triage liaison physician. Receives: Other: Triage liaison physician |
What is being measured
The primary outcome is the main question the study is designed to answer.
Proportion of patients evaluated within SETS objectives
Proportion of patients evaluated within time objective as defined by SETS standards.
Measured: Within 120 minutes after ED triage
Secondary outcomes (1)
Time to first medical contact
Time elapsed between triage and first medical evaluation
Measured: Within 24 hours after ED triage
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted2 Dec 2016 (estimated)
- Study startNov 2016
- Primary completionJun 2017
- Study completionJun 2017
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for EmergenciesStudies of the same condition, open and under way.
- More trials run by University Hospital, GenevaThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Retrospective
- Enrolment
- 69,893 participants (actual)
Sponsor and investigators
- Lead sponsor
- University Hospital, Geneva
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Olivier T. Rutschmann, University Hospital, Geneva
- Investigators
- Olivier T Rutschmann, MD, MPH, Principal investigator, University Hospital, Geneva
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02980159
- Sponsor's protocol ID
- CCER 2016-00179
- Status last verified
- Jul 2017
- First submitted
- 24 Nov 2016
- Last updated
- 27 Jul 2017
- Results posted
- No
- Data monitoring committee
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 27 Jul 2017. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Impact of a Triage Liaison Physician on the Time to First Medical Evaluation in the Emergency Departement
- ClinicalTrials.gov ID
- NCT02980159
- Acronym / sponsor ID
- CCER 2016-00179
- Conditions
- Emergencies, Triage
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 69,893 participants (actual)
- Lead sponsor
- University Hospital, GenevaUniversity, hospital or other
- Study start
- Nov 2016
- Primary completion
- Jun 2017 (actual)
- Study completion
- Jun 2017 (actual)
- First posted
- 2 Dec 2016 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Due to an increasing number of patients admitted in emergency departments, many patients cannot be evaluated immediately after their admission. The function of "triage liaison physician" was introduced in Spring 2015. The objective of this study is to evaluate the impact of this new function on patients' flow in the ED.
Detailed description
Geneva University Hospitals (GUH) emergency department (ED) admits more than 64000 patients every year. These patients are triaged using the Swiss Emergency Triage Scale (SETS), a 4-level triage scale. The SETS imposes time objectives until the first medical evaluation (20 minutes for SETS 2, 2 hours for SETS 3). In 2014, only 60% of level-2 and 63% of level-3 emergencies were evaluated within 20 and 120 minutes respectively.
A triage liaison physician was introduced in Spring 2015 with the mission to help triage nurse in their decisions and to evaluate quickly the patients that cannot be immediately installed in an ED evaluation room.
The objective of this study is to evaluate the impact of the triage liaison physician on the times to first medical evaluation.
Study design
- Observational model
- Cohort
- Time perspective
- Retrospective
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Before triage liaison physician | – | –All patients admitted before the introduction of the function of triage liaison physician. |
| After triage liaison physician | – | Other: Triage liaison physicianAll patients admitted after the introduction of the function of triage liaison physician. |
Who may qualify
- Ages
- 16 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
- Study population
- All patient admitted in GUH ED during 2 years.
Key inclusion criteria (2 listed)
- >= 16 y
- admitted in GUH ED
Key exclusion criteria (1 listed)
- patients triaged to outpatient clinics
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Triage liaison physicianA triage liaison physician is present from 7:30 am to 10:30 pm, Monday to Friday, with the mission to evaluate quickly patients who cannot be immediately installed in an ED room | Other | After triage liaison physician |
Primary outcome
Proportion of patients evaluated within SETS objectives
Time frame: Within 120 minutes after ED triage
Proportion of patients evaluated within time objective as defined by SETS standards.
1 secondary outcome
Time to first medical contact
Time frame: Within 24 hours after ED triage
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 27 Jul 2017.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Olivier T Rutschmann, MD, MPH principal investigator
University Hospital, Geneva
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Emergencies and Triage, run by University Hospital, Geneva at 1 site in Switzerland.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 2 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 27 Jul 2017. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Switzerland. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Proportion of patients evaluated within SETS objectives (time frame: Within 120 minutes after ED triage). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Jul 2017.