TriageNCT05388292
Decision Support System on Emergency Triage
A study testing Emergency triage decision support system in people with Triage and Emergencies, run by Akdeniz University at 1 site in Turkey (Türkiye).
Trial summary
The objective of this study is to design a computer-based Decision Support System (DSS) using the ESI (Emergency Severity Index) and ATS (Australasian Triage Scale) algorithms, integrate it into the Hospital Information Management System (HIMS), evaluate the effect of the triage management in the emergency department… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Triage, Emergencies, Decision Support Systems
- What is being tested?
- Emergency triage decision support system
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 5,038 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 16 Jul 2020to 16 Sep 2020
- Phase
- Interventional
- 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 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Data of adult patients who applied to the adult emergency department and whose triage record was opened by a triage nurse.
- Patient data with no probable or definitive diagnosis of COVID-19.
Who cannot join
- Data of pediatric trauma patients (under 18 years of age) Patient data for which the triage record was opened by non-nursing healthcare professionals Patient data recorded in triage by nurses who did not receive ATKDS, Emergency nurse triage, ESI, ATS training Data of patients who applied with a probable/definite diagnosis of COVID-19 and underwent PCR testing Patient data in the date range when extraordinary changes were made in the adult emergency department patient triage area and evaluation process due to the COVID 19 pandemic and the developed system could not be used (must use the SB COVID Algorithm)
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Effect of Computer-based Decision Support System on Emergency Triage Management
The objective of this study is to design a computer-based Decision Support System (DSS) using the ESI (Emergency Severity Index) and ATS (Australasian Triage Scale) algorithms, integrate it into the Hospital Information Management System (HIMS), evaluate the effect of the triage management in the emergency department and ensure the continuity of the system.
Read the detailed description
Background: Triage in the emergency department overstrains employees due to patient density, diversity, and time pressure.
Aim: The objective of this study is to design a computer-based Decision Support System (DSS) using the ESI (Emergency Severity Index) and ATS (Australasian Triage Scale) algorithms, integrate it into the Hospital Information Management System (HIMS), evaluate the effect of the triage management in the emergency department and ensure the continuity of the system.
Study design: This is a quasi-experimental study with a single-group pre-test and post-test design. The study consisted of three stages.
Methods: In the first stage, a SQL (Structured Query Language) Script was developed to evaluate the accuracy and duration of pre-and post-DSS triage decisions. In the second stage (pre-test), the accuracy and duration of pre-DSS triage decisions were evaluated. In the second stage, a DSS was prepared with rule-based decision trees method using the ESI and ATS algorithms and was integrated into the HIMS. In the third and last stage (post-test), the effect of the developed Emergency Triage Decision Support System (ETDSS) on triage management was evaluated against the accuracy and duration of triage decisions.
- Conditions
- Triage, Emergencies, Decision Support Systems
- Being tested
- Emergency triage decision support system
- Medical subject headings
- Emergencies
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Emergency triage decision support systemOther
Evaluating the impact of the developed Emergency Triage Decision Support System on triage management
| Study group | Role | What they receive |
|---|---|---|
| Development of triage decision support system | Other | This is a quasi-experimental study with a single-group pre-test and post-test design.
The study consisted of three stages. In the first stage, a structured Query Language Script was developed to evaluate the accuracy and duration of pre-and post-DSS triage decisions. In the second stage (pre-test), the accuracy and duration of pre-DSS triage decisions were evaluated. In the second stage, a DSS was prepared with rule-based decision trees method using the ESI and ATS algorithms and was integrated into the HIMS. In the third and last stage (post-test), the effect of the developed Emergency Triage Decision Support System on triage management was evaluated against the accuracy and duration of triage decisions. Receives: Other: Emergency triage decision support system |
What is being measured
The primary outcome is the main question the study is designed to answer.
Emergency Triage Decision Support System triage management was evaluated against the accuracy and duration of triage decisions
The effect of the decision support system on the triage decision accuracy
Measured: 8 weeks (triage decision' accuracy in eight-week hospital information management system data)
Secondary outcomes (1)
Emergency Triage Decision Support System
The effect of decision support system on triage decision duration
Measured: 8 weeks (triage decision' duration in eight-week hospital information management system data)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted24 May 2022
- Study start16 Jul 2020
- Primary completion16 Sep 2020
- Study completion16 Sep 2020
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for TriageStudies of the same condition, open and under way.
- 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
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Prevention
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 5,038 participants (actual)
Sponsor and investigators
- Lead sponsor
- Akdeniz University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Songül BİŞKİN ÇETİN, Akdeniz University
- Investigators
- Fatma Cebeci, Study chair, 1962
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05388292
- Sponsor's protocol ID
- 2012-KAEK-20-2019
- Status last verified
- Feb 2024
- First submitted
- 28 Apr 2022
- Last updated
- 2 Feb 2024
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 2 Feb 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effect of Computer-based Decision Support System on Emergency Triage Management
- ClinicalTrials.gov ID
- NCT05388292
- Acronym / sponsor ID
- 2012-KAEK-20-2019
- Conditions
- Triage, Emergencies, Decision Support Systems
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 5,038 participants (actual)
- Lead sponsor
- Akdeniz UniversityUniversity, hospital or other
- Study start
- 16 Jul 2020 (actual)
- Primary completion
- 16 Sep 2020 (actual)
- Study completion
- 16 Sep 2020 (actual)
- First posted
- 24 May 2022 (actual)
- 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.
The objective of this study is to design a computer-based Decision Support System (DSS) using the ESI (Emergency Severity Index) and ATS (Australasian Triage Scale) algorithms, integrate it into the Hospital Information Management System (HIMS), evaluate the effect of the triage management in the emergency department and ensure the continuity of the system.
Detailed description
Background: Triage in the emergency department overstrains employees due to patient density, diversity, and time pressure.
Aim: The objective of this study is to design a computer-based Decision Support System (DSS) using the ESI (Emergency Severity Index) and ATS (Australasian Triage Scale) algorithms, integrate it into the Hospital Information Management System (HIMS), evaluate the effect of the triage management in the emergency department and ensure the continuity of the system.
Study design: This is a quasi-experimental study with a single-group pre-test and post-test design. The study consisted of three stages.
Methods: In the first stage, a SQL (Structured Query Language) Script was developed to evaluate the accuracy and duration of pre-and post-DSS triage decisions. In the second stage (pre-test), the accuracy and duration of pre-DSS triage decisions were evaluated. In the second stage, a DSS was prepared with rule-based decision trees method using the ESI and ATS algorithms and was integrated into the HIMS. In the third and last stage (post-test), the effect of the developed Emergency Triage Decision Support System (ETDSS) on triage management was evaluated against the accuracy and duration of triage decisions.
Study design
- Primary purpose
- Prevention
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Development of triage decision support system | Other | Other: Emergency triage decision support systemThis is a quasi-experimental study with a single-group pre-test and post-test design. The study consisted of three stages. In the first stage, a structured Query Language Script was developed to evaluate the accuracy and duration of pre-and post-DSS triage decisions. In the second stage (pre-test), the accuracy and duration of pre-DSS triage decisions were evaluated. In the second stage, a DSS was prepared with rule-based decision trees method using the ESI and ATS algorithms and was integrated into the HIMS. In the third and last stage (post-test), the effect of the developed Emergency Triage Decision Support System on triage management was evaluated against the accuracy and duration of triage decisions. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (2 listed)
- Data of adult patients who applied to the adult emergency department and whose triage record was opened by a triage nurse.
- Patient data with no probable or definitive diagnosis of COVID-19.
Key exclusion criteria (1 listed)
- Data of pediatric trauma patients (under 18 years of age) Patient data for which the triage record was opened by non-nursing healthcare professionals Patient data recorded in triage by nurses who did not receive ATKDS, Emergency nurse triage, ESI, ATS training Data of patients who applied with a probable/definite diagnosis of COVID-19 and underwent PCR testing Patient data in the date range when extraordinary changes were made in the adult emergency department patient triage area and evaluation process due to the COVID 19 pandemic and the developed system could not be used (must use the SB COVID Algorithm)
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 |
|---|---|---|
| Emergency triage decision support systemEvaluating the impact of the developed Emergency Triage Decision Support System on triage management | Other | Development of triage decision support system |
Primary outcome
Emergency Triage Decision Support System triage management was evaluated against the accuracy and duration of triage decisions
Time frame: 8 weeks (triage decision' accuracy in eight-week hospital information management system data)
The effect of the decision support system on the triage decision accuracy
1 secondary outcome
Emergency Triage Decision Support System
Time frame: 8 weeks (triage decision' duration in eight-week hospital information management system data)
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 2 Feb 2024.
- 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.
Fatma Cebeci study chair
1962
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Emergency triage decision support system in people with Triage and Emergencies, run by Akdeniz University at 1 site in Turkey (Türkiye).
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 2 Feb 2024. 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 Turkey (Türkiye). 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?
Emergency Triage Decision Support System triage management was evaluated against the accuracy and duration of triage decisions (time frame: 8 weeks (triage decision' accuracy in eight-week hospital information management system data)). 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 2 Feb 2024.