Ignite Creation Date:
2024-07-17 @ 11:40 AM
Last Modification Date:
2024-10-26 @ 3:34 PM
Study NCT ID:
NCT06501157
Status:
ACTIVE_NOT_RECRUITING
Last Update Posted:
2024-07-15
First Post:
2024-06-12
Brief Title:
Establishment of Emergency Surgery Triage and Checklist Management System
Sponsor:
Peking Union Medical College Hospital
Organization:
Peking Union Medical College Hospital
Study Overview
Official Title:
Establishment of Emergency Surgery Triage and Checklist Management System--A Mixed Method Study
Status:
ACTIVE_NOT_RECRUITING
Status Verified Date:
2024-06
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The goal of this observational study is to develop and test a system for managing emergency surgery patients at Beijing Union Medical College Hospital The main questions it aims to answer are
What information is necessary for effective patient triage and handovers between the emergency department anesthesia and ICU for surgical patients How effective and feasible is a standardized handover process in improving patient outcomes and safety
Participants will
Be observed and have their handovers documented to identify key information required
Participate in implementing a new handover checklist and triage system
Researchers will compare the periods before and after implementing the new system to see if it
Reduces missed critical information during handovers Decreases pre-surgery waiting times for critically ill patients Improves overall patient safety and outcomes including reducing postoperative complications mortality rates length of hospital stay and medical costs
What information is necessary for effective patient triage and handovers between the emergency department anesthesia and ICU for surgical patients How effective and feasible is a standardized handover process in improving patient outcomes and safety
Participants will
Be observed and have their handovers documented to identify key information required
Participate in implementing a new handover checklist and triage system
Researchers will compare the periods before and after implementing the new system to see if it
Reduces missed critical information during handovers Decreases pre-surgery waiting times for critically ill patients Improves overall patient safety and outcomes including reducing postoperative complications mortality rates length of hospital stay and medical costs
Detailed Description:
The study will be conducted in several phases to establish a comprehensive emergency surgery triage and checklist management system at Beijing Union Medical College Hospital
Phase 1 Literature Review and Initial Assessment First a comprehensive review of existing literature and past emergency surgery cases will be conducted to identify common issues and best practices
Phase 2 Expert Panel and Delphi Process An expert panel consisting of hospital management staff anesthesiologists emergency surgeons ICU intensivists and ER doctors will be formed This panel will engage in a Delphi process to discuss and develop a standardized system for managing emergency surgery patients
Phase 3 System Implementation and Testing
The newly developed system will be implemented and tested Key metrics to be documented evaluated and compared include
The number of omitted information items during the emergency-anesthesia handover
Staff satisfaction with the new handover process across the emergency department general surgery anesthesia and ICU
In-hospital mortality rate after surgery Postoperative in-hospital complications classified by Clavien-Dindo grading and their incidence rate
Patient waiting times including time to theatre and time to incision Duration of the handover process Incidence of follow-up calls to inquire about additional information after the handover
Phase 4 Evaluation and Comparison The effectiveness and feasibility of the new system will be evaluated by comparing the collected data before and after its implementation This comparison will help determine the system39s impact on improving patient outcomes safety and staff efficiency
By systematically addressing the critical points of patient handovers and emergency surgery management this study aims to enhance overall healthcare quality and patient safety in emergency surgical settings
Phase 1 Literature Review and Initial Assessment First a comprehensive review of existing literature and past emergency surgery cases will be conducted to identify common issues and best practices
Phase 2 Expert Panel and Delphi Process An expert panel consisting of hospital management staff anesthesiologists emergency surgeons ICU intensivists and ER doctors will be formed This panel will engage in a Delphi process to discuss and develop a standardized system for managing emergency surgery patients
Phase 3 System Implementation and Testing
The newly developed system will be implemented and tested Key metrics to be documented evaluated and compared include
The number of omitted information items during the emergency-anesthesia handover
Staff satisfaction with the new handover process across the emergency department general surgery anesthesia and ICU
In-hospital mortality rate after surgery Postoperative in-hospital complications classified by Clavien-Dindo grading and their incidence rate
Patient waiting times including time to theatre and time to incision Duration of the handover process Incidence of follow-up calls to inquire about additional information after the handover
Phase 4 Evaluation and Comparison The effectiveness and feasibility of the new system will be evaluated by comparing the collected data before and after its implementation This comparison will help determine the system39s impact on improving patient outcomes safety and staff efficiency
By systematically addressing the critical points of patient handovers and emergency surgery management this study aims to enhance overall healthcare quality and patient safety in emergency surgical settings
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None