Impact of a Mediator for Patient Intake in Emergency Departments
MEDIA
Welcoming Patients in Emergency Departments: Impact of the Mediator
1 other identifier
observational
2,378
1 country
4
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).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Nov 2017
4 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
April 28, 2017
CompletedFirst Posted
Study publicly available on registry
May 3, 2017
CompletedStudy Start
First participant enrolled
November 15, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2019
CompletedDecember 16, 2019
December 1, 2019
1.5 years
April 28, 2017
December 12, 2019
Conditions
Outcome Measures
Primary Outcomes (2)
Incidence of violence or aggression by patients directed towards emergency staff
The violence or aggression will be collected by professionals of the emergency department. They will be classified in 4 levels of gravity.
During the patient stay in the emergency department, an average of 3 hours, up to 8 hours.
Incidence of violence or aggression by patients's accompanying persons directed towards emergency staff
The violence or aggression will be collected by professionals of the emergency department. They will be classified in 4 levels of gravity.
During the patient stay in the emergency department, an average of 3 hours, up to 8 hours.
Study Arms (2)
Control
Patients treated in emergency departments without the presence of a mediator.
Mediation
Patients treated in emergency departments with the presence of a mediator.
Interventions
The mediator tasks are : * Be available to patients who can solicit him and respond to their requests for information, in particular on the organization of the emergency departments and on waiting times * Have a proactive attitude towards patients showing nervousness signs * Report patients expressing the will to leave the emergency departments before medical care * Manage conflicts between patients / accompanying persons and emergency staff and also between patients.
Eligibility Criteria
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).
You may qualify if:
- Patient aged 18 years or older.
- Registered at the reception of the emergency department between 8 am and 8 pm, excluding bank holidays.
You may not qualify if:
- 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).
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (4)
Pôle Information Médicale, Evaluation, Recherche - Hospices Civils de Lyon
Lyon, 69003, France
Service d'urgences médicales et chirurgicales - Hôpital Edouard Herriot - HCL
Lyon, 69003, France
Service médical d'accueil des urgences - Hôpital de la Croix Rousse - HCL
Lyon, 69004, France
Service d'accueil des urgences - Centre hospitalier Lyon Sud - HCL
Pierre-Bénite, France
Related Publications (2)
Touzet S, Buchet-Poyau K, Denis A, Occelli P, Jacquin L, Potinet V, Sigal A, Delaroche-Gaudin M, Fayard-Gonon F, Tazarourte K, Douplat M. Impact of the presence of a mediator on patient violent or uncivil behaviours in emergency departments: a cluster randomised crossover trial. Eur J Emerg Med. 2024 Jun 1;31(3):201-207. doi: 10.1097/MEJ.0000000000001121. Epub 2024 Feb 7.
PMID: 38329117DERIVEDCharrier 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.
PMID: 33558353DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
April 28, 2017
First Posted
May 3, 2017
Study Start
November 15, 2017
Primary Completion
June 1, 2019
Study Completion
June 1, 2019
Last Updated
December 16, 2019
Record last verified: 2019-12