Using Telemedicine to Optimize Teamwork and Infection Control of Critical and Highly-infectious Patients in an Emergency Department

NCT04591873 | Completed

• 1 other identifier: 202007114RINA
• Study Type: observational
• Target: 74
• Locations: 1 country
• Sites: 1

Brief Summary

Since 2000, various emerging infectious diseases have repeatedly caused serious impact on the health of the global population and the healthcare systems. With the growing international transportation and improving accessibility of the healthcare systems, hospitals have been inevitably the first sentinels dealing with emerging infectious diseases. The biological disasters, such as the Severe Acute Respiratory Syndrome (SARS) in 2003, the Middle East Respiratory Syndrome (MERS) outbreak in South Korean in 2015, and the Coronavirus disease 2019 (COVID-19) outbreak this year, challenged our vulnerable healthcare systems and caused great loss of lives. Regarding the ongoing global epidemics and possible community outbreaks of the COVID-19, the management of biological disasters for an overcrowded emergency department should be planned. In the early 2020, the emergency department used a double-triage and telemedicine method to treat non-critical patient with suspected COVID-19. This application reduced the exposure time of the first responders and reserve adequate interview quality. However, for the critical patients treated in the isolated resuscitation rooms, the unique environment limited the teamwork and communication for the resuscitation team. These factors might led to poorer quality of critical care. The investigators designed a telemedicine-teamwork model, which connected the isolation room, prepare room and nursing station by an video-conferencing system in the emergency department. This model try to break the barriers of space between the rooms and facilitate the teamwork communications between each unit. Besides, by providing a more efficient workflow, this model could lower the total exposure time for all workers in the contaminated area. This study was conducted to evaluate the benefits of the telemedicine-teamwork model and provide a practical, safe and effective alternative to critical care of the patients with suspected highly infectious diseases.

Conditions

Critical Illness; Infections, Respiratory; Emergency Service, Hospital; Telemedicine

Keywords

telemedicine; isolation; critical care; emergency medicine; COVID-19

Outcome Measures

Primary Outcomes (1)

• time to complete intubation

  immediately after intervention

Secondary Outcomes (2)

• teamwork score

  immediately after intervention

• exposure time in isolation rooms

  immediately after intervention

Study Arms (1)

Critical patients in the emergency department

Other: telemedicine; Other: traditional communication tools

Interventions

telemedicine OTHER

Using telemedicine system to communicate

Critical patients in the emergency department

traditional communication tools OTHER

Use telephone or direct verbal communication

Critical patients in the emergency department

Eligibility Criteria

• Age: 20 Years - 99 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Patients triaged as highly-infectious patients, needed to be treated in isolation rooms in the emergency department.

For patients: 1.Patients triaged as highly-infectious patients, needed to be treated in isolation rooms in the emergency department. For healthcare providers: 1\. Those providers who participates in the critical care for the patients included in the study accordingly

Contact the study team to discuss eligibility requirements. They can help determine if this study is right for you.

Sponsors & Collaborators

• National Taiwan University Hospital: lead

Study Sites (1)

National Taiwan University Hospital

Taipei, 100, Taiwan

Location

Related Publications (1)

• Lin CH, Lin HY, Wu SN, Tseng WP, Chen WT, Tien YT, Wu CY, Huang CH, Tsai MS. Using a telemedicine-assisted airway model to improve the communication and teamwork of tracheal intubation during the coronavirus disease 2019 pandemic. J Telemed Telecare. 2024 Aug;30(7):1140-1148. doi: 10.1177/1357633X221124175. Epub 2022 Sep 6.

  PMID: 36066025 DERIVED

MeSH Terms

Conditions

Critical Illness; Respiratory Tract Infections; Emergencies; COVID-19

Interventions

Telemedicine

Condition Hierarchy (Ancestors)

Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Infections; Respiratory Tract Diseases; Pneumonia, Viral; Pneumonia; Virus Diseases; Coronavirus Infections; Coronaviridae Infections; Nidovirales Infections; RNA Virus Infections; Lung Diseases

Intervention Hierarchy (Ancestors)

Delivery of Health Care; Patient Care Management; Health Services Administration

Study Officials

• Chien-Hao Lin, MD

  National Taiwan University Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: CASE CONTROL
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: September 23, 2020
• First Posted: October 19, 2020
• Study Start: February 3, 2021
• Primary Completion: July 31, 2021
• Study Completion: July 31, 2021
• Last Updated: May 17, 2023

Record last verified: 2020-10

Locations

TW (1)