Medical Checklists in the Emergency Department

NCT05496114 | Recruiting

• 1 other identifier: W22_163
• Study Type: interventional
• Target: 56
• Locations: 1 country
• Sites: 1

Brief Summary

This study aims to investigate whether the use of medical checklists in the emergency department can decrease resuscitation time in critically ill patients.

Conditions

Emergencies; Tricyclic Antidepressant Poisoning; Tricyclic Antidepressant Toxicity

Keywords

Medical checklists

Outcome Measures

Primary Outcomes (1)

• Duration of the scenario

  The primary outcome is the duration of primary resuscitation utilizing the checklists versus treatment on discretion of the treating physician. The simulation will be terminated when all indicated interventions are performed, when the team expresses that they cannot think of any other intervention to perform or when 15 minutes have elapsed.

  Through study completion, indicated 10 months

Secondary Outcomes (2)

• Number of indicated interventions performed by the emergency physician

  Through study completion, indicated 10 months

• Satisfaction of emergency physicians with the checklists

  Through study completion, indicated 10 months

Study Arms (2)

Intervention group: with checklist

EXPERIMENTAL

When starting the scenario, a checklist will be given to the emergency physician. The checklist outlines interventions to consider during management of a patient with tricyclic antidepressant poisoning. Each checklist will include indications, contra-indications and for medication, dose, route and rate of administration.

Device: Checklist

Control group: without checklist

NO INTERVENTION

Emergency physicians will be asked to perform the scenario as they would in their daily practice. They will be allowed to use their usual cognitive aids (eg, phone, internet) but not allowed to request help from others.

Interventions

Checklist DEVICE

A checklist is an aid that outlines assessments or actions systematically. In this study, the checklist outlines interventions to consider during management of a patient with tricyclic antidepressant poisoning. Each checklist will include indications, contra-indications and for medication, dose, route and rate of administration.

Intervention group: with checklist

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Emergency Physicians recognised by KNMG (Koninklijke Nederlandsche Maatschappij tot bevordering van de Geneeskunst) working in the Netherlands

You may not qualify if:

• Residents (in Dutch: AIOS) Emergency Medicine
• Interns (in Dutch: ANIOS) Emergency Medicine

Sponsors & Collaborators

• Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA): lead

Study Sites (1)

Amsterdam University Medical Center

Amsterdam, 1105 AZ, Netherlands

RECRUITING

Related Publications (1)

• Dryver E, Lundager Forberg J, Hard Af Segerstad C, Dupont WD, Bergenfelz A, Ekelund U. Medical crisis checklists in the emergency department: a simulation-based multi-institutional randomised controlled trial. BMJ Qual Saf. 2021 Sep;30(9):697-705. doi: 10.1136/bmjqs-2020-012740. Epub 2021 Feb 17.

  PMID: 33597283 BACKGROUND

MeSH Terms

Conditions

Emergencies

Condition Hierarchy (Ancestors)

Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Officials

• Malu van der Capellen, MD

  Amsterdam University Medical Center

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Malu van der Capellen, MD

CONTACT

0031645144756; malucapellen@gmail.com

Maik Berendsen, MD

CONTACT

0031645556601; maik.berendsen@amsterdamumc.nl

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Model Details: Participants (emergency physicians) will be allocated to performing the scenario with or without checklist in a randomized fashion on a 1:1 ratio. Computerized randomization will take place using an online randomization module.

Study Record Dates

• First Submitted: August 8, 2022
• First Posted: August 11, 2022
• Study Start: September 1, 2023
• Primary Completion: September 1, 2024
• Study Completion: February 1, 2025
• Last Updated: May 3, 2024

Record last verified: 2024-05

Data Sharing

• IPD Sharing: Will not share

Locations

NL (1)