Establishment of Emergency Surgery Triage and Checklist Management System

NCT06501157 | Active Not Recruiting DMC

• 1 other identifier: I-24PJ1128
• Study Type: observational
• Target: 60
• Locations: 1 country
• Sites: 1

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.

Conditions

Emergency Surgery; Triage; Checklist; Perioperative/Postoperative Complications

Outcome Measures

Primary Outcomes (1)

• The number of omitted information

  The number of omitted information items during the emergency-anesthesia handover.

  Outcome will be assessed on the operative day

Secondary Outcomes (4)

• Patient waiting times, including time to theatre and time to incision.

  Outcome will be assessed on the operative day

• Feasibility of handover checklist

  Outcome will be assessed on the operative day

• In-hospital mortality

  From date of admission until discharge, assessed up to 4 weeks

• In-hospital morbidity

  From date of admission until discharge, assessed up to 4 weeks

Study Arms (1)

after implementation

Patients undergoing emergency surgery at Peking Union Medical College Hospital after Emergency Surgery Triage and Checklist Management System

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

Patients scheduled for emergency surgery at Peking Union Medical College Hospital

You may qualify if:

• Patients scheduled for emergency surgery.
• Patients whose condition is critical before surgery, requiring admission to the resuscitation room, emergency observation, or other hospital wards for treatment.

You may not qualify if:

• None

Sponsors & Collaborators

• Peking Union Medical College Hospital: lead

Study Sites (1)

Peking Union Medical College Hospital

Beijing, Beijing Municipality, 100730, China

Location

MeSH Terms

Conditions

Postoperative Complications

Condition Hierarchy (Ancestors)

Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Target Duration: 1 Month
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: June 12, 2024
• First Posted: July 15, 2024
• Study Start: June 1, 2024
• Primary Completion: September 1, 2025
• Study Completion: December 1, 2025
• Last Updated: March 6, 2025

Record last verified: 2025-03

Data Sharing

• IPD Sharing: Will not share

Locations

CN (1)