<clinical_study>
  <!-- This xml conforms to an XML Schema at:
    https://clinicaltrials.gov/ct2/html/images/info/public.xsd -->
  <required_header>
    <download_date>ClinicalTrials.gov processed this data on September 20, 2023</download_date>
    <link_text>Link to the current ClinicalTrials.gov record.</link_text>
    <url>https://clinicaltrials.gov/ct2/show/NCT02188966</url>
  </required_header>
  <id_info>
    <org_study_id>NRAA4</org_study_id>
    <nct_id>NCT02188966</nct_id>
  </id_info>
  <brief_title>Application of Geographical Information System Data in the Emergency Department, Effect on Trauma Team and Medical Emergency Team Wait</brief_title>
  <official_title>Telemedical Solutions in Medical Emergencies, Advantages and Disadvantages for Patients, Healthcare Professionals, and Healthcare System. Study 4: Application of Geographical Information System Data in the Emergency Department, Effect on Trauma Team and Medical Emergency Team Wait - a Before and After Study</official_title>
  <sponsors>
    <lead_sponsor>
      <agency>University of Aarhus</agency>
      <agency_class>Other</agency_class>
    </lead_sponsor>
    <collaborator>
      <agency>Regional Hospital Horsens, Central Denmark Region</agency>
      <agency_class>Other</agency_class>
    </collaborator>
    <collaborator>
      <agency>Central Denmark Region</agency>
      <agency_class>Other</agency_class>
    </collaborator>
    <collaborator>
      <agency>Aarhus University Hospital</agency>
      <agency_class>Other</agency_class>
    </collaborator>
  </sponsors>
  <source>University of Aarhus</source>
  <oversight_info>
    <has_dmc>No</has_dmc>
  </oversight_info>
  <brief_summary>
    <textblock>
      In the Emergency Department Regional Hospital Horsens a monitor will display Geographical&#xD;
      Information System data (GIS data) for all ambulances with the hospital as final destination.&#xD;
      The location, estimated time of arrival (ETA) and urgency code for the ambulances will be&#xD;
      showed. Furthermore the patient's name, personal identification number and the primary&#xD;
      message received by the emergency medical dispatch center resulting in ambulance dispatch&#xD;
      will be displayed. This may enable the coordinating nurse to optimize timing of the ad hoc&#xD;
      trauma team and medical emergency team activation. The teams are activated if the patient's&#xD;
      condition is assessed to be of the highest urgency and/or severity - triage 1 or &quot;red&quot;. The&#xD;
      coordinating nurse makes this assessment on the basis of information from the ambulance&#xD;
      personnel and makes the decision to activate the team and when to do it. In this study the&#xD;
      investigators want to examine if the availability of GIS data in the emergency department&#xD;
      results in reduced waiting time for the members of the trauma team and medical emergency&#xD;
      team. The study will be conducted as a before and after study.&#xD;
    </textblock>
  </brief_summary>
  <overall_status>Completed</overall_status>
  <start_date>May 2014</start_date>
  <completion_date type="Actual">November 2014</completion_date>
  <primary_completion_date type="Actual">November 2014</primary_completion_date>
  <phase>N/A</phase>
  <study_type>Interventional</study_type>
  <has_expanded_access>No</has_expanded_access>
  <study_design_info>
    <allocation>N/A</allocation>
    <intervention_model>Single Group Assignment</intervention_model>
    <masking>None (Open Label)</masking>
  </study_design_info>
  <primary_outcome>
    <measure>Waiting time</measure>
    <time_frame>Time from activation of trauma team to arrival of patient, expected assesment within 1 minute after patients arrival, expected to be presented up to 36 months after assesment .</time_frame>
    <description>Triage 1 or &quot;red&quot; of a patient indicates the highest urgency and/or severity of illness. If the coordinating nurse at the emergency department assess that a patient on the to the department is &quot;red&quot; the trauma team or medical emergency team is activated. The time is registered automatically in the internal telephone system of the hospital. The patient's time of arrival is registered manually. The time from activation to arrival can then be calculated and is defined as &quot;Waiting time&quot;.</description>
  </primary_outcome>
  <number_of_arms>1</number_of_arms>
  <enrollment type="Actual">599</enrollment>
  <condition>All Acutely Ill or Injured Patients</condition>
  <arm_group>
    <arm_group_label>Geographical Information System</arm_group_label>
    <arm_group_type>Experimental</arm_group_type>
    <description>Availability of Geographical Information System data from ambulances destined for the Emergency Department of Regional Hospital Horsens.</description>
  </arm_group>
  <intervention>
    <intervention_type>Device</intervention_type>
    <intervention_name>Geographic Information System</intervention_name>
    <description>GIS data is delivered by &quot;SimaTech Enterprise System&quot; communicating via the mobile network and TETRA (in Denmark called SINE). It is developed as a Java Enterprise application and is executed on a JBOSS application platform</description>
    <arm_group_label>Geographical Information System</arm_group_label>
    <other_name>&quot;ADO - AMK Dynamisk Overvågning&quot; (Emergency Medical Dispatch Dynamic Surveillance)</other_name>
  </intervention>
  <eligibility>
    <criteria>
      <textblock>
        Inclusion Criteria:&#xD;
&#xD;
          -  Critically Ill or Severely injured patients transported by ambulance&#xD;
&#xD;
          -  Patients must be in triage category 1/&quot;red&quot;&#xD;
&#xD;
          -  Emergency Medical Team og Trauma Team must be activated.&#xD;
      </textblock>
    </criteria>
    <gender>All</gender>
    <minimum_age>15 Years</minimum_age>
    <maximum_age>N/A</maximum_age>
    <healthy_volunteers>No</healthy_volunteers>
  </eligibility>
  <overall_official>
    <last_name>Nikolaj Raaber, MD</last_name>
    <role>Principal Investigator</role>
    <affiliation>Central Denmark Region</affiliation>
  </overall_official>
  <overall_official>
    <last_name>Erika Christensen, MD, medical director</last_name>
    <role>Study Director</role>
    <affiliation>Central Denmark Region</affiliation>
  </overall_official>
  <location>
    <facility>
      <name>Emergency Departmartment Regional Hospital Horsens</name>
      <address>
        <city>Horsens</city>
        <state>Central Denmark Regione</state>
        <zip>8700</zip>
        <country>Denmark</country>
      </address>
    </facility>
  </location>
  <location_countries>
    <country>Denmark</country>
  </location_countries>
  <verification_date>March 2014</verification_date>
  <study_first_submitted>May 12, 2014</study_first_submitted>
  <study_first_submitted_qc>July 11, 2014</study_first_submitted_qc>
  <study_first_posted type="Estimate">July 14, 2014</study_first_posted>
  <last_update_submitted>December 8, 2015</last_update_submitted>
  <last_update_submitted_qc>December 8, 2015</last_update_submitted_qc>
  <last_update_posted type="Estimate">December 9, 2015</last_update_posted>
  <responsible_party>
    <responsible_party_type>Sponsor</responsible_party_type>
  </responsible_party>
  <keyword>Geographic Information System</keyword>
  <keyword>Emergency Care Information Systems</keyword>
  <keyword>Telemedicine</keyword>
  <keyword>Emergency Hospital Service</keyword>
  <condition_browse>
    <!-- CAUTION:  The following MeSH terms are assigned with an imperfect algorithm            -->
    <mesh_term>Emergencies</mesh_term>
  </condition_browse>
  <!-- Results have not yet been posted for this study                                          -->
</clinical_study>


download date: ClinicalTrials.gov processed this data on September 20, 2023
link text: Link to the current ClinicalTrials.gov record.
url: https://clinicaltrials.gov/ct2/show/NCT02188966
org study id: NRAA4
nct id: NCT02188966
lead sponsor: 
collaborator: 
collaborator: 
collaborator: 
has dmc: No
In the Emergency Department Regional Hospital Horsens a monitor will display Geographical
      Information System data (GIS data) for all ambulances with the hospital as final destination.
      The location, estimated time of arrival (ETA) and urgency code for the ambulances will be
      showed. Furthermore the patient's name, personal identification number and the primary
      message received by the emergency medical dispatch center resulting in ambulance dispatch
      will be displayed. This may enable the coordinating nurse to optimize timing of the ad hoc
      trauma team and medical emergency team activation. The teams are activated if the patient's
      condition is assessed to be of the highest urgency and/or severity - triage 1 or "red". The
      coordinating nurse makes this assessment on the basis of information from the ambulance
      personnel and makes the decision to activate the team and when to do it. In this study the
      investigators want to examine if the availability of GIS data in the emergency department
      results in reduced waiting time for the members of the trauma team and medical emergency
      team. The study will be conducted as a before and after study.
allocation: N/A
intervention model: Single Group Assignment
masking: None (Open Label)
measure: Waiting time
time frame: Time from activation of trauma team to arrival of patient, expected assesment within 1 minute after patients arrival, expected to be presented up to 36 months after assesment .
description: Triage 1 or "red" of a patient indicates the highest urgency and/or severity of illness. If the coordinating nurse at the emergency department assess that a patient on the to the department is "red" the trauma team or medical emergency team is activated. The time is registered automatically in the internal telephone system of the hospital. The patient's time of arrival is registered manually. The time from activation to arrival can then be calculated and is defined as "Waiting time".
arm group label: Geographical Information System
arm group type: Experimental
description: Availability of Geographical Information System data from ambulances destined for the Emergency Department of Regional Hospital Horsens.
intervention type: Device
intervention name: Geographic Information System
description: GIS data is delivered by "SimaTech Enterprise System" communicating via the mobile network and TETRA (in Denmark called SINE). It is developed as a Java Enterprise application and is executed on a JBOSS application platform
arm group label: Geographical Information System
other name: "ADO - AMK Dynamisk Overvågning" (Emergency Medical Dispatch Dynamic Surveillance)
criteria: 
gender: All
minimum age: 15 Years
maximum age: N/A
healthy volunteers: No
last name: Nikolaj Raaber, MD
role: Principal Investigator
affiliation: Central Denmark Region
last name: Erika Christensen, MD, medical director
role: Study Director
affiliation: Central Denmark Region
facility: 
country: Denmark
responsible party type: Sponsor
mesh term: Emergencies