<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/NCT02980159</url>
  </required_header>
  <id_info>
    <org_study_id>CCER 2016-00179</org_study_id>
    <nct_id>NCT02980159</nct_id>
  </id_info>
  <brief_title>Impact of a Triage Liaison Physician</brief_title>
  <official_title>Impact of a Triage Liaison Physician on the Time to First Medical Evaluation in the Emergency Departement</official_title>
  <sponsors>
    <lead_sponsor>
      <agency>University Hospital, Geneva</agency>
      <agency_class>Other</agency_class>
    </lead_sponsor>
  </sponsors>
  <source>University Hospital, Geneva</source>
  <oversight_info>
    <has_dmc>No</has_dmc>
  </oversight_info>
  <brief_summary>
    <textblock>
      Due to an increasing number of patients admitted in emergency departments, many patients&#xD;
      cannot be evaluated immediately after their admission. The function of &quot;triage liaison&#xD;
      physician&quot; was introduced in Spring 2015. The objective of this study is to evaluate the&#xD;
      impact of this new function on patients' flow in the ED.&#xD;
    </textblock>
  </brief_summary>
  <detailed_description>
    <textblock>
      Geneva University Hospitals (GUH) emergency department (ED) admits more than 64000 patients&#xD;
      every year. These patients are triaged using the Swiss Emergency Triage Scale (SETS), a&#xD;
      4-level triage scale. The SETS imposes time objectives until the first medical evaluation (20&#xD;
      minutes for SETS 2, 2 hours for SETS 3). In 2014, only 60% of level-2 and 63% of level-3&#xD;
      emergencies were evaluated within 20 and 120 minutes respectively.&#xD;
&#xD;
      A triage liaison physician was introduced in Spring 2015 with the mission to help triage&#xD;
      nurse in their decisions and to evaluate quickly the patients that cannot be immediately&#xD;
      installed in an ED evaluation room.&#xD;
&#xD;
      The objective of this study is to evaluate the impact of the triage liaison physician on the&#xD;
      times to first medical evaluation.&#xD;
    </textblock>
  </detailed_description>
  <overall_status>Completed</overall_status>
  <start_date>November 2016</start_date>
  <completion_date type="Actual">June 2017</completion_date>
  <primary_completion_date type="Actual">June 2017</primary_completion_date>
  <study_type>Observational</study_type>
  <has_expanded_access>No</has_expanded_access>
  <study_design_info>
    <observational_model>Cohort</observational_model>
    <time_perspective>Retrospective</time_perspective>
  </study_design_info>
  <primary_outcome>
    <measure>Proportion of patients evaluated within SETS objectives</measure>
    <time_frame>Within 120 minutes after ED triage</time_frame>
    <description>Proportion of patients evaluated within time objective as defined by SETS standards.</description>
  </primary_outcome>
  <secondary_outcome>
    <measure>Time to first medical contact</measure>
    <time_frame>Within 24 hours after ED triage</time_frame>
    <description>Time elapsed between triage and first medical evaluation</description>
  </secondary_outcome>
  <number_of_groups>2</number_of_groups>
  <enrollment type="Actual">69893</enrollment>
  <condition>Emergencies</condition>
  <condition>Triage</condition>
  <arm_group>
    <arm_group_label>Before triage liaison physician</arm_group_label>
    <description>All patients admitted before the introduction of the function of triage liaison physician.</description>
  </arm_group>
  <arm_group>
    <arm_group_label>After triage liaison physician</arm_group_label>
    <description>All patients admitted after the introduction of the function of triage liaison physician.</description>
  </arm_group>
  <intervention>
    <intervention_type>Other</intervention_type>
    <intervention_name>Triage liaison physician</intervention_name>
    <description>A triage liaison physician is present from 7:30 am to 10:30 pm, Monday to Friday, with the mission to evaluate quickly patients who cannot be immediately installed in an ED room</description>
    <arm_group_label>After triage liaison physician</arm_group_label>
  </intervention>
  <eligibility>
    <study_pop>
      <textblock>
        All patient admitted in GUH ED during 2 years.&#xD;
      </textblock>
    </study_pop>
    <sampling_method>Non-Probability Sample</sampling_method>
    <criteria>
      <textblock>
        Inclusion Criteria:&#xD;
&#xD;
          -  &gt;= 16 y&#xD;
&#xD;
          -  admitted in GUH ED&#xD;
&#xD;
        Exclusion Criteria:&#xD;
&#xD;
          -  patients triaged to outpatient clinics&#xD;
      </textblock>
    </criteria>
    <gender>All</gender>
    <minimum_age>16 Years</minimum_age>
    <maximum_age>N/A</maximum_age>
    <healthy_volunteers>No</healthy_volunteers>
  </eligibility>
  <overall_official>
    <last_name>Olivier T Rutschmann, MD, MPH</last_name>
    <role>Principal Investigator</role>
    <affiliation>University Hospital, Geneva</affiliation>
  </overall_official>
  <location>
    <facility>
      <name>Geneva University Hospitals, ED</name>
      <address>
        <city>Geneva</city>
        <zip>1211</zip>
        <country>Switzerland</country>
      </address>
    </facility>
  </location>
  <location_countries>
    <country>Switzerland</country>
  </location_countries>
  <verification_date>July 2017</verification_date>
  <study_first_submitted>November 24, 2016</study_first_submitted>
  <study_first_submitted_qc>December 1, 2016</study_first_submitted_qc>
  <study_first_posted type="Estimate">December 2, 2016</study_first_posted>
  <last_update_submitted>July 26, 2017</last_update_submitted>
  <last_update_submitted_qc>July 26, 2017</last_update_submitted_qc>
  <last_update_posted type="Actual">July 27, 2017</last_update_posted>
  <responsible_party>
    <responsible_party_type>Principal Investigator</responsible_party_type>
    <investigator_affiliation>University Hospital, Geneva</investigator_affiliation>
    <investigator_full_name>Olivier T. Rutschmann</investigator_full_name>
    <investigator_title>Professor, Chief deputy</investigator_title>
  </responsible_party>
  <condition_browse>
    <!-- CAUTION:  The following MeSH terms are assigned with an imperfect algorithm            -->
    <mesh_term>Emergencies</mesh_term>
  </condition_browse>
  <patient_data>
    <sharing_ipd>No</sharing_ipd>
  </patient_data>
  <!-- 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/NCT02980159
org study id: CCER 2016-00179
nct id: NCT02980159
lead sponsor: 
has dmc: No
Due to an increasing number of patients admitted in emergency departments, many patients
      cannot be evaluated immediately after their admission. The function of "triage liaison
      physician" was introduced in Spring 2015. The objective of this study is to evaluate the
      impact of this new function on patients' flow in the ED.
Geneva University Hospitals (GUH) emergency department (ED) admits more than 64000 patients
      every year. These patients are triaged using the Swiss Emergency Triage Scale (SETS), a
      4-level triage scale. The SETS imposes time objectives until the first medical evaluation (20
      minutes for SETS 2, 2 hours for SETS 3). In 2014, only 60% of level-2 and 63% of level-3
      emergencies were evaluated within 20 and 120 minutes respectively.

      A triage liaison physician was introduced in Spring 2015 with the mission to help triage
      nurse in their decisions and to evaluate quickly the patients that cannot be immediately
      installed in an ED evaluation room.

      The objective of this study is to evaluate the impact of the triage liaison physician on the
      times to first medical evaluation.
observational model: Cohort
time perspective: Retrospective
measure: Proportion of patients evaluated within SETS objectives
time frame: Within 120 minutes after ED triage
description: Proportion of patients evaluated within time objective as defined by SETS standards.
measure: Time to first medical contact
time frame: Within 24 hours after ED triage
description: Time elapsed between triage and first medical evaluation
arm group label: Before triage liaison physician
description: All patients admitted before the introduction of the function of triage liaison physician.
arm group label: After triage liaison physician
description: All patients admitted after the introduction of the function of triage liaison physician.
intervention type: Other
intervention name: Triage liaison physician
description: A triage liaison physician is present from 7:30 am to 10:30 pm, Monday to Friday, with the mission to evaluate quickly patients who cannot be immediately installed in an ED room
arm group label: After triage liaison physician
study pop: 
sampling method: Non-Probability Sample
criteria: 
gender: All
minimum age: 16 Years
maximum age: N/A
healthy volunteers: No
last name: Olivier T Rutschmann, MD, MPH
role: Principal Investigator
affiliation: University Hospital, Geneva
facility: 
country: Switzerland
responsible party type: Principal Investigator
investigator affiliation: University Hospital, Geneva
investigator full name: Olivier T. Rutschmann
investigator title: Professor, Chief deputy
mesh term: Emergencies
sharing ipd: No