A Validation of Current Hospital Triage Performance System Versus RETTS

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Total Enrollment

628 participants

Study Classification

OBSERVATIONAL

Study Start Date

2014-11-30

Study Completion Date

2015-07-31

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

Background: Triage in the emergency department (ED) together with initial assessment is used to identify patient's level of urgency and treatment based on their triage level. Triage in the ED is a complex decision-making process, and several triage scales have been designed as decision support systems to guide the triage nurse to a correct decision. Worldwide there are four well known five-level triage systems in use. In 2010, 97% of all EDs in Sweden introduced a process-oriented triage scale with physiological parameters called Rapid Emergency Traige and Treatment System (RETTS). RETTS has two main assessment variables: vital signs and chief complaints, which describe the incident or symptoms that caused the patient to seek care. These two variables are evaluated and results in a color coded 5-level scale. Each level of priority has a defined time limit within which evaluation by a doctor should begin. Although, all international triage system guidelines seem to function well in western countries, they are difficult to implement and have a high failure rate in developing low-income countries. One of the reasons may be the lack of extensive training. Teaching and assessing abilities in performing mass casualty triage in inherently challenging due to the inability to accurately replicate a given disaster environment in a comprehensive way. Disaster drills and simulation exercises are ways of training triage performance and there are different tools available. One tool that can contribute to this kind of training may be the Emergo Train System® (ETS). ETS or similar interactive educational simulation systems could be used to test and evaluate incident and command systems, surge capacity, hospital preparedness and triage.

Study objective study III: The aim of the study is to validate the currently practiced system for triage in the ED in Moi Teaching and Referral Hospital in Eldoret, Kenya with RETTS. Furthermore map the current patient outcome of trauma patients.

Related Clinical Trials

Explore similar clinical trials based on study characteristics and research focus.

Standardized Comparison of Triage in EMS

NCT00468780

Healthy

COMPLETED

Improvement of Trauma Care Quality by Implement Trauma Register in a Middle Income Country

NCT03485573

Trauma

COMPLETED

Effectiveness of a Four-level Chinese Emergency Triage Scale in Mainland China

NCT03926234

Emergencies Triage

COMPLETED

FOllow-up of LOW-acuity Patients After REdirection From a Swiss Emergency Department Using an Electronic TRIage Application

NCT06971419

Triage Low Acuity Patients Health Literacy Level +1 more

NOT_YET_RECRUITING

Role of Provider-at-Triage on ED Efficiency and Quality of Care

NCT02703701

Patient Satisfaction With Emergency Department Efficiency

COMPLETED

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

A tool has been developed by the research group. It has been developed in which on identification of trauma patient record, details will be entered and later transferred to an Excel format for ease of analysis.

Trauma patient card record for collecting data including respiratory rate, pulse, blood pressure, GCS, SaO2, body temperature, type of injury and mechanism of injury is developed will be used. Time of accident and arrival to ED, sex, age and intervention at ED will also be registered. Time at ED, number of days and where the patient has been treated during the hospital visit are also going to be registered. According to the protocol there is also a discharge evaluation where The International Classification of Disease (ICD) and Injury Severity Score (ISS) will be registered.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Wound and Injuries Trauma

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Mapping

Mapping of current triage situation regarding 30 days mortality

Intervention Type OTHER

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Exclusion Criteria

Those brought in dead, those below 14 years, revisits, or referred patients will be excluded The patient records will be traced for the entire period the patient is in the hospital or until key decisions are made on triage category by the ED or receiving units.

There may be need to follow up patients for longer but since the study has a limited period, records will have to be made up to 30 days admission for those admitted during the last month.

\-

Minimum Eligible Age

14 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No