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Impact of a Mediator for Patient Intake in Emergency Departments

NCT ID: NCT03139110

Last Updated: 2019-12-16

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

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Recruitment Status

COMPLETED

Total Enrollment

2378 participants

Study Classification

OBSERVATIONAL

Study Start Date

2017-11-15

Study Completion Date

2019-06-01

Brief Summary

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Violence in the workplace is becoming a serious phenomenon in the contemporary world of work. Hospital staff, like any employee working in contact with the public, is particularly exposed to this violence. In emergency departments, the number of patients treated and their heterogeneity, the problems of communicating with healthcare professionals, and waiting times, favor conflict situations. In the already tense context of the emergencies, the incivilities or violent acts have an impact on the well-being of professionals. In order to prevent these situations of violence, a solution could be to integrate a professional with specific skills into the teams to perform mediation functions between caregivers and patients.

The aim of the study is to evaluate the impact of the presence of a mediator in emergency services on personal (verbal or physical) attacks on professionals (caregivers, doctors, administrative staff).

Detailed Description

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Conditions

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Violent Aggressive Behavior Mediation

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Control

Patients treated in emergency departments without the presence of a mediator.

No interventions assigned to this group

Mediation

Patients treated in emergency departments with the presence of a mediator.

Presence of a mediator in the emergency departments

Intervention Type BEHAVIORAL

The mediator tasks are :

* Be available to patients who can solicit him and respond to their requests for information, in particular on the organization of the emergency departments and on waiting times
* Have a proactive attitude towards patients showing nervousness signs
* Report patients expressing the will to leave the emergency departments before medical care
* Manage conflicts between patients / accompanying persons and emergency staff and also between patients.

Interventions

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Presence of a mediator in the emergency departments

The mediator tasks are :

* Be available to patients who can solicit him and respond to their requests for information, in particular on the organization of the emergency departments and on waiting times
* Have a proactive attitude towards patients showing nervousness signs
* Report patients expressing the will to leave the emergency departments before medical care
* Manage conflicts between patients / accompanying persons and emergency staff and also between patients.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Patient aged 18 years or older.
* Registered at the reception of the emergency department between 8 am and 8 pm, excluding bank holidays.

Exclusion Criteria

* Patient with psychiatric disorders or impairment of judgment related to the taking of toxic substances.
* Patients requiring medical care in less than 30 minutes (sort code).
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hospices Civils de Lyon

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Pôle Information Médicale, Evaluation, Recherche - Hospices Civils de Lyon

Lyon, , France

Site Status

Service d'urgences médicales et chirurgicales - Hôpital Edouard Herriot - HCL

Lyon, , France

Site Status

Service médical d'accueil des urgences - Hôpital de la Croix Rousse - HCL

Lyon, , France

Site Status

Service d'accueil des urgences - Centre hospitalier Lyon Sud - HCL

Pierre-Bénite, , France

Site Status

Countries

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France

References

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Touzet S, Buchet-Poyau K, Denis A, Occelli P, Jacquin L, Potinet V, Sigal A, Delaroche-Gaudin M, Fayard-Gonon F, Tazarourte K, Douplat M. Impact of the presence of a mediator on patient violent or uncivil behaviours in emergency departments: a cluster randomised crossover trial. Eur J Emerg Med. 2024 Jun 1;31(3):201-207. doi: 10.1097/MEJ.0000000000001121. Epub 2024 Feb 7.

Reference Type DERIVED
PMID: 38329117 (View on PubMed)

Charrier P, Occelli P, Buchet-Poyau K, Douplat M, Delaroche-Gaudin M, Fayard-Gonon F, Jacquin L, Potinet V, Sigal A, Tazarourte K, Touzet S. Strategies used by emergency care professionals to handle interpersonal difficulties with patients: a qualitative study. BMJ Open. 2021 Feb 8;11(2):e042362. doi: 10.1136/bmjopen-2020-042362.

Reference Type DERIVED
PMID: 33558353 (View on PubMed)

Other Identifiers

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69HCL17_0038

Identifier Type: -

Identifier Source: org_study_id