Effectiveness of a Mobile App in Reducing Therapeutic TAT in an Emergency Department

NCT ID: NCT05557331

Last Updated: 2025-08-19

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

RECRUITING

Clinical Phase

NA

Total Enrollment

18 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-03-01

Study Completion Date

2025-12-01

Brief Summary

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This study is a single center, non-equivalent comparison group, pre-post study in a tertiary pediatric emergency department in Switzerland. the study will compare the control and experimental groups on outcome measures before (12-month period) and after (6-month period) the intervention consisting of the implementation and use of the evidence-based mobile app-the ''Patients In My Pocket in my Hospital'' (PIMPmyHospital) app.

The primary outcome will be the mean elapsed time in minutes between the delivery of lab results and the emergency department caregivers accessing them before (i.e., on the institutional electronic medical records) and after the implementation of the app (i.e, directly on the app).

Detailed Description

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The study objective is to evaluate whether the use of the PIMPmyHospital app alters emergency departments (ED) physicians and nurses' temporal efficiency to learn about laboratory results more quickly while actively working in an ED. Temporal efficiency will be assessed by measuring the time between the release of the laboratory results in the clinical information system and their acknowledgement by these clinicians. Information regarding the app has been published previously (doi.org/10.3390/jpm12030428).

The investigators will conduct an 18-month, single center, non-equivalent comparison group, pre-post study. The study will compare the control and experimental groups on outcome measures before (12-month period) and after (6-month period) the intervention consisting of the use of the app. The study will take place in the pediatric ED of a tertiary referral and major trauma hospital in Switzerland, with an annual volume of 35,000 visits.

Eligible participants will be postgraduate residents pursuing a \<6-year residency in pediatrics, pediatric emergency medicine fellows, and registered nurses from the pediatric ED (aged \> 18 years). Written informed consent will be obtained from each participant in the interventional group after full information disclosure prior to study participation.

Before the implementation of the app, electronic medical records (EMR)-based data from the past 12 months will be collected retrospectively. These data include the times (i.e., HH:MM:SS) that results issued by the central laboratory were available on the institutional's EMR, as well as the times at which these results were accessed by caregivers via conventional computerized workstations. (ii) After the implementation of the app, data will be collected prospectively over a 6-month period of use. This will include the times (HH:MM:SS) when the results issued by the central laboratory are made available on caregivers' mobile app and access times, as well as concurrent or preferred access times on the conventional computerized workstations should this occur. Individual acceptance of the app on the first day (a priori), at 1 week, and then on the last day of the intervention (6 months) will be evaluated through the Unified Theory of Acceptance, and Use of Technology (UTAUT). Usability of the app will be measured by the System Usability Scale (SUS).

The primary outcome will be the mean elapsed time in minutes between the delivery of the lab results and the caregiver accessing them, both before and after the implementation of the app.

Conditions

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Pediatric Emergency Medicine Therapeutic Turnaround Time

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SEQUENTIAL

A single center, non-equivalent comparison group, pre-post study.
Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

SINGLE

Outcome Assessors
Although neither the participants nor the study investigators can be blinded to the intervention, both will be blinded to the results of the study until their final analysis by the statistician. Participants will be informed only of the overall purpose of the study, which is to evaluate the effects of the app on quality of care, but not about the aim of reducing the time to access laboratory results to minimize bias. The statistician will remain blinded to allocation until the final analysis.

Study Groups

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Pre-intervention (no app)

Participants before (12-month retrospective period) the implementation of the app in the emergency department.

Group Type NO_INTERVENTION

No interventions assigned to this group

Post-intervention (PIMPmyHospital app)

Participants that will use the mobile heath PIMPmyHospital app during the prospective 6-month period after the implementation of the app in the emergency department.

Group Type ACTIVE_COMPARATOR

PIMPmyHospital (mobile app)

Intervention Type DEVICE

After the implementation of the app, data will be collected prospectively over a 6-month period of use. This will include the times (HH:MM:SS) when the results issued by the central laboratory are made available on caregivers' mobile app and access times (as well as concurrent or preferred access times on the conventional computerized workstations should this occur).

Interventions

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PIMPmyHospital (mobile app)

After the implementation of the app, data will be collected prospectively over a 6-month period of use. This will include the times (HH:MM:SS) when the results issued by the central laboratory are made available on caregivers' mobile app and access times (as well as concurrent or preferred access times on the conventional computerized workstations should this occur).

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Any postgraduate residents pursuing a \<6 years residency in pediatrics.
* Any pediatric emergency medicine fellows.
* To be registered nurses from the pediatric emergency department.
* Participation agreement.

Exclusion Criteria

* none
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Pediatric Clinical Research Platform

OTHER

Sponsor Role lead

Responsible Party

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Johan Siebert, MD

MD, Deputy Head of the Pediatric Emergency Department, Pediatric Emergency Physician

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Johan N Siebert, MD

Role: STUDY_DIRECTOR

Geneva Children's Hospital, Geneva University Hospitals, Geneva, Switzerland

Locations

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Geneva Children's Hospital, Geneva University Hospitals

Geneva, Canton of Geneva, Switzerland

Site Status RECRUITING

Geneva Children's Hospital, Geneva University Hospitals

Geneva, Canton of Geneva, Switzerland

Site Status RECRUITING

Countries

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Switzerland

Central Contacts

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Johan N Siebert, MD

Role: CONTACT

+41 79 553 40 72

Frederic Ehrler, PhD

Role: CONTACT

Facility Contacts

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Alain Gervaix, Prof

Role: primary

+41 (0)22 372 45 55

Johan Siebert, MD

Role: backup

+41 (0)22 372 45 55

Johan N Siebert, MD

Role: primary

+41 (0)22 372 45 55

Frederic Ehrler, PhD

Role: backup

+41 (0)22 372 86 97

References

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Ehrler F, Tuor C, Rey R, Siebert JN. A Mobile App to Improve Patient Management in Emergency Departments: Caregiver Needs Analysis, Design and Early Technology Acceptance Assessment. Stud Health Technol Inform. 2021 Oct 27;285:233-238. doi: 10.3233/SHTI210605.

Reference Type BACKGROUND
PMID: 34734879 (View on PubMed)

Ehrler F, Tuor C, Trompier R, Berger A, Ramusi M, Rey R, Siebert JN. Effectiveness of a Mobile App in Reducing Therapeutic Turnaround Time and Facilitating Communication between Caregivers in a Pediatric Emergency Department: A Randomized Controlled Pilot Trial. J Pers Med. 2022 Mar 9;12(3):428. doi: 10.3390/jpm12030428.

Reference Type BACKGROUND
PMID: 35330427 (View on PubMed)

Ehrler F, Tuor C, Rey R, Trompier R, Berger A, Ramusi M, Courvoisier DS, Siebert JN. Effectiveness of a Mobile App (PIMPmyHospital) in Reducing Therapeutic Turnaround Times in an Emergency Department: Protocol for a Pre- and Posttest Study. JMIR Res Protoc. 2023 May 3;12:e43695. doi: 10.2196/43695.

Reference Type DERIVED
PMID: 37133909 (View on PubMed)

Other Identifiers

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PIMPmyHospital pre-post study

Identifier Type: -

Identifier Source: org_study_id

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