Objective 1: To assess knowledge, attitude health-care professional satisfaction andperceived barriers and facilitators of use and implementation by health care professional inthe ED.Objective 2: To assess process of care and outcome indicators…
ID
Source
Brief title
Score in the Emergency Department
Condition
- Other condition
Synonym
Research involving
Sponsors and support
Intervention
- Other intervention
N.a.
Outcome measures
Primary outcome
<p>Primary outcomes.<br>Knowledge, attitude, health-care professional satisfaction and perceived barriers and<br>facilitators of use and implementation by health care professional in the ED. </p>
Secondary outcome
<p>Process of care and outcome indicators. Initial and last IEWS during ED stay, number of<br>patients receiving oxygen, fluid resuscitation and medication (antibiotics, antihypertensives,<br>vasopressors), ED length of stay, number of hospital admissions to ward and Intensive Care<br>Unit, in-hospital length of stay and mortality.</p>
Background summary
Annually, ~2 million patients visit the emergency department (ED) of whom ~30% arrive by
ambulance and 39% require hospitalization, resulting in considerable costs. (www.stichtingneed.
nl, https://puc.overheid.nl/nza/doc/PUC_301126_22/1/), www.rivm.nl/acute-zorg/
ambulancezorg). Early warning scores (EWS) have been developed to facilitate recognition
of vital thread. This is important because in time sensitive medical conditions like sepsis and
trauma, early treatment is associated with better outcomes. The recently developed age and
sex adjusted International EWS (IEWS) is superior to existing EWS and classifies patients
better in low and high risk. However, it has not been investigated whether implementation of
the IEWS is feasible and affects patient outcomes.
Early recognition of vital sign abnormalities is facilitated by the age-adjusted International
Early Warning Score (IEWS), representing potentially reversible disease severity.1 Use of
this quick, simple and easy to automate score would help ED personnel to recognize
physiological deterioration in frail older patients and initiate early treatment in those who
need it, preventing further deterioration of existing co-morbidities. However, health care
providers should use it in order to be beneficial and implementation of new scores have been
shown to be difficult because of all sorts of barriers.
Study objective
Objective 1: To assess knowledge, attitude health-care professional satisfaction and
perceived barriers and facilitators of use and implementation by health care professional in
the ED.
Objective 2: To assess process of care and outcome indicators using the Netherlands
Emergency department Evaluation Database (NEED, www.stichting-need.nl).
Study design
Prospective study
Intervention
Intervention
Objective 1.
Questionaires will be distributed in the ED on paper and sent
electronically to all health care professionals working in the ED. Two reminder e-mails will be
sent. During morning and afternoon hand-overs awareness of this study will be raised.
Objective 2.
Incorporation of the IEWS in all Philips MP52 monitors and the overview screens in the ED of
the Leiden University Medical Centre.
Study burden and risks
No additional risk
W Raven
Albinusdreef 2
Leiden 2333ZC
Netherlands
071 526 9111
SEH@lumc.nl
W Raven
Albinusdreef 2
Leiden 2333ZC
Netherlands
071 526 9111
SEH@lumc.nl
Listed location countries
Age
Inclusion criteria
Objective 1. ED nurses, ED physicians and physician assistant and residents in the ED.
Objective 2. All consecutive ED patients aged 18 years and older.
Exclusion criteria
Objective 1. None.
Objective 2. All ED visits younger than 18 years.
Design
Recruitment
Medical products/devices used
IPD sharing statement
Plan description
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| Research portal | NL-009802 |