General goal:
Audit of Critically ill Patients Transportation’s Process in Emergency
Design
This study is a semi-experimental intervention type of a before and after group, in which the status of the intra-hospital transportation process of critically ill patients in Emergency department will be investigated based on the clinical audit process of the position stabilization model according to the patient transportation checklist tool.
Settings and conduct
A semi-experimental study of a single group before and after intervention in the emergency department of Baqiyatullah Hospital using the patient transportation checklist tool
Participants/Inclusion and exclusion criteria
nurses entry criteria:
Nurses should have at least two months of experience working in the emergency room.
Nurses must have a nursing associate degree, internship or higher.
Nurses should be between 22 and 60 years old.
Patient entry criteria:
Critical patients in the emergency department, who have been admitted for at least 3 hours and are ready to be transferred to the intensive care unit according to the doctor's order.
There is no age limit for patients.
Non-entry criteria:
Not having the conditions to take into account the illness of the patients and the minimum length of hospitalization
Intervention groups
In this audit study, first, the status of the transportation process of critically ill patients in the emergency department will be checked with the tool of the standard checklist for the transportation of critically ill patients. Then, according to the information obtained from the checklist, a consensus and decision-making meeting will be held with the team of consultants and judges regarding the determination of the appropriate intervention, and the type of intervention will be determined in that meeting.
Main outcome variables
Patient transportation process standards
General information
Reason for update
Acronym
IRCT registration information
IRCT registration number:IRCT20240310061245N1
Registration date:2024-04-03, 1403/01/15
Registration timing:prospective
Last update:2024-04-03, 1403/01/15
Update count:0
Registration date
2024-04-03, 1403/01/15
Registrant information
Name
Alireza Abasi Niasar
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 31 5542 5655
Email address
alireza.abasi1806@gmail.com
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2024-05-04, 1403/02/15
Expected recruitment end date
2024-08-05, 1403/05/15
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Audit of Critically ill Patients Transportation’s Process in Emergency Department
Public title
Audit of Critically ill Patients Transportation’s Process in Emergency Department
Purpose
Health service research
Inclusion/Exclusion criteria
Inclusion criteria:
Critically ill patients in the emergency department who have been admitted for at least 3 hours and are ready to be transferred to intensive care unit with the doctor's order.
Nurses working permanently in the emergency department
Nurses should have at least two months of experience working in the emergency room
Nurses must have a nursing associate degree, internship or higher.
There is no age limit for patients
Nurses should be between 22 and 60 years old.
Exclusion criteria:
Presence of patients in the emergency department for less than 3 hours
Absence of indication to transport the patient to the intensive care unit
Age
No age limit
Gender
Both
Phase
N/A
Groups that have been masked
No information
Sample size
Target sample size:
33
Randomization (investigator's opinion)
N/A
Randomization description
Blinding (investigator's opinion)
Not blinded
Blinding description
Placebo
Not used
Assignment
Single
Other design features
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
Research Ethics Committees of Baqiyatallah Hospital
Street address
Baqiyatallah university of medical science, Vanak square, Tehran
City
Tehran
Province
Tehran
Postal code
1435916471
Approval date
2024-03-04, 1402/12/14
Ethics committee reference number
IR.BMSU.BAQ.REC.1402.113
Health conditions studied
1
Description of health condition studied
Critically ill Patients Transportation’s Process
ICD-10 code
ICD-10 code description
Primary outcomes
1
Description
Patient transportation process standards
Timepoint
Examining the standards of the patient transportation process at the beginning of the study (before the start of the intervention) and 3 days after the intervention
Method of measurement
Checklist of patient transportation process standards
Secondary outcomes
empty
Intervention groups
1
Description
Intervention group: This study is a semi-experimental intervention type in which the standards of the transportation process of critically ill patients will be reviewed based on the audit stages. The audit stages include choosing the subject, determining the characteristics and conditions of the audit, collecting information, comparing the information with the standards, taking action to improve and re-examining the situation. After completing steps one to five, an analysis and summary session will be held by research members and judges based on the information obtained. Interventions will be designed based on this meeting and the appropriate intervention will be done according to the changing situation during the study. In general, the process of this study is as follows:1. Obtaining a letter of introduction from the university to Baqiyatullah (AS) hospital2. Making the necessary arrangements with hospital managers, nursing management and emergency department3. Explaining the method to all nurses in different shifts by the researcher and obtaining the consent of the nurses and the patients and obtaining consent to participate in the study.4. Determining the status of standards for the in-hospital transportation process of critically ill emergency patients to intensive care units based on the patient transportation checklist5. Comparison of the status of the transfer process of existing critically ill patients with the standard patient transfer checklist6. Designing corrective measures according to the information obtained from the previous steps regarding the non-compliance of the current situation of the transportation process of critically ill patients with the standards of the transportation process of critically ill patients and based on the consensus meeting of the research team and respected referees and finally its implementation by the project manager7. Determining the status of the transfer process of critically ill patients after corrective measures8. Comparison of the status of the transportation process of critically ill patients before and after corrective measures9. Data entry and statistical analysis using SPSS-v 26 statistical software and reporting the results
Category
Other
Recruitment centers
1
Recruitment center
Name of recruitment center
Baqiyatallah Hospital
Full name of responsible person
معاونت پژوهش و فن آوری واحد توسعه تحقیقات بالینی
Street address
Baqiyatallah Hospital, Vanak square, Tehran
City
Tehran
Province
Tehran
Postal code
1435915371
Phone
+98 21 8126 7111
Email
dr.samadinia@bmsu.ac.ir
Web page address
https://baq.bmsu.ac.ir/
Sponsors / Funding sources
1
Sponsor
Name of organization / entity
Bagheiat-allah University of Medical Sciences
Full name of responsible person
دکتر ایمانی فولادی
Street address
Baqiyatallah university of medical science, Vanak square, Tehran
City
Tehran
Province
Tehran
Postal code
1435916471
Phone
+98 21 8755 5265
Fax
Email
www.mail@bmsu.ac.ir
Web page address
https://research.bmsu.ac.ir/
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Deidentified Individual Participant Data Set (IPD)
Yes - There is a plan to make this available
Study Protocol
Yes - There is a plan to make this available
Statistical Analysis Plan
Yes - There is a plan to make this available
Informed Consent Form
Yes - There is a plan to make this available
Clinical Study Report
Yes - There is a plan to make this available
Analytic Code
Yes - There is a plan to make this available
Data Dictionary
Yes - There is a plan to make this available
Title and more details about the data/document
The results of the research and information related to the main outcome are shared.
When the data will become available and for how long
Beginning of the access period from the end of 1403
To whom data/document is available
Researchers of medical centers, hospitals and universities of medical sciences
Under which criteria data/document could be used
Data access levels will be granted under the agreement of Hafa and Baqiyatullah University of Medical Sciences.
From where data/document is obtainable
Access and correspondence is possible through the following email:
alireza.abasi1806@gmail.com
What processes are involved for a request to access data/document
1. Send request by email
2. Submitting the application to the Research Center and Baqiyatullah University of Medical Sciences
3. The final answer to the request