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Reliability of the Swiss Emergency Triage Scale (SETS®) Used by Emergency Medical Service (EMS) Providers

Primary Purpose

Emergency Medical Services, Triage

Status
Completed
Phase
Not Applicable
Locations
Switzerland
Study Type
Interventional
Intervention
Mobile triage system
Sponsored by
University Hospital, Geneva
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional diagnostic trial for Emergency Medical Services

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • All EMS providers employed by a private ambulance company in the State of Geneva, Switzerland

Exclusion Criteria:

  • Not giving informed consent

Sites / Locations

  • ED of Geneva University Hospitals

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Intervention group

Arm Description

EMS providers will evaluate computerized clinical scenarios using a mobile triage device

Outcomes

Primary Outcome Measures

Emergency level (1 to 4) accordingly to the SETS
Each participant will attribute an emergency level (1 to 4) to all clinical vignettes accordingly to SETS criteria. Reliability will be evaluated by computing inter-rater reliability using Kappa statistics.

Secondary Outcome Measures

Correct emergency triage level identification
Triage levels attributed by EMS providers will be compared with triage levels attributed by experts
Proper orientation
At the end of triage process, EMS providers have to decide in which hospitals the patients should be admitted. These orientations given by EMS providers will be compared with orientations attributed by experts

Full Information

First Posted
September 21, 2015
Last Updated
December 24, 2015
Sponsor
University Hospital, Geneva
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1. Study Identification

Unique Protocol Identification Number
NCT02559531
Brief Title
Reliability of the Swiss Emergency Triage Scale (SETS®) Used by Emergency Medical Service (EMS) Providers
Official Title
Reliability of the Swiss Emergency Triage Scale (SETS®) Used by Emergency Medical Service (EMS) Providers
Study Type
Interventional

2. Study Status

Record Verification Date
December 2015
Overall Recruitment Status
Completed
Study Start Date
September 2015 (undefined)
Primary Completion Date
November 2015 (Actual)
Study Completion Date
November 2015 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
University Hospital, Geneva

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The Swiss Emergency Triage Scale (SETS) in used for triage in emergency departments in Switzerland, France and Belgium. No validated triage scale is actually used by Emergency Medical Service (EMS) providers. The objective of this project is to evaluate the reliability and performance of triage by EMS providers with the SETS.
Detailed Description
The Swiss Emergency Triage Scale (SETS) in used for triage in emergency departments in Switzerland, France and Belgium. No validated triage scale is actually used by EMS providers. The objective of this project is to evaluate the reliability and performance of triage by EMS providers with the SETS. In order to perform this evaluation a cohort of 22 EMS providers will evaluate 28 standardized clinical scenarios using a computer simulator.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Emergency Medical Services, Triage

7. Study Design

Primary Purpose
Diagnostic
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
23 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Intervention group
Arm Type
Experimental
Arm Description
EMS providers will evaluate computerized clinical scenarios using a mobile triage device
Intervention Type
Device
Intervention Name(s)
Mobile triage system
Intervention Description
A mobile triage system used by EMS providers will be evaluated using standardized clinical vignettes
Primary Outcome Measure Information:
Title
Emergency level (1 to 4) accordingly to the SETS
Description
Each participant will attribute an emergency level (1 to 4) to all clinical vignettes accordingly to SETS criteria. Reliability will be evaluated by computing inter-rater reliability using Kappa statistics.
Time Frame
1 day: all computeriez vignettes will be evaluated during a one-day session in November 2015.
Secondary Outcome Measure Information:
Title
Correct emergency triage level identification
Description
Triage levels attributed by EMS providers will be compared with triage levels attributed by experts
Time Frame
1 day: all computeriez vignettes will be evaluated during a one-day session in November 2015.
Title
Proper orientation
Description
At the end of triage process, EMS providers have to decide in which hospitals the patients should be admitted. These orientations given by EMS providers will be compared with orientations attributed by experts
Time Frame
1 day: all computeriez vignettes will be evaluated during a one-day session in November 2015.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: All EMS providers employed by a private ambulance company in the State of Geneva, Switzerland Exclusion Criteria: Not giving informed consent
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Olivier T Rutschmann, MD, MPH
Organizational Affiliation
University Hospital, Geneva
Official's Role
Principal Investigator
Facility Information:
Facility Name
ED of Geneva University Hospitals
City
Geneva
ZIP/Postal Code
1211
Country
Switzerland

12. IPD Sharing Statement

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Reliability of the Swiss Emergency Triage Scale (SETS®) Used by Emergency Medical Service (EMS) Providers

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