The effect of education of using(Identification, Mechanism, Injuries, Signs, Treatment and Trends, Allergies, Medication, Background history, Other information) IMIST-AMBO protocol in delivering patients from pre-hospital staff on patient safety in hospital emergency department Shahid Gholipour Bukan Hospital in 1400
Design
Clinical trial with control group, with parallel group, one-way blind, randomized, on 400 patients. Randomizer software was used for randomization.
Settings and conduct
In this study, emergency medical personnel are trained and the effect of training on how patients are delivered in the emergency department is measured. Among the patients who are delivered by the emergency medical staff of the emergency department of Shahid Gholipour Buokan Hospital. 400 samples are selected by convinient sampling method.
Participants/Inclusion and exclusion criteria
Criteria for inclusion of patients in the study:
The patient enters the emergency room by the pre-hospital emergency department
Criteria for excluding patients from the study:
1- The patient leaves before 6 hours by completing and signing the personal consent form
2- Death of the patient before 6 hours
3- The need for emergency surgery or momentary transfer to other departments
Criteria for including pre-hospital emergency staff and nurses in the study:
Have at least six months of work experience in the emergency department or pre-hospital
Criteria for excluding pre-hospital emergency staff and nurses from research:
Lack of regular attendance at training classes
Intervention groups
Intervention group: Pre-hospital emergency staff who meet the inclusion criteria will be trained in the IMIST-AMBO protocol in two face-to-face sessions.Control group: No educational intervention will be performed on the control group.
Main outcome variables
Improving the patient delivery and patient safety
General information
Reason for update
Acronym
IRCT registration information
IRCT registration number:IRCT20211205053284N1
Registration date:2022-03-26, 1401/01/06
Registration timing:registered_while_recruiting
Last update:2022-03-26, 1401/01/06
Update count:0
Registration date
2022-03-26, 1401/01/06
Registrant information
Name
Chiman Ebrahimian
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 44 4625 2160
Email address
chiman.ebrahimian@sbmu.ac.ir
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2022-03-21, 1401/01/01
Expected recruitment end date
2022-05-22, 1401/03/01
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
The effect of education of using IMIST-AMBO protocol in delivering patients from pre-hospital staff on patient safety in hospital emergency department
Public title
Education of using IMIST-AMBO protocol in delivering patients from pre-hospital staff on patient safety in hospital emergency department
Purpose
Education/Guidance
Inclusion/Exclusion criteria
Inclusion criteria:
The patient enters the emergency room by the pre-hospital emergency department
Criteria for admission of pre-hospital emergency staff and nurses to work experience research for at least six months in the emergency department or pre-hospital
Exclusion criteria:
Patient leaves before 6 hours by completing and signing the personal consent form
Patient dies before 6 hours
Need emergency surgery or immediate transfer to other wards
Exclusion criteria for pre-hospital emergency staff and nurses Lack of regular attendance at training classes
Age
From 18 years old
Gender
Both
Phase
N/A
Groups that have been masked
No information
Sample size
Target sample size:
400
Randomization (investigator's opinion)
Randomized
Randomization description
Randomization is done in a simple and individual way using Randomizer random allocation software. Emergency medical personnel are listed according to the national code and then divided into group 1 (intervention) and group 2 (control) using random allocation software.
Blinding (investigator's opinion)
Not blinded
Blinding description
Placebo
Not used
Assignment
Parallel
Other design features
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
Ethics Committee in Research Schools of Pharmacy, Nursing and Midwifery - Shahid Beheshti University
Street address
In front of Shahid Rajaei Heart Hospital.,Niayesh Intersection.,Valiasr St.,School of Nursing and Midwifery.,Tehran
City
Tehran
Province
Tehran
Postal code
1985717443
Approval date
2021-11-02, 1400/08/11
Ethics committee reference number
IR.SBMU.PHARMACY.REC.1400.201
Health conditions studied
1
Description of health condition studied
Patients transferred by pre-hospital emergency.
ICD-10 code
N98.3
ICD-10 code description
Safety
Primary outcomes
1
Description
Patient safety The meaning of patient safety is the score obtained from the checklist of safety assessment of patients admitted to the emergency room, which measures patient safety in the areas of 1) attention to drugs with similar forms and pronunciation, 2) correct patient identification, 3) communication Effective health workers at the time of patient delivery, 4) Performing the correct procedure in the correct location of the patient's body, 5) Controlling high concentration electrolyte solutions, 6) Ensuring drug accuracy in the delivery of care services, 7) Avoiding incorrect connections of catheters and tubes, 8 ) Measures the immediate use of injection equipment. 9) Improves hand hygiene to prevent infections.
Timepoint
Before intervention and after intervention
Method of measurement
Questionnaire nine WHO patient safety solutions
Secondary outcomes
empty
Intervention groups
1
Description
Intervention group: Pre-hospital emergency staff Step 1 (before intervention): For all patients (traumatic and non-traumatic) who are delivered to the emergency department by pre-hospital emergency staff and delivered as usual, the safety standards checklist by the researcher is up to six hours (4 to 6 hours). ) Will be completed later. The reason for the period of four to six hours is the stabilization of the patient's condition and the initial stages of care and treatment, which is done faster in some patients and later in others. Also, according to the laws of the Ministry of Health, each patient in the emergency department must be assigned within six hours and a final decision must be made regarding the patient's hospitalization or discharge. Step 2 (Intervention): In this step, all pre-hospital emergency staff of the IMIST-AMBO protocol intervention group will be trained in two face-to-face sessions. The validity of the educational content is confirmed by 4 emergency medicine specialists and nursing faculty members. The training will be presented by the researcher using PowerPoint in person for two hours. It should be noted that the objectives of the research will be explained to all participants and all of them will be informed. Stage 3 (after intervention): In this stage, the safety checklist of patients admitted to the emergency department for all trauma and non-trauma patients who have been transferred to the hospital by pre-hospital emergency staff trained in the IMIST-AMBO protocol, until Six hours (4 to 6 hours) will be completed later. Then the patient's safety in the stage before and after the study will be compared with each other and the results will be prepared for statistical analysis.
Category
Prevention
2
Description
Control group: Pre-hospital emergency staff did not intervene in the control group
Category
Prevention
Recruitment centers
1
Recruitment center
Name of recruitment center
Emergency department of Shahid Gholipour Hospital in Bukan