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IRCT20211205053284N1 IRCT 2022-03-26 Shahid Beheshti University of Medical Sciences Education of using IMIST-AMBO protocol in delivering patients from pre-hospital staff on patient safety in hospital emergency department The effect of education of using IMIST-AMBO protocol in delivering patients from pre-hospital staff on patient safety in hospital emergency department 2022-03-21 anticipated 400 Complete https://irct.ir/trial/60455 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Education/Guidance, 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. N/A Patients transferred by pre-hospital emergency.. Intervention 1: 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. Intervention 2: Control group: Pre-hospital emergency staff did not intervene in the control group. Yes - There is a plan to make this available What will be shared: Safety measured before and after the intervention When: Access to the study will be after the publication of the article To whom: The data will be available to all medical researchers Conditions: If the principles of research ethics are observed, it will be provided to researchers. Where to obtain: Refer to the registration email address in the published article and request. How to obtain: The article will be provided to the requesting researchers immediately after approval and publication. Comments:
public Chiman Ebrahimian
Amirabad - Keshavarz Boulevard - next to Bisotoun Alley 5
Bukan Iran (Islamic Republic of) 5951112374 +98 44 4625 2160 chiman.ebrahimian@sbmu.ac.ir Shahid Beheshti University of Medical Sciences scientific Fateme Monjazebi
Shahid Beheshti University of Medical Sciences
Tehran Iran (Islamic Republic of) 1985717443 +98 21 8865 5366 fmonjazebi@gmail.com Shahid Beheshti University of Medical Sciences Iran (Islamic Republic of) 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 18 years no limit Both 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 N98.3 Safety Prevention Prevention 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. Control group: Pre-hospital emergency staff did not intervene in the control group 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. Shahid Beheshti University of Medical Sciences Approved 2021-11-02 Ethics Committee in Research Schools of Pharmacy, Nursing and Midwifery - Shahid Beheshti University In front of Shahid Rajaei Heart Hospital.,Niayesh Intersection.,Valiasr St.,School of Nursing and Midwifery.,Tehran Tehran Tehran Iran (Islamic Republic of)