NCT05388292

Decision Support System on Emergency Triage

Effect of Computer-based Decision Support System on Emergency Triage Management

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 5,038 (actual)
• Sponsor: Akdeniz University · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

The objective of this study is to design a computer-based Decision Support System (DSS) using the ESI (Emergency Severity Index) and ATS (Australasian Triage Scale) algorithms, integrate it into the Hospital Information Management System (HIMS), evaluate the effect of the triage management in the emergency department and ensure the continuity of the system.

Detailed description

Background: Triage in the emergency department overstrains employees due to patient density, diversity, and time pressure. Aim: The objective of this study is to design a computer-based Decision Support System (DSS) using the ESI (Emergency Severity Index) and ATS (Australasian Triage Scale) algorithms, integrate it into the Hospital Information Management System (HIMS), evaluate the effect of the triage management in the emergency department and ensure the continuity of the system. Study design: This is a quasi-experimental study with a single-group pre-test and post-test design. The study consisted of three stages. Methods: In the first stage, a SQL (Structured Query Language) Script was developed to evaluate the accuracy and duration of pre-and post-DSS triage decisions. In the second stage (pre-test), the accuracy and duration of pre-DSS triage decisions were evaluated. In the second stage, a DSS was prepared with rule-based decision trees method using the ESI and ATS algorithms and was integrated into the HIMS. In the third and last stage (post-test), the effect of the developed Emergency Triage Decision Support System (ETDSS) on triage management was evaluated against the accuracy and duration of triage decisions.

Conditions

• Triage
• Emergencies
• Decision Support Systems

Interventions

Type	Name	Description
OTHER	Emergency triage decision support system	Evaluating the impact of the developed Emergency Triage Decision Support System on triage management

Timeline

• Start date: 2020-07-16
• Primary completion: 2020-09-16
• Completion: 2020-09-16
• First posted: 2022-05-24
• Last updated: 2024-02-02

Locations

1 site across 1 country: Turkey (Türkiye)