UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000033519
Receipt number R000038219
Scientific Title The new role of triage nurse ordering in emergency department depend on Emergency Severity Index : A randomized control trial
Date of disclosure of the study information 2018/07/26
Last modified on 2021/07/28 18:59:26

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Basic information

Public title

The new role of triage nurse ordering in emergency department depend on Emergency Severity Index : A randomized control trial

Acronym

The new role of triage nurse ordering in emergency department depend on Emergency Severity Index : A randomized control trial

Scientific Title

The new role of triage nurse ordering in emergency department depend on Emergency Severity Index : A randomized control trial

Scientific Title:Acronym

The new role of triage nurse ordering in emergency department depend on Emergency Severity Index : A randomized control trial

Region

Japan


Condition

Condition

Expert triage nurse in the emergency department

Classification by specialty

Emergency medicine Nursing Adult

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The aim of this study is to compare the accuracy of acuity decision and the prediction of resources between the ESI and the JTAS in Japan.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Explanatory

Developmental phase

Phase II,III


Assessment

Primary outcomes

The primary endpoint will establish the inter-rater reliability of the results on practice cases in each group.
The secondary endpoint will establish the inter-rater reliability of the results on practice cases in each urgency criteria.
In addition, tertiary endpoint will be to verify the prediction accuracy of the resources.

Key secondary outcomes

At first, the Visual Analog Scale which can be indicator of subjective evaluation will be employed to measure usability of each triage tool.
Secondary, the total time taken to solve practice cases is related between the ESI and the JTAS.


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Single blind -participants are blinded

Control

Active

Stratification

YES

Dynamic allocation

NO

Institution consideration

Institution is considered as adjustment factor in dynamic allocation.

Blocking

YES

Concealment

Pseudo-randomization


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Maneuver

Interventions/Control_1

After completion of training with the ESI for 3 hours, subjects in each group will solve 80 practice cases.

Interventions/Control_2

After completion of review with the JTAS for 3 hours, subjects in each group solved 80 practice cases.

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit


Not applicable

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Subjects have experienced in triage for 3 years or more and less than 10 years, have experienced in nurse for 10 years or more and less than 20 years. Moreover, subjects had except certified nurse specialist of critical care nursing and Japanese nurse practitioner.

Key exclusion criteria

The exception criteria were as follows; do not have except certified nurse specialist of critical care nursing and Japanese nurse practitioner.Subjects do not have knowledge of basic acuity decision on a daily basis.

Target sample size

80


Research contact person

Name of lead principal investigator

1st name Koichi
Middle name
Last name Takaoka

Organization

Kansai University of Social Welfare

Division name

Department of Nursing, Faculty of Nursing

Zip code

678-0255

Address

380-3 Sinden, Ako, Hyogo

TEL

0791-20-2704

Email

takaoka@kusw.ac.jp


Public contact

Name of contact person

1st name Koichi
Middle name
Last name Takaoka

Organization

Kansai University of Social Welfare

Division name

Department of Nursing, Faculty of Nursing

Zip code

678-0255

Address

380-3 Sinden, Ako, Hyogo

TEL

0791-20-2704

Homepage URL


Email

takaoka@kusw.ac.jp


Sponsor or person

Institute

Department of Nursing, Faculty of Nursing, Kansai University of Social Welfare

Institute

Department

Personal name



Funding Source

Organization

Japan society for the promotion of Science, Grants-in-Aid for Scientific Research.

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Research ethics committee of Kansai University of Social Welfare

Address

380-3 Sinden, Ako, Hyogo

Tel

0791-46-2525

Email

kusw-kango@kusw.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2018 Year 07 Month 26 Day


Related information

URL releasing protocol


Publication of results

Published


Result

URL related to results and publications

https://www.sciencedirect.com/science/article/pii/S0099176721000763?via%3Dihub

Number of participants that the trial has enrolled

23

Results

Inter-rater agreement between expert triage nurses was kappa = 0.82 (almost perfect) in the ESI group and kappa = 0.74 (substantial) in the JTAS group. In addition, the UT and OT ratios were 20.3% and 14.8%, respectively, in the ESI group, and 30.3% and 16.7%, respectively, in the JTAS group.
The results revealed that the ESI scale was associated with higher agreement than the JTAS.

Results date posted

2021 Year 04 Month 22 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results

2021 Year 07 Month 16 Day

Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2017 Year 07 Month 02 Day

Date of IRB

2018 Year 07 Month 02 Day

Anticipated trial start date

2018 Year 07 Month 26 Day

Last follow-up date

2020 Year 08 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2018 Year 07 Month 26 Day

Last modified on

2021 Year 07 Month 28 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000038219


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name