Medical Checklists in the Emergency Department

Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)

Status: Enrolling

Conditions: Tricyclic Antidepressant Poisoning; Emergencies; Tricyclic Antidepressant Toxicity

Treatments: Device: Checklist

Study type: Interventional

Funder types: Other

Identifiers

NCT05496114

W22_163

Details and patient eligibility

About

This study aims to investigate whether the use of medical checklists in the emergency department can decrease resuscitation time in critically ill patients.

Full description

A scenario evaluating tricyclic antidepressant poisoning will be carried out with and without medical checklist access. Emergency physicians from the Netherlands who are willing to take part in the study are randomly allocated to perform the scenario with or without checklists.

Enrollment: 56 estimated patients

Sex: All

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Emergency Physicians recognised by KNMG (Koninklijke Nederlandsche Maatschappij tot bevordering van de Geneeskunst) working in the Netherlands

Exclusion criteria

• Residents (in Dutch: AIOS) Emergency Medicine
• Interns (in Dutch: ANIOS) Emergency Medicine

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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56 participants in 2 patient groups

Intervention group: with checklist

Experimental group

Description:

When starting the scenario, a checklist will be given to the emergency physician. The checklist outlines interventions to consider during management of a patient with tricyclic antidepressant poisoning. Each checklist will include indications, contra-indications and for medication, dose, route and rate of administration.

Treatment:

Device: Checklist

Control group: without checklist

No Intervention group

Description:

Emergency physicians will be asked to perform the scenario as they would in their daily practice. They will be allowed to use their usual cognitive aids (eg, phone, internet) but not allowed to request help from others.