The purpose of this study is to analyze the clinical impact of an educational intervention on adherence to Clinical Practice Guidelines in an Emergency Department (ED), by using a standardized training, for improving diagnostic sensibility and reducing unnecessary scans, adverse effects and stays in the ED.
The Hospital de la Santa Creu i Sant Pau Emergency Department (ED) implemented a training program between May and June 2015 to improve compliance and adherence to recommended clinical practice and optimize the diagnosis and management of patients with suspected Pulmonary Embolism (PE). The training program was standardized, systematic and continuous, with subsequent reinforcement to ensure implementation. This paper aims to evaluate the clinical impact of the training intervention. The establishment of training measures to improve adherence to guidelines implies clinical practice improvement and benefits patients and health system. Moreover, it is a simple and inexpensive intervention, and can be easily reproduced in other ED. All adult patients (\<18 y) with suspected pulmonary embolism attended at Emergency Department will be included. Retrospective information from two different periods (before and after the training intervention) will be collected. First period: 1/1/2012 - 31/12/2012 and second Period: 01.06.2015 - 30/11/2015, pre and post intervention. OBJECTIVES A. Primary: 1. Analyze adherence to guidelines for the evaluation of suspected PE in the ED. 2. Determine the clinical impact of training intervention (change in adherence to guidelines after training measures among staff in Emergency Department) 3. Implementation and consolidation of a systematic, standardized, continuous training intervention for improving processes and results. B.- Secondary 1. Analyze PE cases (presentation, clinical features, treatment, clinical evolution) 2. analyze the clinical differences in three subgroups of patients with PE: young patients (\<50 years), elderly patients (\<65 years) and cancer 3. Analyze the value of D-dimmer corrected by age in diagnostic algorithms 4. Analyze the results of a new algorithm (EPC + Dimmer corrected age) in the elderly population group (\<65 years).
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
DIAGNOSTIC
Masking
NONE
Enrollment
440
Focused on the Emergency Department staff and the rotating residents during the months 4 and 5 of 2015, and consisted of: 1. Clinical Update Sessions for staff ED (20 physicians) 2. training sessions for residents that rotate in ED (60 physicians ) 3. Development of a triptych, including clinical prediction scales, combination algorithm of scales and D-Dimmer value 4. Development of posters, with brief information 5. Dissemination by e-mail of scientific information 6. Direct reminder during the working day
Hospital de la Santa Creu i Sant Pau
Barcelona, Spain
Number of cases where clinical guidelines have been followed for suspected Pulmonary Embolism in the Emergency Department (adherence)
October, November, December 2016
Time frame: 3 months
Number of cases where clinical guidelines have been followed for suspected Pulmonary Embolism in the Emergency Department (adherence) after training measures among staff in Emergency Department
January, February and Mach 2017
Time frame: 3 months
Prevalence of different clinical characteristics of Pulmonary Embolism (presentation, clinical features, treatment, clinical evolution)
Time frame: 12 months
Prevalence of different clinical characteristics of Pulmonary Embolism related to age (three subgroups of patients with PE: young patients (<50 years), elderly patients (<65 years) and cancer)
Time frame: 12 months
D-dimmer corrected by age in all cases
Time frame: 12 months
Sensibility and Specificity of new algorithm (Clinical Score+ Dimmer corrected age) in the elderly population group (<65 years)
Time frame: 12 months
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