Clinical Trial: Use of a Mobile Remote Device to Optimize Pediatric Inter-facility Transportation: A Feasibility Study

Study Status: Completed
Recruit Status: Completed
Study Type: Interventional

Official Title: Remote Technology for Paediatric Patient Assessment, Stabilization and Triaging Prior to Paediatric Inter-facility Transportation: A Feasibility Study

Brief Summary: This study compares the utilization of remote technology versus not using remote technology when triaging and managing pediatric patients in remote settings prior to pediatric specialized inter-facility transportation.

Detailed Summary:

Paediatric Specialized Inter-facility transport utilizes specialized teams usually made up of a respiratory therapist, paediatric critical care nurse, and paediatric intensivist as medical control. When a Nurse Practitioner or General Practitioner from a remote site has a paediatric acute care referral and wants to arrange transportation there is an initial call at which point there are two priorities: first is obtain a patient history and then provide advice to the remote caregiver to initiate specific therapies; second is to mobilize the specialized team to the patient. The period of time between giving initial advice while dispatching the team and the time when the team arrives, can often be a vulnerable period for the remote caregiver as well as the patient. The ability to directly visualize and assess the patient during this time, as well as assist the specialized team once they arrive may provide improvement in safety and care of the patient. It may also improve triaging and may make the stabilization and departure time more efficient.

Remote technology will be used for an initial patient assessment after being contacted by phone from the peripheral centre to transfer an acutely ill paediatric patient as assessed by the referral centre care provider. After assessment the patient will be triaged to either remain in the local community, transferred to a regional hospital that provides paediatric acute care (Prince Albert), or be transported to Royal University Hospital in Saskatoon for tertiary care. Data to be collected includes:

  • Duration of time from the beginning of the initial phone call to the first therapeutic intervention
  • Time to stabilization
  • Time to decision for disposition
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    Sponsor: University of Saskatchewan

    Current Primary Outcome: Transport number in the cases (with the robot) versus the controls (without the robot) [ Time Frame: One year ]

    Original Primary Outcome: Same as current

    Current Secondary Outcome:

    • Tertiary care hospital length of stay in the cases versus the controls [ Time Frame: One year ]
    • The number of patients transported to the regional hospitals in the cases (with the robot) versus the controls (without the robot) [ Time Frame: One year ]


    Original Secondary Outcome: Same as current

    Information By: University of Saskatchewan

    Dates:
    Date Received: September 21, 2016
    Date Started: March 2015
    Date Completion:
    Last Updated: September 26, 2016
    Last Verified: September 2016