An observational study in Emergency Surgery, Triage and Checklist, sponsored by Peking Union Medical College Hospital. Active, not recruiting at 1 site in China. Per ClinicalTrials.gov, last updated 2025-03-06.
Sponsored by Peking Union Medical College Hospital · Observational
The goal of this observational study is to develop and test a system for managing emergency surgery patients at Beijing Union Medical College Hospital. The main questions it aims to answer are:
What information is necessary for effective patient triage and handovers between the emergency department, anesthesia, and ICU for surgical patients? How effective and feasible is a standardized handover process in improving patient outcomes and safety?
Participants will:
Be observed and have their handovers documented to identify key information required.
Participate in implementing a new handover checklist and triage system.
Researchers will compare the periods before and after implementing the new system to see if it:
Reduces missed critical information during handovers. Decreases pre-surgery waiting times for critically ill patients. Improves overall patient safety and outcomes, including reducing postoperative complications, mortality rates, length of hospital stay, and medical costs.
The study will be conducted in several phases to establish a comprehensive emergency surgery triage and checklist management system at Beijing Union Medical College Hospital.
Phase 1: Literature Review and Initial Assessment First, a comprehensive review of existing literature and past emergency surgery cases will be conducted to identify common issues and best practices.
Phase 2: Expert Panel and Delphi Process An expert panel consisting of hospital management staff, anesthesiologists, emergency surgeons, ICU intensivists, and ER doctors will be formed. This panel will engage in a Delphi process to discuss and develop a standardized system for managing emergency surgery patients.
Phase 3: System Implementation and Testing
The newly developed system will be implemented and tested. Key metrics to be documented, evaluated, and compared include:
The number of omitted information items during the emergency-anesthesia handover.
Staff satisfaction with the new handover process across the emergency department, general surgery, anesthesia, and ICU.
In-hospital mortality rate after surgery. Postoperative in-hospital complications, classified by Clavien-Dindo grading, and their incidence rate.
Patient waiting times, including time to theatre and time to incision. Duration of the handover process. Incidence of follow-up calls to inquire about additional information after the handover.
Phase 4: Evaluation and Comparison The effectiveness and feasibility of the new system will be evaluated by comparing the collected data before and after its implementation. This comparison will help determine the system\'s impact on improving patient outcomes, safety, and staff efficiency.
By systematically addressing the critical points of patient handovers and emergency surgery management, this study aims to enhance overall healthcare quality and patient safety in emergency surgical settings.
1,692 studies on the registry are indexed under Emergencies; 333 are open to participants now.
This study's planned enrollment of 60 is below the median of 353 across 714 observational studies indexed under Emergencies.
Browse Emergencies studies →Peking Union Medical College Hospital is the lead sponsor of 1,115 studies on the registry; 463 are open to participants now.
Counted across the registry records on this site, refreshed daily.
Patients scheduled for emergency surgery at Peking Union Medical College Hospital
Exclusion Criteria:
Patients undergoing emergency surgery at Peking Union Medical College Hospital after Emergency Surgery Triage and Checklist Management System
The number of omitted information
The number of omitted information items during the emergency-anesthesia handover.
Time frame: Outcome will be assessed on the operative day
Patient waiting times, including time to theatre and time to incision.
Time to Theatre (TTT): This is defined as the duration from when it is determined that the patient needs surgery to the time the patient arrives at the operating theatre. Time to Knife (TTK): This is defined as the duration from when the patient enters the operating theatre to the time the first incision is made.
Time frame: Outcome will be assessed on the operative day
Feasibility of handover checklist
Staff satisfaction with the new handover process across the emergency department, general surgery, anesthesia, and ICU. Whether the handover checklist is considered necessary will and feasible will be assessed using a 5 point Likert scale.
Time frame: Outcome will be assessed on the operative day
In-hospital mortality
In-hospital mortality
Time frame: From date of admission until discharge, assessed up to 4 weeks
In-hospital morbidity
In-hospital morbidity will be documented and rated using Clavein-Dindo classification system
Time frame: From date of admission until discharge, assessed up to 4 weeks
Plan to share: No
No publications or documents are linked to this record.
This study is active, not recruiting, as verified in Mar 2025. You cannot join it, but the record below documents what was studied.
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Peking Union Medical College Hospital