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Trial registered on ANZCTR
Registration number
ACTRN12620001082998
Ethics application status
Approved
Date submitted
27/05/2019
Date registered
20/10/2020
Date last updated
20/10/2020
Date data sharing statement initially provided
20/10/2020
Date results information initially provided
20/10/2020
Type of registration
Retrospectively registered
Titles & IDs
Public title
Practice of Triage Decisions Among Healthcare Providers in Emergency Departments of Malaysia After Educational Program
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Scientific title
The effect of Educational Program on Skill and Accuracy of Triage Decisions among Registered Nurses and Medical Officer Assistants in Emergency Departments of Malaysia
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Secondary ID [1]
291220
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Nil known
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Universal Trial Number (UTN)
U1111-1233-8900
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Triage decisions making in Emergency Department
312938
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Emergency medicine
315356
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Condition category
Condition code
Emergency medicine
311428
311428
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0
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Other emergency care
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Phase 1 is a based line survey to identify level of skill and accuracy of triage decision making. A total of 10 EDs hospital with 274 participants were invited to participate in the study project. A number of 202 were enrolled into the study.
Phase 2 is an intervention study. All the 10 EDs of the hospital with participants who have obtained low TDMI score were identified. They were invited to enrol into phase 2 of the study. There was 143 HCPs of the 10 EDs, after excluding 59 participants who obtained a high score.
The EDs of the 10 hospitals were divided into two categories: specialist (four) and non-specialist (six) hospitals. These EDs of the 10 hospitals (with participants who scored low) were randomized into control (5 hospitals) and intervention group (5 hospitals) using balloting method. The hospitals of control group comprised of 74 participants while 69 participants for the intervention group.
The intervention was a form of lectures and discussions in a group, which were conducted in 140 minutes in each hospital and completed in one session.
Intervention group was exposed to the intervention and not for control group. Measurement of skills and accuracy of triage for both groups were measured at 2 week and 4 weeks interval after intervention group exposed to the intervention.
The intervention provided by nursing lecturer who expert in the field or trauma and emergency. The topic included was related with triage decision of adult trauma patient, participant's opinions based on survey in phase 1, such as Triaging, factors that may contribute to adjustment of triage decision such as mechanism of injury, type of injury. Pain and Glascow Coma Score assessment, the severity and triage categorization. Assessment of patient at triage desk and discussion of triage categorization using patient's scenaro-based questions.
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Intervention code [1]
297235
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Treatment: Other
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Comparator / control treatment
No treatment
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Control group
Active
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Outcomes
Primary outcome [1]
320145
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to identify level of skills and accuracy of triage decision-making at basedline
Outcome assessed using a validated self administration questionnaires, triage decision-making inventory (TDMI), used with permission from the author, Cone (2000) was utilized to measure skills and patient scenario-based questions (PSBQs) for accuracy of triage decision- making at baseline (pre-test)
The cut-off point for TDMI is 184 (out of 222) and the cut off point for PSBQs is 12 (out of 15)
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Assessment method [1]
320145
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Timepoint [1]
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March till June 2015 ( baseline survey enrollment)
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Primary outcome [2]
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to evaluate level of skills and accuracy of triage decision-making after exposure to educational
Both were evaluate at post test (two weeks after intervention) and follow-up (4 weeks).
Triage Decision-making Inventory (TDMI) and Patient scenario-based questions (PSBQs) ) used for basedline,both post test and follow-up
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Assessment method [2]
320912
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Timepoint [2]
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Mid April (post test) and end of April of 2016 (follow-up)
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Secondary outcome [1]
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there was no more outcome
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Assessment method [1]
375380
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Timepoint [1]
375380
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no time point
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Eligibility
Key inclusion criteria
Registered nurses and medical officer assistants who experienced triage roles in the EDs
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Minimum age
23
Years
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Maximum age
60
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Registered nurses and medical officer assistants who refused
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Study design
Purpose of the study
Educational / counselling / training
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
numbered containers
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Balloting method used .It was conducted by a person who has no interest in the study. Hospitals (with participants who obtained low score of skill) were stratified to specialist and non specialist hospital. then randomized into intervention and control group
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
The Intervention in a form of educational program only provided to intervention group. Control group did not received any intervention.
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
The study involves 2 phases: Phase 1 is basedline survey. Phase 2 is to identify effectiveness of educational program on skill and accuracy of triage decisions among registered nurses and medical officer assistants in the 10 ED hospitals in North Penisular of Malaysia,
The ten hospitals with participants (n=143) who obtained low score were stratified to specialist (n=4) non specialist hospitals (n=6). The hospitals randomized to intervention (n=69) and control group (n-74) in ratio 1:1.using balloting method by a person who has no interest in the study. Intervention was provided to intervention group, while control group did not received any intervention. Measurement of the score were conducted after intervention group received intervention at post test (two weeks and follow-up (four weeks).
Data analyzed using descriptive Descriptive statistics were used for examining the frequency distribution of demographic characteristic and items of the questionnaire, including mean score of TDMI and PSBQs, t-test Chi square and Fisher exact tests, RM ANCOVA applied as appropriate.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
1/03/2015
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Date of last participant enrolment
Anticipated
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Actual
14/04/2016
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Date of last data collection
Anticipated
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Actual
28/04/2016
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Sample size
Target
202
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Accrual to date
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Final
143
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Recruitment outside Australia
Country [1]
21519
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Malaysia
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State/province [1]
21519
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North Penisular Malaysia
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Funding & Sponsors
Funding source category [1]
295671
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University
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Name [1]
295671
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Universiti Malaya
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Address [1]
295671
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Unit of Research Grant Management
Universiti Malaya
50603 Lembah Pantai,
Kuala Lumpur,
Malaysia
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Country [1]
295671
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Malaysia
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Primary sponsor type
University
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Name
University of Malaya
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Address
Unit of Research Grant Management
Universiti Malaya
50603 Lembah Pantai,
Kuala Lumpur,
Malaysia
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Country
Malaysia
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Secondary sponsor category [1]
302978
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None
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Name [1]
302978
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Address [1]
302978
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Country [1]
302978
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
296985
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Ethics Committee (Human) Universiti Sains Malaysia, Health Campus (JEPeM USM code: USM/JEPeM/[282.3(7)]
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Ethics committee address [1]
296985
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Ethics Committee (Human)
Universiti Sains Malaysia,Health Campus
16150 Kubang Kerian
Kelantan, Malaysia
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Ethics committee country [1]
296985
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Malaysia
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Date submitted for ethics approval [1]
296985
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23/04/2014
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Approval date [1]
296985
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22/07/2014
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Ethics approval number [1]
296985
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Ethics committee name [2]
303442
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National Malaysia Medical Research (NMRR)
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Ethics committee address [2]
303442
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Medical Research & Ethics Committee
Ministry of Health Malaysia
a/a Institut Pengurusan Kesihatan
Jalan Rumah Sakit, Bangsar
59000 Kuala Lumpur,
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Ethics committee country [2]
303442
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Malaysia
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Date submitted for ethics approval [2]
303442
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01/09/2014
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Approval date [2]
303442
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04/11/2014
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Ethics approval number [2]
303442
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Summary
Brief summary
Intervention was an educational program. It was conducted in 140 minutes by trained personnel. The purpose is to identify skills and accuracy triage decision-making before and after intervention.
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Trial website
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Trial related presentations / publications
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Public notes
Level of skills and accuracy of triage decision making improved after educational education
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Contacts
Principal investigator
Name
72626
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Dr Siti Aishah Ghazali
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Address
72626
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School of Health Sciences
Universiti Sains Malaysia, Health campus,
16150 Kubang Kerian
Kelantan,Malaysia.
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Country
72626
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Malaysia
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Phone
72626
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+60129644232
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Fax
72626
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+609 7677515
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Email
72626
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[email protected]
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Contact person for public queries
Name
72627
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Dr Siti Aishah Ghazali
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Address
72627
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School of Health Sciences
Universiti Sains Malaysia, Health campus,
16150 Kubang Kerian
Kelantan,Malaysia.
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Country
72627
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Malaysia
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Phone
72627
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+60129644232
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Fax
72627
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+609 7677515
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Email
72627
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[email protected]
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Contact person for scientific queries
Name
72628
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Prof Khatijah Lim Abdullah
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Address
72628
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Department of Nursing Science, Department of Nursing Science,
Faculty of Medicine, University of Malaya,
50603 Kuala Lumpur, Malaysia
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Country
72628
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Malaysia
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Phone
72628
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+603-7967 3732.
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Fax
72628
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: +603-7949 4636
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Email
72628
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
It confidential and to respect participant's and institution's right not to reveal individuall data in details.
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What supporting documents are/will be available?
No Supporting Document Provided
Doc. No.
Type
Citation
Link
Email
Other Details
Attachment
2148
Informed consent form
The document can be obtain through me (email) for ...
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372392-(Uploaded-30-06-2019-01-23-06)-Study-related document.pdf
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