Traumatic injury Injury, Occupational Diseases, Poisoning
Conditions
Interventions
The study comprises a mixed methodology approach with five components:
1. Clinical risk perception questionnaire
2. Clinician usability questionnaire
3. Semi-structured clinician interview
4. Quantita
Sponsors
Queen Mary University of London
Eligibility
Sex/Gender
All
Age
16 Years to 100 Years
Inclusion criteria
Inclusion criteria: 1. Trauma clinicians: Consultant, Specialist Registrar (resident), or paramedics who have direct involvement in initial assessment, management of adult trauma patients transported by London's Air Ambulance to the Royal London Hospital. 2. Trauma patients: Aged 16 years or over with traumatic injury
Exclusion criteria
Exclusion criteria: Trauma clinicians: 1. Consent: clincians who decline to consent or participate 2. Involvement: clinicians not involved in the initial care of adult trauma patients Trauma patients: 1. Aged under 16 years 2. Presenting with injuries: burns, hangings, drownings, or acute psychotic episodes without physical injuries
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Usability measured by the System Usability Scale score and the PAAS Mental Effort Scale at each trauma team activation 2. Perceived usefulness and acceptability based on a semi-structured interview at 2-monthly intervals (beginning, middle, and end of study) | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Clinician risk perception: clinicians’ estimates of patient risks will be measured using a 0-100% probability scale immediately post-resuscitation 2. Clinician risk perception performance: clinician risk estimates will be compared to documented (true) patient outcomes to assess accuracy 3. The patient risks and outcomes that will be measured are: 3.1. In-hospital mortality 3.2. Trauma-induced coagulopathy (TIC), defined as an admission Prothrombin Time ratio (PTr) >1.2 3.3. Significant haemorrhage (=4 units of blood transfused within 4 hours post-injury) The patient outcome data used for comparisons are standard clinical indicators routinely collected during trauma care. This study will not involve any additional data collection directly from patients. Instead, it will utilise retrospective data analysis of existing clinical records to determine the accuracy of clinicians' risk assessments. | — |
Countries
England, United Kingdom
Contacts
Public ContactZane Perkins
Outcome results
None listed