Triage
Conditions
Brief summary
This is a prospective, non-randomized, no placebo-controlled interventional study. The study aims to assess the safety of the web-based symptom checker SMASS-Triage and its tolerability in terms of incidence of under-triaged self-assessments and the potential risk to be life-threatening or harmful. The patient's self-triage using a symptom checker will be compared with the urgency assessments conducted sequentially by three interdisciplinary panels of physicians (panel A, B and C). The risk assessments will be based on the structured reports generated by the symptom checker and the discharge summaries of the WIC/ED.
Interventions
DEVICESMASS-Triage
SMASS-Triage is a web-based symptom checker developed by In4medicine Ltd. SMASS-Triage is based on a computerized transparent neural network, which was trained with the evidence of more than 1200 studies and the expertise of various panels of specialists in the field of preclinical medical triage. SMASS-Triage provides digitalized questionnaires of 87 frequent reasons of encounters (e.g. fever, cough, abdominal pain) and their associated red flags. The triage-result of SMASS-Triage encompasses the appropriate time-to-treat (T2T) and the adequate point-of-care (PoC).
Sponsors
Cantonal Hospital of Baden
Andreas Meer
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* All German-, French-, Italian-, English-speaking patients attending the WIC/ED are eligible. * Informed Consent as documented by signature ( Informed Consent Form) * Age 18-years and older * Capable of judgment * Not under tutelage
Exclusion criteria
* Patients with an Emergency Severity Index 1 * Leading complaint of the patient can't be found and assessed with the symptom checker * Patients not being able to use a tablet-computer * Patients not speaking German, French, Italian or English * Minors under the age of 7-years * Patients incapable of judgment * Participants under tutelage * Known or suspected non-compliance, drug or alcohol abuse, * Inability to follow the procedures of the study, e.g. due to language problems, psychological disorders, dementia, etc. of the participant
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Proportion of self-triage assessed to be a hazardous under-triage | Baseline | The primary endpoint will be the proportion of self-triage and the according confidence interval assessed by the physicians to be a hazardous under-triage. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Proportion of self-triage with an over- or under-triage | Baseline | Secondary endpoints will be the proportion of self-triage with an over- or under-triaged self-assessment. |
Countries
Switzerland
Outcome results
None listed