Medical Checklists in the Emergency Department

The Impact of Medical Checklists on the Management of Acute Situations in the Emergency Department. A Simulation-based Randomised Controlled Trial.

Status

Recruiting

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT05496114

Enrollment

Registered

2022-08-11

Start date

2023-09-01

Completion date

2025-02-28

Last updated

2024-05-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Emergencies, Tricyclic Antidepressant Poisoning, Tricyclic Antidepressant Toxicity

Keywords

Medical checklists

Brief summary

This study aims to investigate whether the use of medical checklists in the emergency department can decrease resuscitation time in critically ill patients.

Detailed description

A scenario evaluating tricyclic antidepressant poisoning will be carried out with and without medical checklist access. Emergency physicians from the Netherlands who are willing to take part in the study are randomly allocated to perform the scenario with or without checklists.

Interventions

DEVICEChecklist

A checklist is an aid that outlines assessments or actions systematically. In this study, the checklist outlines interventions to consider during management of a patient with tricyclic antidepressant poisoning. Each checklist will include indications, contra-indications and for medication, dose, route and rate of administration.

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

TREATMENT

Masking

NONE

Intervention model description

Participants (emergency physicians) will be allocated to performing the scenario with or without checklist in a randomized fashion on a 1:1 ratio. Computerized randomization will take place using an online randomization module.

Eligibility

Sex/Gender

ALL

Healthy volunteers

Yes

Inclusion criteria

* Emergency Physicians recognised by KNMG (Koninklijke Nederlandsche Maatschappij tot bevordering van de Geneeskunst) working in the Netherlands

Exclusion criteria

* Residents (in Dutch: AIOS) Emergency Medicine * Interns (in Dutch: ANIOS) Emergency Medicine

Design outcomes

Primary

Measure	Time frame	Description
Duration of the scenario	Through study completion, indicated 10 months	The primary outcome is the duration of primary resuscitation utilizing the checklists versus treatment on discretion of the treating physician. The simulation will be terminated when all indicated interventions are performed, when the team expresses that they cannot think of any other intervention to perform or when 15 minutes have elapsed.

Secondary

Measure	Time frame	Description
Number of indicated interventions performed by the emergency physician	Through study completion, indicated 10 months	Based on the checklist, a number of predefined indicated interventions is established. When reviewing the video recordings, it will be noted whether indicated interventions were performed and when these interventions were performed. The order according to which interventions are performed will not impact on this secondary outcome.
Satisfaction of emergency physicians with the checklists	Through study completion, indicated 10 months	Participants, who run the scenarios with checklist access, will be asked to fill out a questionnaire evaluating the checklist (5-point Likert scales).

Countries

Netherlands

Contacts

Primary ContactMalu van der Capellen, MD

malucapellen@gmail.com0031645144756

Backup ContactMaik Berendsen, MD

maik.berendsen@amsterdamumc.nl0031645556601

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026