Evidence map›Paper›PMID 37340486›Full record

ArticleImplementation science communications2023

The Emergency nurse Protocols Initiating Care-Sydney Triage to Admission Risk Tool (EPIC-START) trial: protocol for a stepped wedge implementation trial.

Kate Curtis, Michael M Dinh, Amith Shetty, Sarah Kourouche, Margaret Fry, Julie Considine, Ling Li, Thomas Lung, Timothy Shaw, Mary K Lam and 8 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Implementation science communications, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Observational
  2. Review
  3. Article
  4. Article
  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

Kate CurtisFaculty of Medicine and Health, Susan Wakil School of Nursing and Midwifery, The University of Sydney, Camperdown, NSW, Australia. kate.curtis@sydney.edu.au.ORCID http://orcid.org/0000-0002-3746-0348
Michael M DinhNew South Wales Institute of Trauma and Injury Management, Chatswood, Australia.ORCID http://orcid.org/0000-0002-4034-1059
Amith ShettySystem Sustainability and Performance, NSW Ministry of Health, St Leonards, Australia.ORCID http://orcid.org/0000-0001-7349-1128
Sarah KouroucheFaculty of Medicine and Health, Susan Wakil School of Nursing and Midwifery, The University of Sydney, Camperdown, NSW, Australia.ORCID http://orcid.org/0000-0001-6210-6191
Margaret FryFaculty of Medicine and Health, Susan Wakil School of Nursing and Midwifery, The University of Sydney, Camperdown, NSW, Australia.ORCID http://orcid.org/0000-0003-1265-7096
Julie ConsidineSchool of Nursing and Midwifery and Centre for Quality and Patient Safety Experience in the Institute for Health Transformation, Deakin University, Geelong, VIC, Australia.ORCID http://orcid.org/0000-0003-3801-2456
Ling LiMacquarie University, Sydney, Australia.ORCID http://orcid.org/0000-0002-1642-142X
Thomas LungFaculty of Medicine and Health, University of Sydney, Camperdown, NSW, Australia.ORCID http://orcid.org/0000-0001-9978-6311
Timothy ShawFaculty of Medicine and Health, University of Sydney, Camperdown, NSW, Australia.ORCID http://orcid.org/0000-0003-0783-1918
Mary K LamSchool of Health and Biomedical Sciences, RMIT University, Melbourne, VIC, Australia.ORCID http://orcid.org/0000-0001-9451-8203
Margaret MurphyWestern Sydney Local Health District, North Parramatta, NSW, 2145, Australia.ORCID http://orcid.org/0000-0002-8937-8418
Hatem AlkhouriAgency for Clinical Innovation, NSW Emergency Care Institute, St Leonards, NSW, Australia.ORCID http://orcid.org/0000-0002-5569-704X
Christina AggarNothern NSW Local Health District, Southern Cross University, Lismore, Australia.
Saartje Berendsen RussellRPA Green Light Institute for Emergency Care, Sydney Local Health District, Camperdown, Australia.ORCID http://orcid.org/0000-0002-1380-8469
Radhika V SeimonRPA Green Light Institute for Emergency Care, Sydney Local Health District, Camperdown, Australia.ORCID http://orcid.org/0000-0002-3903-4801
James A HughesSchool of Nursing, Centre for Healthcare Transformation, Brisbane, QUT, Australia.ORCID http://orcid.org/0000-0001-9387-2489
Wayne VarndellPrince of Wales Hospital Emergency Department, Randwick, Australia.ORCID http://orcid.org/0000-0002-4752-9679
Ramon Z ShabanFaculty of Medicine and Health, Susan Wakil School of Nursing and Midwifery, The University of Sydney, Camperdown, NSW, Australia.ORCID http://orcid.org/0000-0002-5203-0557

Funding

National Health and Medical Research Council 2017845
6 · The paper itself

Abstract

introductionEmergency department (ED) overcrowding is a global problem and a threat to the quality and safety of emergency care. Providing timely and safe emergency care therein is challenging. To address this in New South Wales (NSW), Australia, the Emergency nurse Protocol Initiating Care-Sydney Triage to Admission Risk Tool (EPIC-START) was developed. EPIC-START is a model of care incorporating EPIC protocols, the START patient admission prediction tool, and a clinical deterioration tool to support ED flow, timely care, and patient safety. The aim of this study is to evaluate the impact of EPIC-START implementation across 30 EDs on patient, implementation, and health service outcomes. METHODS AND ANALYSIS: This study protocol adopts an effectiveness-implementation hybrid design (Med Care 50: 217-226, 2012) and uses a stepped-wedge cluster randomised control trial of EPIC-START, including uptake and sustainability, within 30 EDs across four NSW local health districts spanning rural, regional, and metropolitan settings. Each cluster will be randomised independently of the research team to 1 of 4 dates until all EDs have been exposed to the intervention. Quantitative and qualitative evaluations will be conducted on data from medical records and routinely collected data, and patient, nursing, and medical staff pre- and post-surveys. ETHICS AND DISSEMINATION: Ethical approval for the research was received from the Sydney Local Health District Research Ethics Committee (Reference Number 2022/ETH01940) on 14 December 2022.

trial registrationAustralian and New Zealand Clinical trial, ACTRN12622001480774p. Registered on 27 October 2022.

Identifiers

PMID37340486
PMCPMC10280960

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.