The Paediatric Trauma Care Case Management Study
A Randomised Control Trial to evaluate the effectiveness of using senior nurses as Case Managers in improving clinical information gathering and service quality for delivering Trauma Care to children who are hospitalised due to severe injuries
Lawrence T. Lam
140 participants
Oct 1, 2006
Interventional
Conditions
Summary
The aim for the proposed study is to evaluate the effectiveness of a case management approach using senior trauma nurses in providing trauma care services to children who have been moderately or severely injured and hospitalised. We aim to determine the effectiveness of such an approach using a randomised control trial with outcomes of improving clinical information gathering, service quality, and clinician-patient-parent communication and thus patients’ satisfaction. It is hypothesised that the case management approach can achieve twice the clinical information gathered in comparison to the controls. It is further hypothesised that the case management approach can improve both patient and family satisfaction significantly.
Eligibility
Inclusion Criteria1
- Eligible subjects for this study will include children and adolescents, who are admitted to the hospital more than 4 hours following traumatic injuries and who meet the criteria for activation of a trauma call. Patients who meet the criteria for activation of a trauma call are likely to have an Injury Severity Score (ISS) of 9 or above.
Exclusion Criteria1
- Trauma patients who are admitted but for unpredicted reasons will not complete their treatment and management at Children's Hospital at Westmead (CHW) will be excluded from the study. Trauma patients who are admitted to the hospital, but died soon after without having the opportunity for a complete management regime will also be excluded from the study. Patients who are presented to the hospital with a trauma call but are admitted less than 4 hours will also be excluded.
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Interventions
A case management approach using senior trauma nurses in providing trauma care services to children who have been moderately or severely injured and hospitalised. Roles of theTrauma Case Manager (TCM) include the following functions: • Coordinates care with other health care providers. • Conducts initial and ongoing assessment to ensure the efficient use of resources • Develops and monitors the use of clinical care protocols • Manages outcomes • Protects the financial interests of the hospital • Promotes continuity of care through discharge • Enhances the patient and family’s perception of the institution • Advocates for the patient to get the required care and services The intervention will be applied once consent has been obtained from the parent/carer of the patient until the patient is discharged from the hospital.
Locations(1)
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ACTRN12606000427572