QUIT EMR trial: a prospective, observational, multicentre study to evaluate quality and 24 hours post-transport morbidity of interhospital transportation of critically ill patients: study protocol

Ulrich Strauch; Dennis C J J Bergmans; Joachim Habers; Jochen Jansen; Bjorn Winkens; Dirk J Veldman; Paul M H J Roekaerts; Stefan K Beckers

doi:10.1136/bmjopen-2016-012861

QUIT EMR trial: a prospective, observational, multicentre study to evaluate quality and 24 hours post-transport morbidity of interhospital transportation of critically ill patients: study protocol

Ulrich Strauch^*, Dennis C J J Bergmans, Joachim Habers, Jochen Jansen, Bjorn Winkens, Dirk J Veldman, Paul M H J Roekaerts, Stefan K Beckers

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

INTRODUCTION: It is widely accepted that transportation of critically ill patients is high risk. Unfortunately, however, there are currently no evidence-based criteria with which to determine the quality of various interhospital transport systems and their impact on the outcomes for patients. We aim to rectify this by assessing 2 scores which were developed in our hospital in a prospective, observational study. Primarily, we will be examining the Quality of interhospital critical care transportation in the Euregion Meuse-Rhine (QUIT EMR) score, which focuses on the quality of the transport system, and secondarily the SEMROS (Simplified EMR outcome score) which detects changes in the patient's clinical condition in the 24 hours following their transportation.

METHODS AND ANALYSIS: A web-based application will be used to document around 150 pretransport, intratransport and post-transport items of each patient case.To be included, patients must be at least 18-years of age and should have been supervised by a physician during an interhospital transport which was started in the study region.The quality of the QUIT EMR score will be assessed by comparing 3 predefined levels of transport facilities: the high, medium and low standards. Subsequently, SEMROS will be used to determine the effect of transport quality on the morbidity 24 hours after transportation.It is estimated that there will be roughly 3000 appropriate cases suitable for inclusion in this study per year. Cases shall be collected from 1 April 2015 until 31 December 2017.

ETHICS AND DISSEMINATION: This trial was approved by the Ethics committees of the university hospitals of Maastricht (Netherlands) and Aachen (Germany). The study results will be published in a peer reviewed journal. Results of this study will determine if a prospective randomised trial involving patients of various categories being randomly assigned to different levels of transportation system shall be conducted.

TRIAL REGISTRATION NUMBER: NTR4937.

Original language	English
Article number	012861
Number of pages	6
Journal	BMJ Open
Volume	7
Issue number	3
DOIs	https://doi.org/10.1136/bmjopen-2016-012861
Publication status	Published - 10 Mar 2017

Keywords

Adult
Ambulances
Critical Care
Critical Illness
Germany
Health Status
Hospitals
Humans
Intensive Care Units
Morbidity
Netherlands
Patient Transfer
Prospective Studies
Quality of Health Care
Research Design
Risk Assessment
Transportation
Transportation of Patients
Journal Article
Multicenter Study
Observational Study
EVENTS
PERFORMANCE
DELIVERY
INTENSIVE-CARE-UNIT
INTRAHOSPITAL TRANSPORT
CENTERS
COHORT
SPECIALIST RETRIEVAL TEAM

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Strauch, U., Bergmans, D. C. J. J., Habers, J., Jansen, J., Winkens, B., Veldman, D. J., Roekaerts, P. M. H. J., & Beckers, S. K. (2017). QUIT EMR trial: a prospective, observational, multicentre study to evaluate quality and 24 hours post-transport morbidity of interhospital transportation of critically ill patients: study protocol. BMJ Open, 7(3), Article 012861. https://doi.org/10.1136/bmjopen-2016-012861

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abstract = "INTRODUCTION: It is widely accepted that transportation of critically ill patients is high risk. Unfortunately, however, there are currently no evidence-based criteria with which to determine the quality of various interhospital transport systems and their impact on the outcomes for patients. We aim to rectify this by assessing 2 scores which were developed in our hospital in a prospective, observational study. Primarily, we will be examining the Quality of interhospital critical care transportation in the Euregion Meuse-Rhine (QUIT EMR) score, which focuses on the quality of the transport system, and secondarily the SEMROS (Simplified EMR outcome score) which detects changes in the patient's clinical condition in the 24 hours following their transportation.METHODS AND ANALYSIS: A web-based application will be used to document around 150 pretransport, intratransport and post-transport items of each patient case.To be included, patients must be at least 18-years of age and should have been supervised by a physician during an interhospital transport which was started in the study region.The quality of the QUIT EMR score will be assessed by comparing 3 predefined levels of transport facilities: the high, medium and low standards. Subsequently, SEMROS will be used to determine the effect of transport quality on the morbidity 24 hours after transportation.It is estimated that there will be roughly 3000 appropriate cases suitable for inclusion in this study per year. Cases shall be collected from 1 April 2015 until 31 December 2017.ETHICS AND DISSEMINATION: This trial was approved by the Ethics committees of the university hospitals of Maastricht (Netherlands) and Aachen (Germany). The study results will be published in a peer reviewed journal. Results of this study will determine if a prospective randomised trial involving patients of various categories being randomly assigned to different levels of transportation system shall be conducted.TRIAL REGISTRATION NUMBER: NTR4937.",

keywords = "Adult, Ambulances, Critical Care, Critical Illness, Germany, Health Status, Hospitals, Humans, Intensive Care Units, Morbidity, Netherlands, Patient Transfer, Prospective Studies, Quality of Health Care, Research Design, Risk Assessment, Transportation, Transportation of Patients, Journal Article, Multicenter Study, Observational Study, EVENTS, PERFORMANCE, DELIVERY, INTENSIVE-CARE-UNIT, INTRAHOSPITAL TRANSPORT, CENTERS, COHORT, SPECIALIST RETRIEVAL TEAM",

author = "Ulrich Strauch and Bergmans, {Dennis C J J} and Joachim Habers and Jochen Jansen and Bjorn Winkens and Veldman, {Dirk J} and Roekaerts, {Paul M H J} and Beckers, {Stefan K}",

note = "Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.",

year = "2017",

month = mar,

day = "10",

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Strauch, U, Bergmans, DCJJ, Habers, J, Jansen, J, Winkens, B, Veldman, DJ, Roekaerts, PMHJ & Beckers, SK 2017, 'QUIT EMR trial: a prospective, observational, multicentre study to evaluate quality and 24 hours post-transport morbidity of interhospital transportation of critically ill patients: study protocol', BMJ Open, vol. 7, no. 3, 012861. https://doi.org/10.1136/bmjopen-2016-012861

QUIT EMR trial: a prospective, observational, multicentre study to evaluate quality and 24 hours post-transport morbidity of interhospital transportation of critically ill patients: study protocol. / Strauch, Ulrich; Bergmans, Dennis C J J; Habers, Joachim et al.
In: BMJ Open, Vol. 7, No. 3, 012861, 10.03.2017.

Research output: Contribution to journal › Article › Academic › peer-review

TY - JOUR

T1 - QUIT EMR trial

T2 - a prospective, observational, multicentre study to evaluate quality and 24 hours post-transport morbidity of interhospital transportation of critically ill patients: study protocol

AU - Strauch, Ulrich

AU - Bergmans, Dennis C J J

AU - Habers, Joachim

AU - Jansen, Jochen

AU - Winkens, Bjorn

AU - Veldman, Dirk J

AU - Roekaerts, Paul M H J

AU - Beckers, Stefan K

N1 - Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

PY - 2017/3/10

Y1 - 2017/3/10

N2 - INTRODUCTION: It is widely accepted that transportation of critically ill patients is high risk. Unfortunately, however, there are currently no evidence-based criteria with which to determine the quality of various interhospital transport systems and their impact on the outcomes for patients. We aim to rectify this by assessing 2 scores which were developed in our hospital in a prospective, observational study. Primarily, we will be examining the Quality of interhospital critical care transportation in the Euregion Meuse-Rhine (QUIT EMR) score, which focuses on the quality of the transport system, and secondarily the SEMROS (Simplified EMR outcome score) which detects changes in the patient's clinical condition in the 24 hours following their transportation.METHODS AND ANALYSIS: A web-based application will be used to document around 150 pretransport, intratransport and post-transport items of each patient case.To be included, patients must be at least 18-years of age and should have been supervised by a physician during an interhospital transport which was started in the study region.The quality of the QUIT EMR score will be assessed by comparing 3 predefined levels of transport facilities: the high, medium and low standards. Subsequently, SEMROS will be used to determine the effect of transport quality on the morbidity 24 hours after transportation.It is estimated that there will be roughly 3000 appropriate cases suitable for inclusion in this study per year. Cases shall be collected from 1 April 2015 until 31 December 2017.ETHICS AND DISSEMINATION: This trial was approved by the Ethics committees of the university hospitals of Maastricht (Netherlands) and Aachen (Germany). The study results will be published in a peer reviewed journal. Results of this study will determine if a prospective randomised trial involving patients of various categories being randomly assigned to different levels of transportation system shall be conducted.TRIAL REGISTRATION NUMBER: NTR4937.

AB - INTRODUCTION: It is widely accepted that transportation of critically ill patients is high risk. Unfortunately, however, there are currently no evidence-based criteria with which to determine the quality of various interhospital transport systems and their impact on the outcomes for patients. We aim to rectify this by assessing 2 scores which were developed in our hospital in a prospective, observational study. Primarily, we will be examining the Quality of interhospital critical care transportation in the Euregion Meuse-Rhine (QUIT EMR) score, which focuses on the quality of the transport system, and secondarily the SEMROS (Simplified EMR outcome score) which detects changes in the patient's clinical condition in the 24 hours following their transportation.METHODS AND ANALYSIS: A web-based application will be used to document around 150 pretransport, intratransport and post-transport items of each patient case.To be included, patients must be at least 18-years of age and should have been supervised by a physician during an interhospital transport which was started in the study region.The quality of the QUIT EMR score will be assessed by comparing 3 predefined levels of transport facilities: the high, medium and low standards. Subsequently, SEMROS will be used to determine the effect of transport quality on the morbidity 24 hours after transportation.It is estimated that there will be roughly 3000 appropriate cases suitable for inclusion in this study per year. Cases shall be collected from 1 April 2015 until 31 December 2017.ETHICS AND DISSEMINATION: This trial was approved by the Ethics committees of the university hospitals of Maastricht (Netherlands) and Aachen (Germany). The study results will be published in a peer reviewed journal. Results of this study will determine if a prospective randomised trial involving patients of various categories being randomly assigned to different levels of transportation system shall be conducted.TRIAL REGISTRATION NUMBER: NTR4937.

KW - Adult

KW - Ambulances

KW - Critical Care

KW - Critical Illness

KW - Germany

KW - Health Status

KW - Hospitals

KW - Humans

KW - Intensive Care Units

KW - Morbidity

KW - Netherlands

KW - Patient Transfer

KW - Prospective Studies

KW - Quality of Health Care

KW - Research Design

KW - Risk Assessment

KW - Transportation

KW - Transportation of Patients

KW - Journal Article

KW - Multicenter Study

KW - Observational Study

KW - EVENTS

KW - PERFORMANCE

KW - DELIVERY

KW - INTENSIVE-CARE-UNIT

KW - INTRAHOSPITAL TRANSPORT

KW - CENTERS

KW - COHORT

KW - SPECIALIST RETRIEVAL TEAM

U2 - 10.1136/bmjopen-2016-012861

DO - 10.1136/bmjopen-2016-012861

M3 - Article

C2 - 28283485

SN - 2044-6055

VL - 7

JO - BMJ Open

JF - BMJ Open

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M1 - 012861

ER -