Learning Crisis Resource Management: Practicing Versus Observational Role in Simulation Training

Not Applicable

Completed

• Conditions: Focus of Study is Teaching Crisis Resource Management
• Interventions: Behavioral: active role; Behavioral: observational role

• Registration Number: NCT01653704
• Lead Sponsor: Ottawa Hospital Research Institute

Brief Summary

The purpose of this study is to compare the effectiveness in learning crisis resource management (CRM) principles when being an active participant in simulation-based education versus being an observer participant. The investigators hypothesize that active participants will improve their CRM skills more than observer participants.

Detailed Description

This will be a prospective randomized controlled study. Participants will be randomized to one of two groups with stratification according to their level of training: the active group and the observer group. Each participant of the active group will be paired with one of the participants from the observer group. The active participant will manage individually a simulated crisis scenario (pretest) while the paired observer participant will observe the scenario from outside the simulation room using a video transmission system. Immediately after, both participants will be debriefed by a trained instructor focused on CRM principles. The same active and observer participants will then individually manage another simulated crisis scenario (post-test). Two independent raters, blinded to the study design and to the randomization groups, will review the videos of all scenarios in a random order and rate each participant on their CRM performance using a global rating scale (GRS).

Study Timeline

• Study Start: 2012-03
• Study First Submitted: 2012-07-16
• Study First Submitted QC: 2012-07-27
• Study First Posted: 2012-07-31
• Primary Completion: 2014-02
• Study Completion: 2014-02
• Results First Submitted: 2017-02-01
• Status Verified: 2019-01
• Results First Submitted QC: 2019-01-07
• Last Update Submitted: 2019-01-07
• Results First Posted: 2019-01-14
• Last Update Posted: 2019-01-14

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 42

Inclusion Criteria

• emergency medicine residents from the University of Ottawa

Exclusion Criteria

Not provided

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
active management of crises scenario	active role	participants assigned to actively manage a crisis scenario
Observer role in crisis scenario	observational role	Observational role in management of crises scenario

Primary Outcome Measures

Name	Time	Method
Total Ottawa GRS Score	1 day	The Ottawa GRS scale is a reliable and valid scale used to measure CRM performance in high fidelity simulation. The scale assesses five main CRM categories: leadership, problem solving, situational awareness, resource allocation and communication skills. In addition to these five categories, there is a category on overall performance of the participant. Each category is measured on a 7 point Likert scale with descriptive anchors to provide guidelines on alternating points along the scale. The categorical scores will be summed to give a total score of 6 to 42. Higher values represent a better outcome.

Trial Locations

Locations (1)

University of Ottawa Skills and Simulation Centre; 🇨🇦 Ottawa, Ontario, Canada