Improving Patient Safety Through Simulation Research

Not Applicable

Completed

• Conditions: Airway Management Assessment
• Interventions: Other: Directed feedback; Other: Basic Videolaryngoscopy Videos

• Registration Number: NCT02097498
• Lead Sponsor: Ohio State University

Brief Summary

The overall objective of the present proposal is to assess whether medical simulation can enhance the safety and proficiency profile of paramedics performing prehospital endotracheal intubation, and whether feedback from an airway management expert observing the simulation enhances skill retention after 12 and 24 months. Since no validated proficiency assessment tool currently exists to measure the skill of paramedics in airway management, one will be developed and tested. Using this tool, 250 paramedics in central Ohio, will undergo simulation training similar to that required for certification. A baseline assessment of proficiency will be obtained. One group will be randomized to receive simulation training similar to that required for certification, while the other group will receive feedback from an airway management expert linked to the simulation test site via a 2-way audio-video feed. Both groups of paramedics will be reassessed at 12, and 24 months to determine whether skill level was maintained or whether skills deteriorated, and whether expert intervention had any impact on skill retention.

Detailed Description

Not available

Study Timeline

• Study Start: 2013-08
• Study First Submitted: 2014-02-18
• Study First Submitted QC: 2014-03-24
• Study First Posted: 2014-03-27
• Primary Completion: 2015-12
• Status Verified: 2016-09
• Study Completion: 2016-09
• Last Update Submitted: 2016-09-27
• Last Update Posted: 2016-09-28

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 387

Inclusion Criteria

• Currently certified central Ohio paramedics

Exclusion Criteria

• Refusal to participate
• Non-certified paramedics

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Directed feedback	Directed feedback	One group will review their baseline simulation scenario with a member of the research staff while providing specific feedback for errors made during the first simulation. Paramedics in this group will then complete a second simulation scenario.
Basic Videolaryngoscopy	Basic Videolaryngoscopy Videos	One group will review a series of instructional videos related to common airway management errors. Paramedics in this group will then complete a second simulation scenario.

Primary Outcome Measures

Name	Time	Method
Development and validation of an airway management assessment tool	3 years	Employing a team of psychometric, human factors, and airway management experts, we propose to make refinements to our assessment tool so that it has objective measurement criteria, takes timing and sequencing of actions into account, provides reproducible scores, has high inter-rater reliability, and can be a valid measure of paramedic airway management proficiency and safety.

Secondary Outcome Measures

Name	Time	Method
Development of educational interventions to improve skill retention	2 years	The paramedics will be reassessed at 12 to determine whether skill level was maintained.

Trial Locations

Locations (1)

The Ohio State University Wexner Medical Center; 🇺🇸 Columbus, Ohio, United States