Clinical Performance and Multitasking in Anesthesia : a Simulation-based Study
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 35
- 试验地点
- 1
- 主要终点
- Concordance score with the expert panel on a Script Concordance Test (SCT)
研究概览
简要总结
Cognitive failure under multitasking conditions has been demonstrated in various settings, including healthcare. However, in anesthesiology, the impact of multitasking on clinical performance has not yet been fully characterized.
The objective of our study is to evaluate the impact of multitasking on anesthesiologists' clinical performance in a simulated setting.
详细描述
This study is a prospective, single-center, non-interventional study. The study was classified as non-interventional by the institutional research committee, as the intervention consists of simulation training and the study population comprises healthcare practitioners.
The study participants are anesthesiologists, including attending physicians and residents. Each participant will serve as their own control. The study will comprise two visits: one intervention visit consisting of a multitasking simulation session, and one control visit involving clinical questions administered under quiet conditions. The order of the visits will be randomized between participants using a crossover design in order to minimize potential learning bias.
The multitasking condition will consist of performing manual mask ventilation on a manikin while answering oral clinical questions administered in the form of Script Concordance Tests (SCTs). Participants will be instructed to ventilate the manikin with a tidal volume of 500 mL and a respiratory rate of 15 breaths/minute.
Clinical reasoning under quiet conditions will consist of answering oral clinical questions in the SCT format.
The study will use a 44-item Script Concordance Test (SCT) distributed across 20 anesthesiology clinical vignettes. The vignettes are distributed as follows: 8 vignettes with 3 items, 8 vignettes with 2 items, and 4 vignettes with 1 item. The vignettes were adapted, without modification of their content, to be compatible with oral administration and the simulation scenario.
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Anesthesiology and intensive care resident or attending physician
- •Written informed consent
排除标准
- 未提供
结局指标
主要结局
Concordance score with the expert panel on a Script Concordance Test (SCT)
时间窗: At two time points: - During simulation session under multitasking conditions - During control visit under quiet conditions
Each item of the SCT is scored out of 1 point, and the sum of the points, converted to a 100-point scale, defines the percentage of concordance with the expert panel.
次要结局
- Time to answer items of the script concordance test (seconds)(Two time points: intervention and control.)
- Manual ventilation performance assessed by variance of expiratory tidal volume (ml)(- Training before simulation: baseline - During simulation: ventilation only, ventilation plus clinical questions)
- Manual ventilation performance assessed by variance of respiratory rate (cycles/minute)(- Training before simulation: baseline - During simulation: ventilation only, ventilation plus clinical questions)
- Cognitive load assessed by the NASA-TLX index (score out of 100)(A two time points: - Evaluating cognitive load of manual ventilation alone, before simulation after training. - Evaluation cognitive load of multitasking, at the end of the simulation session)