Optimizing Intra-Operative Massive Transfusion: Probing for Forethought
试验速览
- 阶段
- 不适用
- 入组人数
- 40
- 试验地点
- 1
- 主要终点
- Performance in managing simulated massive transfusion scenario
研究概览
简要总结
The purpose of the project is to investigate the function of self-regulatory processes in anesthesiologists and how application of these processes influence performance in a crisis situation.The investigators intend to explore specifically the first phase of self-regulation, i.e. the forethought phase which describes processes related to strategic planning, goal setting, goal orientation, and outcome expectation. The investigators hypothesize that prompting forethought before engaging in a simulated massive transfusion crisis situation will result in better task performance in anesthesiologists.
详细描述
The investigators will conduct 3 studies building on each other.
- Pilot Study: the purpose of this study is to develop measurement tools for forethought, performance and a tool for prompting forethought. This study will include 2 attending anesthesiologists and 2 anesthesia residents (PGY2, 5).
- Study I: the purpose of this study is to validate the measurement tools for forethought, performance and the tool for prompting forethought. This will include 6 attending anesthesiologists, 6 PGY5 and 6 PGY2 anesthesia residents.
- Study II: the purpose of this study is to investigate if prompting forethought in anesthesia residents will result in better performance in a simulated massive transfusion than no prompting.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 盲法
- Double (Participant, Outcomes Assessor)
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Pilot study: attending anesthesiologists at St. Michael's Hospital , PGY5, PGY2 anesthesia residents at University of Toronto
- •Study I: attending anesthesiologists at St. Michael's Hospital, PGY5, PGY2 anesthesia residents at University of Toronto
- •Study II: PGY2, PGY3, PGY4 anesthesia residents at University of Toronto
排除标准
- •Refusal to take part in the study
研究组 & 干预措施
Prompting forethought
A demographic questionnaire will be filled out by each participant. After randomization, participants will be presented with the background information of the simulated scenario.Subsequently:
- participants forethought will be prompted and each participant will be asked to report his/her forethought,
- participants then will be asked to manage a simulated massive transfusion scenario,
- at completion of the scenario, each participant will undergo individualized debriefing and a syllabus on massive transfusion will be briefly discussed with them and also provided as a reading material for learning.
干预措施: Prompting forethought (Other)
No prompting
A demographic questionnaire will be filled out by each participants. After randomization, participants will be presented with the background information of the simulated scenario.Subsequently:
- participants will sit and wait for a predetermined time before entering into the simulator,
- participants then will be asked to manage a simulated massive transfusion scenario,
- at completion of the scenario, each participant will be interviewed about their thought process before entering to the simulation room,
- each participant will undergo individualized debriefing and a syllabus on massive transfusion will be briefly discussed with them and also provided as a reading material for learning.
结局指标
主要结局
Performance in managing simulated massive transfusion scenario
时间窗: Each individual's performance will be video recorded and subsequently evaluated within 8 weeks.
Task specific performance tool will be developed in the Pilot study and will be validated in Study I. Each performance will be video recorded and two independent, blinded rater will evaluate the videos and assess performance. Performance assessment tool will be numerical including a 1-5 point scale for each performance element and a Global Rating Scale. Difference between massive transfusion management performance will be compared in anesthesia residents whose forethought is prompted to residents who don't receive prompting.
次要结局
- Correlation between forethought scores and performance scores.(Forethought scores and performance scores will be determined within 8 weeks after individuals participated in the study.)