Improving Teamwork for Neonatal Resuscitation
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Teamwork During Neonatal Resuscitation
- Sponsor
- The University of Texas Health Science Center, Houston
- Enrollment
- 100
- Locations
- 1
- Primary Endpoint
- Teamwork Event Rate
- Status
- Completed
- Last Updated
- 8 years ago
Overview
Brief Summary
The Neonatal Resuscitation Program (NRP) is the curriculum used to teach providers how to care for newborns in the delivery room. Breakdowns in teamwork and communication contribute to NRP quality problems. Adding teamwork instruction to NRP may be a method to improve communication, teamwork, and the overall quality of neonatal resuscitation. This study uses simulation to incorporate team training into NRP and to evaluate both the effectiveness and duration of the team training. Furthermore, because high fidelity simulation is very expensive and not widely available, we will compare NRP with low fidelity team training to NRP with high fidelity team training.
Our hypotheses are:
- NRP with low fidelity team training results in a) better teamwork, and b) better quality of care compared with standard NRP.
- NRP with high fidelity team training does not result in better teamwork or better quality of care than NRP with low fidelity simulation.
- NRP with high fidelity team training does not produce a longer lasting effect on teamwork than NRP with low fidelity simulation.
Investigators
Eric Thomas
Professor - Internal Medicine
The University of Texas Health Science Center, Houston
Eligibility Criteria
Inclusion Criteria
- •New interns that enter pediatrics, family medicine, obstetrics/gynecology, and emergency medicine.
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Teamwork Event Rate
Time Frame: During the megacode, which was performed about 1 hour after the training
The teamwork event rate was calculated by summing the number of scored teamwork events (sharing information, inquiry, assertion, teaching/advising, and evaluation of plans) and dividing by the total resuscitation time (in minutes).
Secondary Outcomes
- Percentage of Time Spent on Workload Management(During the megacode, which was performed about 1 hour after the training)
- Percentage of Time Spent on Vigilance(During the megacode, which was performed about 1 hour after the training)
- Neonatal Resuscitation Program (NRP) Quality as Assessed by NRP Performance Score(During the megacode, which was performed about 1 hour after the training)
- Neonatal Resuscitation Program (NRP) Quality as Assessed by Resuscitation Duration(During the megacode, which was performed about 1 hour after the training)