Impact of Non-technical Skills Training on Performance and Effectiveness of a Medical Emergency Team

Not Applicable

Recruiting

• Conditions: on-technical skills training for members of a hospital Medical Emergency Team; Non-technical skills training for members of a hospital Medical Emergency Team; Public Health - Health service research

• Registration Number: ACTRN12612000280808
• Lead Sponsor: Dr Richard Chalwin

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2012-03-09
• Last Update Posted: 13 January 2020

Recruitment & Eligibility

• Status: Recruiting
• Sex: All
• Target Recruitment: 80

Inclusion Criteria

Patients or persons subject to LMH MET service review.
All MET members (currently numbering approximately 80 total eligible clinicians, with ad-hoc involvement per working patterns to provide 5 members per MET activation) will all be eligible for inclusion as the aim of the study is to assess the performance and function of the team (as an entity), rather than any individual. The members are not currently aware of the nature of the trial to facilitate(limited) blinding; they will be aware of observation occurring but not the nature of the data being recorded. Departmental heads and hospital executive have approved conduct of the observation.

Exclusion Criteria

Patients in the ICU, Emergency Department or Operating Theatre suite
Cancellation of the MET response prior to, or on arrival at, the location of activation
Patients < 16 years of age
MET attendances involving members of the investigating team acting in a clinical role will not be observed due to awareness of the study purpose and inevitable confounding

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Difference in MET performance of non-technical skills after implementation of NTST as assessed by qualitative scoring on an observation tool[1 year];Difference in incidence of efferent limb failure after implementation of NTST by follow-up of patients attended by the MET service and later review of records.[1 year]

Secondary Outcome Measures

Name	Time	Method
Patient-centric: ICU length-of-stay. These data will recorded by active patient follow up and later review of case records.[1 year];Patient-centric: Mortality at ICU discharge. These data will recorded by active patient follow up and later review of case records.[1 year];Patient-centric: Hospital length-of-stay. These data will recorded by active patient follow up and later review of case records.[1 year];Patient-centric: Mortality at ICU discharge. These data will recorded by active patient follow up and later review of case records.[1 year];MET service based: MET dose (i.e. number of MET calls per 1000 hospital in-patient admissions. These data will be obtained from MET service database records.[1 year];MET service based: Incidence of unplanned ICU admission, cardiac arrest of death per 1000 hospital in-patient admissions. These data will be obtained from MET service database records.[1 year]