Observation of Non-technical Skills in the Pre-hospital Care in the Czech Republic

Completed

• Conditions: Non-technical Skills
• Interventions: Behavioral: Non-technical skills

• Registration Number: NCT04503369
• Lead Sponsor: David Peran

Brief Summary

The aim of the study is to find out if the Emergency Medical Services (EMS) crews are using the non-technical skills (e.g. communication, decision making, situational awareness etc.) in the real practice and how well they use them.

Detailed Description

The aim of the study is to find out if the Emergency Medical Services (EMS) crews are using the non-technical skills (teamwork and team leading, communication, decision making, situational awareness and task management) in the real practice and how well they use them. According to the observations of individual crews by field supervisors the use of non-technical skills will be compared between different groups (e.g. resuscitation, trauma, medical problems, non-emergency situations etc.). The comparison between the collaborators of the study is not the subject of the study.

Main hypothesis: The EMS crews are using all of the aspects of non-technical skills appropriately.

The field supervision is also the limitation of the study because it is done by different observers / supervisors, the observation therefore might by affected by subjective feelings. To minimise the subjective view of the situation all of the field supervisors undergo a uniform training of non-technical skills and how to observe and evaluate them.

Study Timeline

• Study Start: 2019-07-01
• Study First Submitted: 2020-07-29
• Study First Submitted QC: 2020-08-04
• Study First Posted: 2020-08-07
• Primary Completion: 2020-11-30
• Study Completion: 2020-12-31
• Status Verified: 2021-02
• Last Update Submitted: 2021-02-01
• Last Update Posted: 2021-02-02

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 359

Inclusion Criteria

• EMS called
• More than 2 crews on the scene
• Field supervisor present

Exclusion Criteria

• TEAM tool not filled completely

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
EMS crews	Non-technical skills	Crews of Emergency Medical Services

Primary Outcome Measures

Name	Time	Method
NTS incidence	Through study completion, an average of 1 year and until 100 cases from each organization will be collected - 300 observations in total.	The measurement of non-technical skills usage will be evaluated according to the form developed and published by Cooper et al. (2010) as a Team Emergency Assessment Measure (TEAM) tool based on the Likert scale - Never/Hardly ever (0), Seldom (1), About as often as not (2), Often (3), Always/Nearly always (4).

Trial Locations

Locations (3)

Emergency Medical Services of the Pilsner region; 🇨🇿 Plzen, Czechia

Prague Emergency Medical Services; 🇨🇿 Praha, Czechia

Emergency Medical Services of the Karlovy Vary region; 🇨🇿 Karlovy Vary, Czechia