Physicians in Training and Critical Care Nurses Performance in Medical Code Events: Effect of Simulation-Based Training

Not Applicable

Completed

• Conditions: Ventricular Fibrillation
• Interventions: Behavioral: Simulation-Based Training

• Registration Number: NCT02707185
• Lead Sponsor: St. Luke's-Roosevelt Hospital Center

Brief Summary

METHODS:

Subjects:

All internal medicine (IM), emergency medicine (EM), anesthesia (A), surgery (S) residents and all hospital ICU nurses (approximately 400 subjects) will be undergoing evaluation and training in CPR techniques according to their department training policy.

Study Assessment Tool:

An objective assessment tool has been developed and tested in medical code scenarios during training sessions recently done in the simulation lab. The tool has five domains: Airway, Breathing, Circulation, Communications/Leadership, and Defibrillation. Each domain consists of 3-8 tasks and skills (attachment A).

Design:

* Phase I: In groups of five to six subjects, residents and nurses will undergo baseline assessment in CPR techniques in the simulation lab. Subject will be presented with a clinical scenario that includes cardiopulmonary arrest. Subjects will be scored by observers based on the previously described assessment tool and will be video recorded.

* Phase II: All study subjects who completed phase I assessment will undergo standardized debriefing and demonstration of proper CPR techniques after reviewing their individual baseline videotape followed by repeated demonstration in CPR techniques during a clinical scenario with cardiopulmonary arrest in the simulation lab. Knowledge retention will be assessed periodically.

* Phase III: Rates of survival to hospital discharge and survival at 24 hours in hospitalized patients after cardiopulmonary arrest collected by the CPR committee and QA department longitudinally for one year after completion of project training (phase II) will be reviewed and compared to the same period one year earlier (CPR outcome data are being collected since 2005 at St. Luke's-Roosevelt Hospitals).

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2011-05-10
• Study Start: 2012-06
• Primary Completion: 2014-12
• Study Completion: 2014-12
• Status Verified: 2016-03
• Study First Submitted QC: 2016-03-11
• Last Update Submitted: 2016-03-11
• Study First Posted: 2016-03-14
• Last Update Posted: 2016-03-14

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 157

Inclusion Criteria

• Physicians in training and nurses

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Exclusion Criteria

• Physicians in training and nurses refusing to have their data included in final analysis

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Physicians	Simulation-Based Training	Physician in training: All internal medicine (IM), emergency medicine (EM), anesthesia (A), surgery (S) residents and all hospital ICU nurses.
Nurses	Simulation-Based Training	Nurses in Training

Primary Outcome Measures

Name	Time	Method
Performance scale	Baseline and 1 year	Change in performance scale at 1 year as compared to baseline
Rates of survival	1 year	Rates of survival to hospital discharge after cardiopulmonary arrest one year after completion of the simulation based training in CPR

Secondary Outcome Measures

Name	Time	Method
Survey questionnaire	Baseline and 1 year	Change in survey questionnaire score at 1 year as compared to baseline. The questionnaire consists of 4 parts, including: adequacy of training, sense of preparedness, supervision and feedback, and general information. With the exception of the section on general information, responses are scored on a 5 point Likert scale.
Perceptions of preparedness	Baseline and 1 year	Change in perceptions of preparedness at 1 year as compared to baseline. The method of assessment for this outcome measure is the Likert Scale

Trial Locations

Locations (1)

St. Luke's Roosevelt Roosevelt; 🇺🇸 NYC, New York, United States