Low-fidelity Simulation to Teach Anesthetists' Non-technical Skills in Rwanda

Sponsor

Dalhousie University (Other)

Overall Status

Completed

CT.gov ID

NCT02431130

Collaborator

Grand Challenges Canada (Other)

Enrollment

Arms

Duration (Months)

Study Details

Study Description

Brief Summary

The goal of this study is to examine whether low-fidelity instructor-driven simulation can provide effective teaching of anesthetists' non-technical skills in a developing world context. Human factors, such as communication, planning, and team working are considered nontechnical skills which contribute greatly to patient safety in "complex hazardous systems" such as aviation, nuclear power industry, and operating rooms. Simulation began in the aviation industry to train pilots in human factors. In the past two decades simulation has been valued in medical education as it allows the learner to rehearse skills in an environment that is similar to the workplace but without the threat of harm to patients. High Fidelity simulators involve computer driven interactive mannequins that recreate an authentic environment. This has been used successfully to teach anesthetists' non-technical skills (ANTS) such as: decision making, team working, task management, and situation awareness. Anesthetists' non-technical skills are particularly important in developing countries where the shortage of supplies, equipment, and qualified personnel can lead to a perilous working environment making team work and communication vital for patient safety. The costs of high fidelity simulation are prohibitive for many developing countries. This study seeks to examine whether low fidelity instructor driven simulation can provide an effective intervention to teach anesthetists' non-technical skills in Rwanda. If found to be effective, this method of training could be applied to other developing countries to improve non-technical skills for anesthesia providers with the goal of making surgery safer.

Condition or Disease	Intervention/Treatment	Phase
Healthy	Other: low-fidelity instructor driven simulation training	N/A

Study Design

Study Type:

Interventional

Actual Enrollment :

20 participants

Study Start Date :

Feb 1, 2012

Actual Primary Completion Date :

Jan 1, 2013

Actual Study Completion Date :

Sep 1, 2014

Arms and Interventions

Arm	Intervention/Treatment
Experimental: Low-fidelty instructor driven simulation training participants receive simulation training	Other: low-fidelity instructor driven simulation training
No Intervention: No simulation training

Arm

Intervention/Treatment

Experimental: Low-fidelty instructor driven simulation training

participants receive simulation training

Other: low-fidelity instructor driven simulation training

No Intervention: No simulation training

Outcome Measures

Primary Outcome Measures

Improvement in overall ANTS score after simulation training [two weeks after training]

Eligibility Criteria

Criteria

Ages Eligible for Study:

18 Years and Older

Sexes Eligible for Study:

All

Inclusion Criteria:

anesthesia providers (resident or technician) that provides anesthesia for caesarean section

Exclusion Criteria:

anesthesia providers that do not provide anesthesia for caesarean section

Contacts and Locations

Locations

No locations specified.

Sponsors and Collaborators

Dalhousie University
Grand Challenges Canada

Investigators

None specified.

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.

Responsible Party:

Patricia Livingston, Medical Director, Global Health Office of Anesthesia, Dalhousie University

ClinicalTrials.gov Identifier:

NCT02431130

Other Study ID Numbers:

2011-2596

First Posted:

Apr 30, 2015

Last Update Posted:

Apr 30, 2015

Last Verified:

Apr 1, 2015

Keywords provided by Patricia Livingston, Medical Director, Global Health Office of Anesthesia, Dalhousie University

Training Program

Study Results

No Results Posted as of Apr 30, 2015