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

Sponsor

St. Luke's-Roosevelt Hospital Center (Other)

Overall Status

Completed

CT.gov ID

NCT02707185

Collaborator

(none)

157

Enrollment

Location

Arms

Duration (Months)

5.2

Patients Per Site Per Month

Study Details

Study Description

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).

Condition or Disease	Intervention/Treatment	Phase
Ventricular Fibrillation	Behavioral: Simulation-Based Training	N/A

Study Design

Study Type:

Interventional

Actual Enrollment :

157 participants

Allocation:

Randomized

Intervention Model:

Parallel Assignment

Masking:

None (Open Label)

Official Title:

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

Study Start Date :

Jun 1, 2012

Actual Primary Completion Date :

Dec 1, 2014

Actual Study Completion Date :

Dec 1, 2014

Arms and Interventions

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

Arm

Intervention/Treatment

Other: Physicians

Physician in training: All internal medicine (IM), emergency medicine (EM), anesthesia (A), surgery (S) residents and all hospital ICU nurses.

Behavioral: Simulation-Based Training

Other: Nurses

Nurses in Training

Behavioral: Simulation-Based Training

Outcome Measures

Primary Outcome Measures

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

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

Eligibility Criteria

Criteria

Ages Eligible for Study:

18 Years and Older

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Yes

Inclusion Criteria:

Physicians in training and nurses

Exclusion Criteria:

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

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	St. Luke's Roosevelt Roosevelt	NYC	New York	United States	10019

Sponsors and Collaborators

St. Luke's-Roosevelt Hospital Center

Investigators

Principal Investigator: Hassan Khouli, MD, St. Luke's-Roosevelt Hospital Center

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.

Responsible Party:

St. Luke's-Roosevelt Hospital Center

ClinicalTrials.gov Identifier:

NCT02707185

Other Study ID Numbers:

10-080
MCT STUDY

First Posted:

Mar 14, 2016

Last Update Posted:

Mar 14, 2016

Last Verified:

Mar 1, 2016

Additional relevant MeSH terms:

Ventricular Fibrillation

Study Results

No Results Posted as of Mar 14, 2016