Obstetrical Emergency Situations Clinical Trial
Official title:
Cognitive Aids With Roles Defined (CARD) for Obstetrical Crises: A Multisite Cohort Study
NCT number | NCT02093078 |
Other study ID # | 20120926-01H |
Secondary ID | |
Status | Completed |
Phase | |
First received | |
Last updated | |
Start date | January 2014 |
Est. completion date | December 31, 2017 |
Verified date | September 2018 |
Source | Ottawa Hospital Research Institute |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Observational |
Crisis resource management represents the set of non technical skills, such as communication,
leadership, delegation, and prioritization, that allow effective teamwork for optimal patient
care during an urgent and critical situation. The Cognitive Aids with Roles Defined (CARD) is
a new concept of cognitive aid addressing the well-documented issue of teamwork in crisis
management. It relies on large identification cards specially designed for each team members
profession and role. During a life threatening clinical situation, the CARD protocol focuses
on clarification of individual roles and distribution of tasks for crisis management rather
than creating an additional algorithm identifying either a list of actions to be taken or the
dose of a medication. This study aims to evaluate the clinical impact of introducing the CARD
protocol in obstetrical emergency situations ("code 333") in clinical practice at The Ottawa
Hospital.
Hypothesis: CARD protocol will: (i) decrease the total time taken to deliver the baby, and
(ii) improve clinical outcome for the mother and baby compared to traditional management
without the CARD protocol.
Status | Completed |
Enrollment | 346 |
Est. completion date | December 31, 2017 |
Est. primary completion date | December 31, 2017 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: - must hold a staff position at The Ottawa Hospital (Civic or General campus) in one of the following positions: 1. registered nurses (RN) 2. operating room attendant 3. respiratory therapist (RT) 4. assisting anesthesia 5. RT assisting neonatal 6. neonatal RNs Exclusion Criteria: - not a staff member at The Ottawa Hospital (Civic or General campus) - holding a position that is different from any of the following: registered nurse, operating room attendant, respiratory therapist, assisting anesthesia, RT assisting neonatal, neonatal RN - investigators involved in the study |
Country | Name | City | State |
---|---|---|---|
Canada | The Ottawa Hospital | Ottawa | Ontario |
Lead Sponsor | Collaborator |
---|---|
Ottawa Hospital Research Institute | Canadian Anesthesiologists' Society, The Ottawa Hospital Academic Medical Association |
Canada,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Total Time to Delivery After a Code 333 | The primary outcome measure is the exact time from when the code 333 is called, to the time of delivery (up to 1 day). | from the time of calling in a code 333 to the time of birth (up to 1 day). | |
Secondary | standard clinical outcomes on patient charts | The clinical outcomes on patient charts include: Baby's status: Apgar score, at 1 and 5 minutes Arterial potential hydrogen (pH) of the cord at birth Unplanned admission to intensive care for the baby Infant status at 1 hour of age Length of stay of the baby in hospital Mortality Mother clinical outcomes: Unplanned admission to ICU for the mother Length of stay of the mother in hospital Mortality |
participants will be followed from when the code 333 was called until hospital discharge or mortality, whichever comes first (up to 3 years). |