Learning Crisis Resource Management: Practicing Versus Observational Role in Simulation Training

Focus of Study is Teaching Crisis Resource Management Clinical Trial

Official title:

Learning Crisis Resource Management: Practicing Versus Observational Role in Simulation Training

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01653704
• Other study ID #: 20120008-01H
• Status: Completed
• Phase: N/A
• Start date: March 2012
• Est. completion date: February 2014

Study information

• Verified date: January 2019
• Source: Ottawa Hospital Research Institute
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The purpose of this study is to compare the effectiveness in learning crisis resource management (CRM) principles when being an active participant in simulation-based education versus being an observer participant. The investigators hypothesize that active participants will improve their CRM skills more than observer participants.

Description:

This will be a prospective randomized controlled study. Participants will be randomized to one of two groups with stratification according to their level of training: the active group and the observer group. Each participant of the active group will be paired with one of the participants from the observer group. The active participant will manage individually a simulated crisis scenario (pretest) while the paired observer participant will observe the scenario from outside the simulation room using a video transmission system. Immediately after, both participants will be debriefed by a trained instructor focused on CRM principles. The same active and observer participants will then individually manage another simulated crisis scenario (post-test). Two independent raters, blinded to the study design and to the randomization groups, will review the videos of all scenarios in a random order and rate each participant on their CRM performance using a global rating scale (GRS).

Recruitment information / eligibility

• Status: Completed
• Enrollment: 42
• Est. completion date: February 2014
• Est. primary completion date: February 2014
• Accepts healthy volunteers: No
• Gender: All
• Age group: N/A and older

Eligibility

Inclusion Criteria:

• emergency medicine residents from the University of Ottawa

Related Conditions & MeSH terms

• Focus of Study is Teaching Crisis Resource Management

Intervention

Behavioral:
• observational role
observational role in crisis scenario
• active role
active role in managing crisis scenario

Locations

Country	Name	City	State
Canada	University of Ottawa Skills and Simulation Centre	Ottawa	Ontario

Sponsors (1)

Lead Sponsor	Collaborator
Ottawa Hospital Research Institute

Country where clinical trial is conducted

Canada, 

References & Publications (1)

Lai A, Haligua A, Dylan Bould M, Everett T, Gale M, Pigford AA, Boet S. Learning crisis resource management: Practicing versus an observational role in simulation training - a randomized controlled trial. Anaesth Crit Care Pain Med. 2016 Aug;35(4):275-81. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Total Ottawa GRS Score	The Ottawa GRS scale is a reliable and valid scale used to measure CRM performance in high fidelity simulation. The scale assesses five main CRM categories: leadership, problem solving, situational awareness, resource allocation and communication skills. In addition to these five categories, there is a category on overall performance of the participant. Each category is measured on a 7 point Likert scale with descriptive anchors to provide guidelines on alternating points along the scale. The categorical scores will be summed to give a total score of 6 to 42. Higher values represent a better outcome.	1 day