Observation of Non-technical Skills in the Pre-hospital Care in the Czech Republic

Non-technical Skills Clinical Trial

— NTS  

Official title:

Observation of Non-technical Skills (e.g. Communication, Team Leader Skills, Teamwork, Situational Awareness Etc.) in the Pre-hospital Care in the Czech Republic

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04503369
• Other study ID #: ZZSMHP_001_2020
• Status: Completed
• Start date: July 1, 2019
• Est. completion date: December 31, 2020

Study information

• Verified date: February 2021
• Source: Emergency Medical Service, Prague
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

The aim of the study is to find out if the Emergency Medical Services (EMS) crews are using the non-technical skills (e.g. communication, decision making, situational awareness etc.) in the real practice and how well they use them.

Description:

The aim of the study is to find out if the Emergency Medical Services (EMS) crews are using the non-technical skills (teamwork and team leading, communication, decision making, situational awareness and task management) in the real practice and how well they use them. According to the observations of individual crews by field supervisors the use of non-technical skills will be compared between different groups (e.g. resuscitation, trauma, medical problems, non-emergency situations etc.). The comparison between the collaborators of the study is not the subject of the study.

Main hypothesis: The EMS crews are using all of the aspects of non-technical skills appropriately.

The field supervision is also the limitation of the study because it is done by different observers / supervisors, the observation therefore might by affected by subjective feelings. To minimise the subjective view of the situation all of the field supervisors undergo a uniform training of non-technical skills and how to observe and evaluate them.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 359
• Est. completion date: December 31, 2020
• Est. primary completion date: November 30, 2020
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: N/A and older

Eligibility

Inclusion Criteria:

• EMS called

• More than 2 crews on the scene

• Field supervisor present

Exclusion Criteria:

• TEAM tool not filled completely

Related Conditions & MeSH terms

• Non-technical Skills

Intervention

Behavioral:
• Non-technical skills
Teamwork The work of the team consists of information exchange and coordination of all activities performed. In-team communication is always calm and assertive, and team members support each other. Task management With the right planning and preparation of individual activities, the likelihood that all standards of care and best practices will be followed increases. Situational awareness Situational awareness refers primarily to the collection of information, its understanding and, on that basis, prediction of direction into which the situation will develop. Maintaining situational awareness is crucial in order to move towards the right goal. Decision-making With good situational awareness, one is able to keep in mind all information needed to make the correct decision at the right time. In some cases, it is advisable to consult with other team members or to verify their consent to the proposed procedure. Communication Communication is a vital tool when working in a team.

Locations

Country	Name	City	State
Czechia	Emergency Medical Services of the Karlovy Vary region	Karlovy Vary
Czechia	Emergency Medical Services of the Pilsner region	Plzen
Czechia	Prague Emergency Medical Services	Praha

Sponsors (3)

Lead Sponsor	Collaborator
David Peran	Emergency Medical Services of the Karlovy Vary region, Czech Republic, Emergency Medical Services of the Pilsner region, Czech Republic

Country where clinical trial is conducted

Czechia, 

References & Publications (3)

Cooper SJ, Cant RP. Measuring non-technical skills of medical emergency teams: an update on the validity and reliability of the Team Emergency Assessment Measure (TEAM). Resuscitation. 2014 Jan;85(1):31-3. doi: 10.1016/j.resuscitation.2013.08.276. Epub 2013 Sep 12. — View Citation

Napier F, Davies RP, Baldock C, Stevens H, Lockey AS, Bullock I, Perkins GD. Validation for a scoring system of the ALS cardiac arrest simulation test (CASTest). Resuscitation. 2009 Sep;80(9):1034-8. doi: 10.1016/j.resuscitation.2009.04.043. Epub 2009 Jun 13. — View Citation

PERAN, D., KUBALOVÁ, J..: Observation of non-technical skills during resuscitation (Sledování netechnických dovedností pri resuscitaci) [article in Czech language]. Urgentní medicína: Casopis pro neodkladnou lékarskou péci. Mediprax CB s.r.o., 2017 (4). ISSN 1212-1924.

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	NTS incidence	The measurement of non-technical skills usage will be evaluated according to the form developed and published by Cooper et al. (2010) as a Team Emergency Assessment Measure (TEAM) tool based on the Likert scale - Never/Hardly ever (0), Seldom (1), About as often as not (2), Often (3), Always/Nearly always (4).	Through study completion, an average of 1 year and until 100 cases from each organization will be collected - 300 observations in total.