Performance and Stress During Full Scale Simulator Training

Behaviour of Physicians in Simulated Emergencies Clinical Trial

Official title:

Excellence in Performance and Stress Reduction During Two Different Full Scale Simulator Training Courses: A Pilot Study

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT00704470
• Other study ID #: EK261122004
• Status: Completed
• Phase: N/A
• First received: June 24, 2008
• Last updated: June 25, 2008
• Start date: April 2005
• Est. completion date: October 2005

Study information

• Verified date: June 2008
• Source: Technische Universität Dresden
• Contact: n/a
• Is FDA regulated: No
• Health authority: Germany: University of Technology, Dresden
• Study type: Interventional

Clinical Trial Summary

In Intensive Care Medicine, critical incidents are not rare and may result in fatal outcome. High fidelity patient simulators are commonly used in training curricula for healthcare professionals especially in anesthesiology, emergency medicine, and intensive care medicine. Several different course concepts have previously been published. As we know from recently published data, up to 80% of all critical incidents in the field of medicine are caused by human error. The authors of the present study aimed to investigate the effects of two different course concepts (one addressing technical skills in intensive care medicine and on addressing non-technical skills) on stress and performance. Stress and performance are measured in a pre-intervention and a post-intervention testing scenario.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 32
• Est. completion date: October 2005
• Est. primary completion date: October 2005
• Accepts healthy volunteers: No
• Gender: Both
• Age group: N/A and older

Eligibility

Inclusion Criteria:

• Physician with experience in intensive care medicine.

Exclusion Criteria:

• No experience in intensive care medicine

• previously taken part in simulator training

Study Design

Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Single Blind (Subject)

Related Conditions & MeSH terms

• Behaviour of Physicians in Simulated Emergencies
• Emergencies
• Performance in Simulated Emergencies
• Stress During Simulator Scenario

Intervention

Other:
• Medical simulator training
Contains seminars on airway management, general anesthesia, peri-arrest arrhythmias, and advanced life support. Furthermore, participants train in simulator scenarios. In the debriefing instructors discuss management of the critical incidents using videotapes of the scenarios.
• Simulator based crew resource management course
Contains seminars on human error and non-technical skills. Furthermore, participants train in simulator scenarios. In the debriefing instructors discuss usage of non-technical skills as well as behaviour of the participants using videotapes of the scenarios.

Locations

Country	Name	City	State
Germany	Interdisciplinary Medical Simulation Centre, University Hospital Dresden	Dresden

Sponsors (1)

Lead Sponsor	Collaborator
Technische Universität Dresden

Country where clinical trial is conducted

Germany, 

References & Publications (1)

Müller MP, Hänsel M, Stehr SN, Fichtner A, Weber S, Hardt F, Bergmann B, Koch T. Six steps from head to hand: a simulator based transfer oriented psychological training to improve patient safety. Resuscitation. 2007 Apr;73(1):137-43. Epub 2007 Jan 22. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Performance in simulated emergencies (medical performance and non-technical skills)			Yes
Secondary	Stress in simulated emergencies (measured by salivary amylase and cortisol levels)			No

External Links

•   Website of Interdisciplinary Medical Simulation Centre