Assessing the Team SA Instrument in Measuring the Effectiveness of Communication Across Disciplines During ICU Rounds

Assessing the Utility of the Team SA Instrument in Measuring the Effectiveness of Communication Across Disciplines During ICU Rounds

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT01856608

Enrollment

240

Registered

2013-05-17

Start date

2012-07-31

Completion date

2013-07-31

Last updated

2014-09-16

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Personal Communication

Brief summary

Assessing the utility of the Team SA instrument in measuring the effectiveness of communication across disciplines during ICU rounds.

Detailed description

Multidisciplinary rounds are events that occur daily in Intensive care units. During these events, practitioners from multiple disciplines meet at a pre-specified time to discuss current medical condition and plans of care. At the conclusion of these discussions, all practitioners are expected to understand the plan of care well enough to execute defined tasks, but also coordinate as circumstances change. In order to coordinate under changing circumstances practitioners must have a broader understanding of the current state of the patient and how likely certain deteriorations are. This synthetic understanding of patient risks across multi-provider groups has been described as anticipatory team situational awareness (Team SA). One instrument has been validated in the ICU as feasible and informative. This Team SA survey successfully identified that the time spent in training discussions improved Team SA across physician groups. The investigators' goal is to implement this survey across the investigators' medical ICU service to obtain a baseline estimate of how effective current communication patterns are for achieving concordant Team SA. If gaps in communication are encountered future interventions will be developed

Interventions

None listed

Study design

Time perspective

PROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

17 Years to 70 Years

Healthy volunteers

Yes

Inclusion criteria

* Nurses, primary clinicians (resident or NP) and Critical Care physicians (Staff or Fellow in Critical Care Medicine) will be approached for interview. All subjects will be approached individually and asked to participate outside of the presence of the other potential study subjects.

Exclusion criteria

* N/A

Design outcomes

Primary

Measure	Time frame
To determine if it is feasible to survey clinicians regarding their opinions about future risks for individual patients in the ICU setting To determine the range of team situational awareness exhibited by current ICU clinician teams	It is expected that a maximum of ten minutes will be required to complete the survey.

Countries

United States

Outcome results