Education, Simulation
Conditions
Brief summary
Communication and teamwork failures are the leading causes of errors in healthcare settings. In situ mock code simulations are a potential means to train team-based skills using simulation within real clinical care environments where errors occur; however, debriefing discussions often focus on gaps in learners' clinical skills as opposed to team functioning. This study aims to determine whether learners who are pre-trained using just-in-time simulation regarding CPR quality and medication administration will exhibit improved performance with respect to these skills during in situ mock codes as well as improved team functioning.
Interventions
BEHAVIORALJust-in-time training (JITT)
The JITT training is a 20 minute simulation-based teaching session targeting: (1) CPR quality and (2) medication administration.
Sponsors
The Hospital for Sick Children
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Health professionals, including nurses, pediatric residents, physicians and/or respiratory therapists scheduled to participate in interprofessional, team-based in situ mock codes.
Exclusion criteria
* None
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Team-based non-technical skills | Time Frame: All data will be collected during the one hour when participants engage in the in situ mock code simulation | Measured using the Team Emergency Assessment Measure (TEAM) scale |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| CPR quality | Time Frame: All data will be collected during the one hour when participants engage in the in situ mock code simulation | Measured using the Zoll R series defibrillator (compressions per minute (cpm), depth in millimeters (mm), and compression fraction) |
Other
| Measure | Time frame | Description |
|---|---|---|
| Medication errors | Time Frame: All data will be collected during the one hour when participants engage in the in situ mock code simulation | — |
| Focus of debriefing | Time Frame: All data will be collected during the one hour when participants engage in the in situ mock code simulation | Qualitative analysis of audio-recordings |
| Cognitive load | Time Frame: All data will be collected during the one hour when participants engage in the in situ mock code simulation | Measured using the Paas scale, Cognitive Load Component Questionnaire, and NASA-TLX cogntiive load questionnaires |
Countries
Canada
Outcome results
None listed