Medical Emergencies
Conditions
Keywords
medical error, high fidelity simulation, non technical skills, checklist
Brief summary
The purpose of this study is to reduce medical error by omitting management steps in medical crises. The Interventions will be: training in non-technical skills and checklists versus Control: standard training with checklists
Detailed description
56 participants will be searched for simulation training, randomly assigned in assignment 1 to 1, the follow-up will be 10 days, the primary outcome will be Proportion of omissions of treatment steps per group, and secondary outcomes will be sought. Crisis resolution time, detection time. and discrimination from the crisis Global score of non-technical skills, Discriminated score between dimensions of non-technical skills, Student satisfaction and Incidence of inadequate crisis management.
Interventions
OTHERNon technical skills and checklist training in simulation
using structured debrifing, in three random medical simulation crises, training in non-technical skills will be carried out
OTHERChecklist training simulation
using structured debrifing, in three random medical simulation crises, training in checklist will be carried out
Sponsors
Universidad de Antioquia
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
SINGLE (Outcomes Assessor)
Intervention model description
TECRISIS is a study designed as a controlled clinical trial of superiority with parallel groups, random allocation and blinding of investigators who measure outcome.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* over 18 years old. * Final semester student of medicine at the University of Antioquia. * Have passed the theoretical knowledge exam for handling crisis events with a score of 100%. * On-site availability on training days
Exclusion criteria
* Having received training in a specific crisis resource management course. * Refusing to participate
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Medical error | 3 days after finishing the training | Proportion of omission of treatment steps over the total number of steps per group. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| score for each non-technical skill category on the ottawa scale | 3 days after finishing the training | Mean interval difference per group between 1 to 7 Brief Name: Ottawa Global Rating Scale (GRS)/ For Category Minimum value: 1 Maximum value: 7 Higher scores mean a better outcome |
| Crisis resolution time | 3 days after finishing the training | Mean interval difference per group |
| Overall score on non-technical skills scale Ottawa | 3 days after finishing the training | Mean interval difference per group between 1 to 45 Brief Name: Ottawa Global Rating Scale (GRS) Minimum value: 1 Maximum value: 45 Higher scores mean a better outcome |
| Incidence of improper handling | 3 days after finishing the training | relative risk |
| Student understanding of strategies | 10 days after finishig the primary outcome | qualitative analysis with grounded theory after conducting semi-structured interviews |
| Time in detection and discrimination of the crisis | 3 days after finishing the training | Mean interval difference per group |
Countries
Colombia
Outcome results
None listed