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Improving Teamwork for Neonatal Resuscitation

The recruitment status of this study is unknown because the information has not been verified recently.
Verified January 2011 by The University of Texas Health Science Center, Houston.
Recruitment status was  Active, not recruiting
Sponsor:
Information provided by:
The University of Texas Health Science Center, Houston
ClinicalTrials.gov Identifier:
NCT00651794
First received: March 31, 2008
Last updated: January 7, 2011
Last verified: January 2011
History of Changes

March 31, 2008
January 7, 2011
June 2007
May 2009   (final data collection date for primary outcome measure)
  • Teamwork rate (events per minute) [ Time Frame: measured during the simulated resuscitation ] [ Designated as safety issue: No ]
  • NRP Compliance rate (% compliance) [ Time Frame: measured during simulated resuscitation ] [ Designated as safety issue: Yes ]
Same as current
Complete list of historical versions of study NCT00651794 on ClinicalTrials.gov Archive Site
Not Provided
Not Provided
Not Provided
Not Provided
 
Improving Teamwork for Neonatal Resuscitation
Improving Teamwork for Neonatal Resuscitation

The Neonatal Resuscitation Program (NRP) is the curriculum used to teach providers how to care for newborns in the delivery room. Breakdowns in teamwork and communication contribute to NRP quality problems. Adding teamwork instruction to NRP may be a method to improve communication, teamwork, and the overall quality of neonatal resuscitation. This study uses simulation to incorporate team training into NRP and to evaluate both the effectiveness and duration of the team training. Furthermore, because high fidelity simulation is very expensive and not widely available, we will compare NRP with low fidelity team training to NRP with high fidelity team training.

Our hypotheses are:

  1. NRP with low fidelity team training results in a) better teamwork, and b) better quality of care compared with standard NRP.
  2. NRP with high fidelity team training does not result in better teamwork or better quality of care than NRP with low fidelity simulation.
  3. NRP with high fidelity team training does not produce a longer lasting effect on teamwork than NRP with low fidelity simulation.
Not Provided
Interventional
Not Provided
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single Blind (Outcomes Assessor)
Primary Purpose: Health Services Research
Neonatal Resuscitation
Behavioral: Teamwork training
Crew Resource Management (CRM) is an aviation training program mandated for all crew members that teaches human factors concepts, communication skills, and teamwork behaviors that can prevent and manage error. Over the last six years our group has translated these behaviors to neonatal resuscitation and demonstrated that they can be reliably measured. The existing NRP course, taught to most caregivers in the United States who care for newborns, focuses on teaching the technical aspects of neonatal resuscitation with little attention paid to communication and teamwork. Adding teamwork instruction to NRP, based upon CRM, may be a method to improve communication, teamwork, and the overall quality of neonatal resuscitation.
  • No Intervention: 1
    Standard NRP curriculum with no team training; simulated resuscitation using low-fidelity simulators
  • Experimental: 2
    Standard NRP curriculum + team training; simulated resuscitation using low-fidelity simulators
    Intervention: Behavioral: Teamwork training
  • Experimental: 3
    Standard NRP curriculum + team training; simulated resuscitations using high-fidelity simulators
    Intervention: Behavioral: Teamwork training

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Active, not recruiting
104
January 2010
May 2009   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • New interns that enter pediatrics, family medicine, obstetrics/gynecology, and emergency medicine.

Exclusion Criteria:

-
Both
Not Provided
Yes
Contact information is only displayed when the study is recruiting subjects
United States
 
NCT00651794
UL1-RR024148-01
No
Eric J. Thomas, MD MPH, University of Texas Health Science Center, Houston
The University of Texas Health Science Center, Houston
Not Provided
Principal Investigator: Eric J Thomas, MD, MPH The University of Texas Health Science Center, Houston
The University of Texas Health Science Center, Houston
January 2011

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP