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
  Purpose

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.

Condition Intervention
Neonatal Resuscitation
Behavioral: Teamwork training

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single Blind (Outcomes Assessor)
Primary Purpose: Health Services Research
Official Title: Improving Teamwork for Neonatal Resuscitation

Further study details as provided by The University of Texas Health Science Center, Houston:

Primary Outcome Measures:
  • 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 ]

Estimated Enrollment: 104
Study Start Date: June 2007
Estimated Study Completion Date: January 2010
Primary Completion Date: May 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
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
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.
Experimental: 3
Standard NRP curriculum + team training; simulated resuscitations using high-fidelity simulators
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.

  Eligibility

Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

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

Exclusion Criteria:

-

  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00651794

Locations
United States, Texas
University of Texas Health Science Center, Houston
Houston, Texas, United States, 77030
Sponsors and Collaborators
The University of Texas Health Science Center, Houston
Investigators
Principal Investigator: Eric J Thomas, MD, MPH The University of Texas Health Science Center, Houston
  More Information

Publications:
Responsible Party: Eric J. Thomas, MD MPH, University of Texas Health Science Center, Houston
ClinicalTrials.gov Identifier: NCT00651794     History of Changes
Other Study ID Numbers: UL1-RR024148-01
Study First Received: March 31, 2008
Last Updated: January 7, 2011
Health Authority: United States: Institutional Review Board

Keywords provided by The University of Texas Health Science Center, Houston:
Neonatal Resuscitation
Patient Care Team
Medical Errors

ClinicalTrials.gov processed this record on April 17, 2014