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Improving Patient Safety Through Simulation Research

This study has been completed.
Sponsor:
ClinicalTrials.gov Identifier:
NCT02097498
First Posted: March 27, 2014
Last Update Posted: September 28, 2016
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
Information provided by (Responsible Party):
Thomas E. Terndrup, Ohio State University
  Purpose
The overall objective of the present proposal is to assess whether medical simulation can enhance the safety and proficiency profile of paramedics performing prehospital endotracheal intubation, and whether feedback from an airway management expert observing the simulation enhances skill retention after 12 and 24 months. Since no validated proficiency assessment tool currently exists to measure the skill of paramedics in airway management, one will be developed and tested. Using this tool, 250 paramedics in central Ohio, will undergo simulation training similar to that required for certification. A baseline assessment of proficiency will be obtained. One group will be randomized to receive simulation training similar to that required for certification, while the other group will receive feedback from an airway management expert linked to the simulation test site via a 2-way audio-video feed. Both groups of paramedics will be reassessed at 12, and 24 months to determine whether skill level was maintained or whether skills deteriorated, and whether expert intervention had any impact on skill retention.

Condition Intervention
Airway Management Assessment Other: Directed feedback Other: Basic Videolaryngoscopy Videos

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double (Participant, Investigator)
Primary Purpose: Supportive Care
Official Title: Improving Patient Safety Through Simulation Research: Airway Management Proficiency Study

Resource links provided by NLM:


Further study details as provided by Thomas E. Terndrup, Ohio State University:

Primary Outcome Measures:
  • Development and validation of an airway management assessment tool [ Time Frame: 3 years ]
    Employing a team of psychometric, human factors, and airway management experts, we propose to make refinements to our assessment tool so that it has objective measurement criteria, takes timing and sequencing of actions into account, provides reproducible scores, has high inter-rater reliability, and can be a valid measure of paramedic airway management proficiency and safety.


Secondary Outcome Measures:
  • Development of educational interventions to improve skill retention [ Time Frame: 2 years ]
    The paramedics will be reassessed at 12 to determine whether skill level was maintained.


Enrollment: 387
Study Start Date: August 2013
Study Completion Date: September 2016
Primary Completion Date: December 2015 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
No Intervention: Simulation only
One group will be randomized to receive simulation training similar to that required for certification. Paramedics in this group will then complete a second simulation scenario
Experimental: Directed feedback
One group will review their baseline simulation scenario with a member of the research staff while providing specific feedback for errors made during the first simulation. Paramedics in this group will then complete a second simulation scenario.
Other: Directed feedback
Group will receive feedback from an airway management expert while the paramedic review their baseline simulation scenario through recorded video
Experimental: Basic Videolaryngoscopy
One group will review a series of instructional videos related to common airway management errors. Paramedics in this group will then complete a second simulation scenario.
Other: Basic Videolaryngoscopy Videos
Group will watch a series of educational videos related to common airway management errors.

  Eligibility

Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.


Ages Eligible for Study:   Child, Adult, Senior
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Currently certified central Ohio paramedics

Exclusion Criteria:

  • Refusal to participate
  • Non-certified paramedics
  Contacts and Locations
Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02097498


Locations
United States, Ohio
The Ohio State University Wexner Medical Center
Columbus, Ohio, United States, 43210
Sponsors and Collaborators
Ohio State University
Investigators
Principal Investigator: Thomas E Terndrup, MD The Ohio State University Wexner Medical Center
  More Information

Responsible Party: Thomas E. Terndrup, Chair, Department of Emergency Medicine, Ohio State University
ClinicalTrials.gov Identifier: NCT02097498     History of Changes
Other Study ID Numbers: 2013H0226
First Submitted: February 18, 2014
First Posted: March 27, 2014
Last Update Posted: September 28, 2016
Last Verified: September 2016

Keywords provided by Thomas E. Terndrup, Ohio State University:
Simulation
Enhance
Safety
Proficiency
Paramedics.
Airway Management
Intubation


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