Improving Patient Safety Through Simulation Research (REDSTAMP)
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.
|Study Design:||Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Investigator)
Primary Purpose: Supportive Care
|Official Title:||Remote Expert Direction and Simulation Training in Airway Management With Paramedics|
- Validity of assessment tool [ Time Frame: Up to 3 years ] [ Designated as safety issue: No ]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.
- Skill retention [ Time Frame: One and two years after enrollment ] [ Designated as safety issue: No ]The paramedics will be reassessed at 12 and 24 months to determine whether skill level was maintained and human cases will be assessed for actual airway management success.
|Study Start Date:||August 2013|
|Estimated Study Completion Date:||April 2015|
|Estimated Primary Completion Date:||January 2015 (Final data collection date for primary outcome measure)|
No Intervention: Simulation only
One group will be randomized to receive simulation training similar to that required for certification
Experimental: Simulation with feedback
Participants will be filmed during the simulation, then given specific feedback on how to improve.
Other: Simulation with feedback
Group will receive feedback from an airway management expert linked to the simulation test site via a 2-way audio-video feed
Please refer to this study by its ClinicalTrials.gov identifier: NCT02097498
|Contact: Thomas E Terndrup, MDfirstname.lastname@example.org|
|United States, Ohio|
|The Ohio State University Wexner Medical Center||Recruiting|
|Columbus, Ohio, United States, 43210|
|Contact: Melanie R Heinlein, BS, CCRP 614-366-6852 email@example.com|
|Principal Investigator:||Thomas E Terndrup, MD||The Ohio State University Wexner Medical Center|