Clinical Trial: Physicians in Training and Critical Care Nurses Performance in Medical Code Events: Effect of Simulation-Based Training

Study Status: Completed
Recruit Status: Completed
Study Type: Interventional

Official Title: Physicians in Training and Critical Care Nurses Performance in Medical Code Events: Effect of Simulation-Based Training

Brief Summary:

METHODS:

Subjects:

All internal medicine (IM), emergency medicine (EM), anesthesia (A), surgery (S) residents and all hospital ICU nurses (approximately 400 subjects) will be undergoing evaluation and training in CPR techniques according to their department training policy.

Study Assessment Tool:

An objective assessment tool has been developed and tested in medical code scenarios during training sessions recently done in the simulation lab. The tool has five domains: Airway, Breathing, Circulation, Communications/Leadership, and Defibrillation. Each domain consists of 3-8 tasks and skills (attachment A).

Design:

  • Phase I: In groups of five to six subjects, residents and nurses will undergo baseline assessment in CPR techniques in the simulation lab. Subject will be presented with a clinical scenario that includes cardiopulmonary arrest. Subjects will be scored by observers based on the previously described assessment tool and will be video recorded.
  • Phase II: All study subjects who completed phase I assessment will undergo standardized debriefing and demonstration of proper CPR techniques after reviewing their individual baseline videotape followed by repeated demonstration in CPR techniques during a clinical scenario with cardiopulmonary arrest in the simulation lab. Knowledge retention will be assessed periodically.
  • Phase III: Rates of survival to hospital discharge and survival at 24 hours in hospitalized patients after cardiopulmonary arrest collected by the CPR committee and QA department longitudinally for one year after

    Detailed Summary:
    Sponsor: St. Luke's-Roosevelt Hospital Center

    Current Primary Outcome:

    • Performance scale [ Time Frame: Baseline and 1 year ]
      Change in performance scale at 1 year as compared to baseline
    • Rates of survival [ Time Frame: 1 year ]
      Rates of survival to hospital discharge after cardiopulmonary arrest one year after completion of the simulation based training in CPR


    Original Primary Outcome: Same as current

    Current Secondary Outcome:

    • Survey questionnaire [ Time Frame: Baseline and 1 year ]
      Change in survey questionnaire score at 1 year as compared to baseline. The questionnaire consists of 4 parts, including: adequacy of training, sense of preparedness, supervision and feedback, and general information. With the exception of the section on general information, responses are scored on a 5 point Likert scale.
    • Perceptions of preparedness [ Time Frame: Baseline and 1 year ]
      Change in perceptions of preparedness at 1 year as compared to baseline. The method of assessment for this outcome measure is the Likert Scale


    Original Secondary Outcome: Same as current

    Information By: St. Luke's-Roosevelt Hospital Center

    Dates:
    Date Received: May 10, 2011
    Date Started: June 2012
    Date Completion:
    Last Updated: March 11, 2016
    Last Verified: March 2016