Improving Team Training During Mock Code Blue Simulations

Improving the Quality of Team Training and Performance During Interprofessional in Situ Mock Code Blue Simulations: A Randomized Controlled Mixed-methods Study

Communication and teamwork failures are the leading causes of errors in healthcare settings. In situ mock code simulations are a potential means to train team-based skills using simulation within real clinical care environments where errors occur; however, debriefing discussions often focus on gaps in learners' clinical skills as opposed to team functioning. This study aims to determine whether learners who are pre-trained using just-in-time simulation regarding CPR quality and medication administration will exhibit improved performance with respect to these skills during in situ mock codes as well as improved team functioning.

Study Overview

• Status: Unknown
• Conditions: Education, Simulation
• Intervention / Treatment: Behavioral: Just-in-time training (JITT)

• Study Type: Interventional
• Enrollment (Anticipated): 264
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Canada
  • Ontario
    • Toronto, Ontario, Canada, M5G 1X8
      • Hospital for Sick Children (Sickkids)

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Health professionals, including nurses, pediatric residents, physicians and/or respiratory therapists scheduled to participate in interprofessional, team-based in situ mock codes.

Exclusion Criteria:

• None

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Other
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Just-in-time training (JITT) group; Receive a 20min just-in-time simulation-based teaching session targeting: (1) CPR quality and (2) medication administration within 3 hours of the scheduled in situ simulation.	Behavioral: Just-in-time training (JITT); The JITT training is a 20 minute simulation-based teaching session targeting: (1) CPR quality and (2) medication administration.
No Intervention: No additional training (control) group; Control group who receives no additional training.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Team-based non-technical skills	Measured using the Team Emergency Assessment Measure (TEAM) scale	Time Frame: All data will be collected during the one hour when participants engage in the in situ mock code simulation

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
CPR quality	Measured using the Zoll R series defibrillator (compressions per minute (cpm), depth in millimeters (mm), and compression fraction)	Time Frame: All data will be collected during the one hour when participants engage in the in situ mock code simulation

Other Outcome Measures

Outcome Measure	Measure Description	Time Frame
Medication errors		Time Frame: All data will be collected during the one hour when participants engage in the in situ mock code simulation
Focus of debriefing	Qualitative analysis of audio-recordings	Time Frame: All data will be collected during the one hour when participants engage in the in situ mock code simulation
Cognitive load	Measured using the Paas scale, Cognitive Load Component Questionnaire, and NASA-TLX cogntiive load questionnaires	Time Frame: All data will be collected during the one hour when participants engage in the in situ mock code simulation

Collaborators and Investigators

• Sponsor: The Hospital for Sick Children
• Investigators: Principal Investigator: Catharine M Walsh, MD, PhD, The Hospital for Sick Children

Study record dates

Study Major Dates

• Study Start: April 1, 2015
• Primary Completion (Actual): September 1, 2016
• Study Completion (Anticipated): December 1, 2021

Study Registration Dates

• First Submitted: August 18, 2015
• First Submitted That Met QC Criteria: August 19, 2015
• First Posted (Estimate): August 20, 2015

Study Record Updates

• Last Update Posted (Actual): February 25, 2021
• Last Update Submitted That Met QC Criteria: February 24, 2021
• Last Verified: February 1, 2021

More Information

Terms related to this study

• Other Study ID Numbers: 1000048092