Observation of Non-technical Skills in the Pre-hospital Care in the Czech Republic (NTS)

February 1, 2021 updated by: David Peran

Observation of Non-technical Skills (e.g. Communication, Team Leader Skills, Teamwork, Situational Awareness Etc.) in the Pre-hospital Care in the Czech Republic

The aim of the study is to find out if the Emergency Medical Services (EMS) crews are using the non-technical skills (e.g. communication, decision making, situational awareness etc.) in the real practice and how well they use them.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

The aim of the study is to find out if the Emergency Medical Services (EMS) crews are using the non-technical skills (teamwork and team leading, communication, decision making, situational awareness and task management) in the real practice and how well they use them. According to the observations of individual crews by field supervisors the use of non-technical skills will be compared between different groups (e.g. resuscitation, trauma, medical problems, non-emergency situations etc.). The comparison between the collaborators of the study is not the subject of the study.

Main hypothesis: The EMS crews are using all of the aspects of non-technical skills appropriately.

The field supervision is also the limitation of the study because it is done by different observers / supervisors, the observation therefore might by affected by subjective feelings. To minimise the subjective view of the situation all of the field supervisors undergo a uniform training of non-technical skills and how to observe and evaluate them.

Study Type

Observational

Enrollment (Actual)

359

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Czechia
      • Karlovy Vary, Czechia, 36006
        • Emergency Medical Services of the Karlovy Vary region
      • Plzen, Czechia, 30100
        • Emergency Medical Services of the Pilsner region
      • Praha, Czechia, 10100
        • Prague Emergency Medical Services

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Child
  • Adult
  • Older Adult

Accepts Healthy Volunteers

Yes

Genders Eligible for Study

All

Sampling Method

Non-Probability Sample

Study Population

All patient of EMS in participated regions of the Czech Republic where the pre-hospital care is provided by 2 or more crews and the field supervisor is present.

Description

Inclusion Criteria:

  • EMS called
  • More than 2 crews on the scene
  • Field supervisor present

Exclusion Criteria:

- TEAM tool not filled completely

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

Cohorts and Interventions

Group / Cohort
Intervention / Treatment
EMS crews
Crews of Emergency Medical Services
Behavioral: Non-technical skills

Teamwork The work of the team consists of information exchange and coordination of all activities performed. In-team communication is always calm and assertive, and team members support each other.

Task management With the right planning and preparation of individual activities, the likelihood that all standards of care and best practices will be followed increases.

Situational awareness Situational awareness refers primarily to the collection of information, its understanding and, on that basis, prediction of direction into which the situation will develop. Maintaining situational awareness is crucial in order to move towards the right goal.

Decision-making With good situational awareness, one is able to keep in mind all information needed to make the correct decision at the right time. In some cases, it is advisable to consult with other team members or to verify their consent to the proposed procedure.

Communication Communication is a vital tool when working in a team.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
NTS incidence
Time Frame: Through study completion, an average of 1 year and until 100 cases from each organization will be collected - 300 observations in total.
The measurement of non-technical skills usage will be evaluated according to the form developed and published by Cooper et al. (2010) as a Team Emergency Assessment Measure (TEAM) tool based on the Likert scale - Never/Hardly ever (0), Seldom (1), About as often as not (2), Often (3), Always/Nearly always (4).
Through study completion, an average of 1 year and until 100 cases from each organization will be collected - 300 observations in total.

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

David Peran

Collaborators

Emergency Medical Services of the Karlovy Vary region, Czech Republic
Emergency Medical Services of the Pilsner region, Czech Republic

Investigators

  • Study Chair: David Peran, DrPH, Prague Emergency Medical Services
  • Study Director: Roman Sykora, PhD, Emergency Medical Services of the Karlovy Vary region
  • Study Director: Jana Vidunová, MD, Emergency Medical Services of the Pilsner region
  • Principal Investigator: Ivana Krsova, MSc., Emergency Medical Services of the Pilsner region
  • Principal Investigator: Jaroslav Pekara, PhD, Prague Emergency Medical Services
  • Principal Investigator: Patrik C Cmorej, PhD, Emergency Medical Services of the Usti nad Labem Region
  • Principal Investigator: Nikola Brizgalová, DrPH, Emergency Medical Services of the Karlovy Vary region

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

July 1, 2019

Primary Completion (Actual)

November 30, 2020

Study Completion (Actual)

December 31, 2020

Study Registration Dates

First Submitted

July 29, 2020

First Submitted That Met QC Criteria

August 4, 2020

First Posted (Actual)

August 7, 2020

Study Record Updates

Last Update Posted (Actual)

February 2, 2021

Last Update Submitted That Met QC Criteria

February 1, 2021

Last Verified

February 1, 2021

More Information

Terms related to this study

Keywords

Other Study ID Numbers

  • ZZSMHP_001_2020

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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