- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT01898247
Use of Simulation-Based Mastery Learning for Thoracentesis to Improve Outcomes
Use of Simulation-Based Mastery Learning for Resident Thoracentesis Training to Improve Patient Outcomes
Studieoversigt
Status
Betingelser
Intervention / Behandling
Detaljeret beskrivelse
Given medical procedures are the second most common cause of the complications that afflict 3% of hospitalized patients, simulation-based mastery learning should be applied to procedures done in all medical centers. In academic hospitals, bedside procedures such as thoracentesis procedures are often performed by unsupervised medical trainees. Traditionally, medical trainees learn procedures relying on the historic "see one, do one, teach one" mentality. Unfortunately, this approach subjects patients to procedures before trainees are competent.
Through the use of medical simulation, medical educators can increase the essential knowledge and skills of trainees while assuring procedural competence and reducing patient exposure to undue risk. Medical simulation training using the mastery learning model improves clinical skills and reduces the risk of procedure-associated injury. Our research group pioneered the use of this evidence-based approach for teaching medical trainees. Mastery learning requires that all trainees demonstrate a uniformly high level of skill before training completion. This ensures competence on a medical simulator before actual patient encounters.
Undersøgelsestype
Tilmelding (Forventet)
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiesteder
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Illinois
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Chicago, Illinois, Forenede Stater, 60611
- Northwestern University
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Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
Patients:
- undergoing a thoracentesis procedure
- on internal medicine or hospitalist ward service
- English or Spanish Speaking
- 2nd and 3rd year internal medicine residents
Exclusion Criteria:
- Cognitive impairment
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Andet
- Tildeling: Randomiseret
- Interventionel model: Enkelt gruppeopgave
- Maskning: Dobbelt
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
---|---|
Ingen indgriben: Traditionally-trained Procedures
Patients who undergo thoracentesis procedures by traditionally-trained residents who have not undergone simulation-based mastery learning.
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Eksperimentel: Simulator-trained Procedures
Patients who undergo thoracentesis procedures by residents who have undergone simulation-based mastery learning.
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Internal Medicine residents are randomly selected to undergo simulation-based mastery learning.
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Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
---|---|---|
Simulation based mastery learning for resident thoracentesis training will increase patient satisfaction and safety.
Tidsramme: 30 months
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Thoracentesis skills will be measured using a checklist on the simulator and on actual patients during direct observations.
Satisfaction with procedures done by a referred service or at the bedside by simulator-trained residents will be measured by patient reported confidence levels in procedure performer, perception of delay, and comfort during the procedure.
Patient safety will be measured by assessing documented complication rates such as: pneumothorax, bleeding, infection, reexpansion pulmonary edema, and significant pain.
Additionally, length of stay and hospital costs will be compared between patients undergoing thoracentesis by simulator-trained residents versus referred services (or traditionally-trained residents).
|
30 months
|
Samarbejdspartnere og efterforskere
Sponsor
Samarbejdspartnere
Efterforskere
- Ledende efterforsker: Jeffrey H. Barsuk, MD, Northwestern University
Publikationer og nyttige links
Datoer for undersøgelser
Studer store datoer
Studiestart
Primær færdiggørelse (Faktiske)
Studieafslutning (Faktiske)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Andre undersøgelses-id-numre
- STU00069024
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Kliniske forsøg med Simulation-based mastery learning
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Sunnybrook Health Sciences CentreIkke rekrutterer endnuUddannelsesmæssige problemer | Simulering af fysisk sygdom | Medicinske nødsituationerCanada
-
Mayo ClinicNational Center for Research Resources (NCRR)Afsluttet
-
Seoul National University HospitalKorea Health Industry Development Institute; Dong-A University; Inha University... og andre samarbejdspartnereIkke rekrutterer endnuHospitalets hurtige reaktionsteam | Hospitalets medicinske akutteam
-
Sunnybrook Health Sciences CentreRekrutteringUddannelsesmæssige problemer | Simulering af fysisk sygdomCanada
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University Health Network, TorontoUkendtPatientsimuleringCanada
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Uludag UniversityIstanbul UniversityAfsluttetStrålingseksponering | Kemikalieulykke | Biologisk stofforgiftningKalkun