Non-technical Skills of Emergency Physicians in a Virtual Emergency Department (3D-QUAMU)
Nontechnical Skills Assessment of Emergency Physicians and Quality of Care in a Virtual Emergency Department
Aperçu de l'étude
Description détaillée
The ability to manage multiple patients and anticipate the risk of error related to task interruptions or disruptions has been identified among relevant non-technical skills (NTS) for practicing emergency medicine. However, the link between these skills and the quality of care has not been quantified. NTS are usually analyzed by qualitative methods such as interviews, direct observations, or questionnaires that have low performance according to the GRADE system (Grading of Recommendations, Assessment, Development and Evaluation).
The investigators have created and validated an experimental model of a virtual, authentic and realistic Emergency Department (ED). The platform has been modelled in a "Second Life" environment. The NTS of emergency physicians will be assessed and recorded during simulated care of multiple virtual patients. The NTS association with ED length of stay and disposition decision will be analyzed. This study will be an internal pilot study and will include 30 emergency physicians who practice emergency medicine for at least two years.
Sessions will be performed in the Toulouse Institute of Health Care Simulation, Toulouse University Hospital. They will be composed of three stages: briefing (30 minutes), simulated practice (3 hours), and debriefing with an explicit interview (30 minutes). Two researchers and a computer technician will supervise the sessions. The data will be obtained by analyzing the video recorded during the simulated practice and the interview.
Type d'étude
Inscription (Réel)
Contacts et emplacements
Lieux d'étude
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Toulouse, France, 31059
- CHU Toulouse
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Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
Accepte les volontaires sains
Sexes éligibles pour l'étude
Méthode d'échantillonnage
Population étudiée
La description
Inclusion Criteria:
- Active emergency physicians working in an ED of the French Midi-Pyrenees region
- Two years of practice in emergency medicine or more
- Volunteer to participate in the study
Exclusion Criteria:
- Emergency physician working in another setting than ED, outside the Midi-Pyrenees region, or practicing emergency medicine for less than 2 years.
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
- Modèles d'observation: Cohorte
- Perspectives temporelles: Éventuel
Cohortes et interventions
Groupe / Cohorte |
Intervention / Traitement |
|---|---|
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Emergency physicians
The observational group will be composed of emergency physicians working in the French Midi-Pyrenees region.
Physicians must work since 2 years in emergency service
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No intervention, it is observational study
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Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
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Nontechnical skills
Délai: 3 hours
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The nontechnical skills will be assessed by the Anaesthetists' Non-Technical Skills (ANTS) system.
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3 hours
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Mesures de résultats secondaires
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
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Quality of care will be measured by a composite criteria (process and result)
Délai: 3 hours
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Quality of care will be measured by a composite criterion associating a process indicator and a result indicator :
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3 hours
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ED length of stay
Délai: 3 hours
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The quality of care will be assessed by ED length of stay : ED length of stay will be measured from triage completion to disposition decision
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3 hours
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The authenticity of the virtual emergency medicine service
Délai: 3 hours
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Evaluation of the consistency : perceived internal consistency in the proposed rules and situations will be assessed using a 4-item questionnaire by answering yes or no
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3 hours
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The authenticity of the virtual emergency medicine service
Délai: 3 hours
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Evaluation of the realism (the assumed resemblance with a real life reference) will be evaluated through a questionnaire containing 3 areas of comparison between the virtual and real environment (layout of the premises, duration of the actions, staff / patient ratio) with as answer possible for each comparison: Realistic or not realistic.
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3 hours
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The authenticity of the virtual emergency medicine service
Délai: 3 hours
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Evaluation of the relevance (necessary to allow users to take ownership of the problems posed by the designers) will be assessed through direct observation with a yes / no evaluation of the acceptance to use the virtual environment, to test the environment, to make choices during the scenario and to control the environment.
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3 hours
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Collaborateurs et enquêteurs
Parrainer
Les enquêteurs
- Chaise d'étude: Dominique Lauque, MD, Toulouse Chu
Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude (Réel)
Achèvement primaire (Réel)
Achèvement de l'étude (Réel)
Dates d'inscription aux études
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première publication (Réel)
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Réel)
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Plus d'information
Termes liés à cette étude
Termes MeSH pertinents supplémentaires
Autres numéros d'identification d'étude
- RC 31/16/8763
Plan pour les données individuelles des participants (IPD)
Prévoyez-vous de partager les données individuelles des participants (DPI) ?
Informations sur les médicaments et les dispositifs, documents d'étude
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produit fabriqué et exporté des États-Unis.
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