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
調査の概要
詳細な説明
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.
研究の種類
入学 (実際)
連絡先と場所
研究場所
-
-
-
Toulouse、フランス、31059
- CHU Toulouse
-
-
参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
サンプリング方法
調査対象母集団
説明
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.
研究計画
研究はどのように設計されていますか？
デザインの詳細
- 観測モデル：コホート
- 時間の展望：見込みのある
コホートと介入
グループ/コホート |
介入・治療 |
|---|---|
|
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
|
No intervention, it is observational study
|
この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Nontechnical skills
時間枠：3 hours
|
The nontechnical skills will be assessed by the Anaesthetists' Non-Technical Skills (ANTS) system.
|
3 hours
|
二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Quality of care will be measured by a composite criteria (process and result)
時間枠：3 hours
|
Quality of care will be measured by a composite criterion associating a process indicator and a result indicator :
|
3 hours
|
|
ED length of stay
時間枠：3 hours
|
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
|
3 hours
|
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The authenticity of the virtual emergency medicine service
時間枠：3 hours
|
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
|
3 hours
|
|
The authenticity of the virtual emergency medicine service
時間枠：3 hours
|
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.
|
3 hours
|
|
The authenticity of the virtual emergency medicine service
時間枠：3 hours
|
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.
|
3 hours
|
協力者と研究者
捜査官
- スタディチェア：Dominique Lauque, MD、Toulouse Chu
研究記録日
主要日程の研究
研究開始 (実際)
一次修了 (実際)
研究の完了 (実際)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
その他の研究ID番号
- RC 31/16/8763
個々の参加者データ (IPD) の計画
個々の参加者データ (IPD) を共有する予定はありますか?
医薬品およびデバイス情報、研究文書
米国FDA規制医薬品の研究
米国FDA規制機器製品の研究
米国で製造され、米国から輸出された製品。
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