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
Visão geral do estudo
Descrição detalhada
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.
Tipo de estudo
Inscrição (Real)
Contactos e Locais
Locais de estudo
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Toulouse, França, 31059
- CHU Toulouse
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Critérios de participação
Critérios de elegibilidade
Idades elegíveis para estudo
Aceita Voluntários Saudáveis
Gêneros Elegíveis para o Estudo
Método de amostragem
População do estudo
Descrição
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.
Plano de estudo
Como o estudo é projetado?
Detalhes do projeto
- Modelos de observação: Coorte
- Perspectivas de Tempo: Prospectivo
Coortes e Intervenções
Grupo / Coorte |
Intervenção / Tratamento |
|---|---|
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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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O que o estudo está medindo?
Medidas de resultados primários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
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Nontechnical skills
Prazo: 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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Medidas de resultados secundários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
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Quality of care will be measured by a composite criteria (process and result)
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: 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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Colaboradores e Investigadores
Patrocinador
Investigadores
- Cadeira de estudo: Dominique Lauque, MD, Toulouse Chu
Datas de registro do estudo
Datas Principais do Estudo
Início do estudo (Real)
Conclusão Primária (Real)
Conclusão do estudo (Real)
Datas de inscrição no estudo
Enviado pela primeira vez
Enviado pela primeira vez que atendeu aos critérios de CQ
Primeira postagem (Real)
Atualizações de registro de estudo
Última Atualização Postada (Real)
Última atualização enviada que atendeu aos critérios de controle de qualidade
Última verificação
Mais Informações
Termos relacionados a este estudo
Palavras-chave
Termos MeSH relevantes adicionais
Outros números de identificação do estudo
- RC 31/16/8763
Plano para dados de participantes individuais (IPD)
Planeja compartilhar dados de participantes individuais (IPD)?
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