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Clinical Performance and Multitasking in Anesthesia : a Simulation-based Study (FOCUS)

30 juni 2026 uppdaterad av: University Hospital, Grenoble

Cognitive failure under multitasking conditions has been demonstrated in various settings, including healthcare. However, in anesthesiology, the impact of multitasking on clinical performance has not yet been fully characterized.

The objective of our study is to evaluate the impact of multitasking on anesthesiologists' clinical performance in a simulated setting.

Studieöversikt

Status

Rekrytering

Betingelser

Intervention / Behandling

Detaljerad beskrivning

This study is a prospective, single-center, non-interventional study. The study was classified as non-interventional by the institutional research committee, as the intervention consists of simulation training and the study population comprises healthcare practitioners.

The study participants are anesthesiologists, including attending physicians and residents. Each participant will serve as their own control. The study will comprise two visits: one intervention visit consisting of a multitasking simulation session, and one control visit involving clinical questions administered under quiet conditions. The order of the visits will be randomized between participants using a crossover design in order to minimize potential learning bias.

The multitasking condition will consist of performing manual mask ventilation on a manikin while answering oral clinical questions administered in the form of Script Concordance Tests (SCTs). Participants will be instructed to ventilate the manikin with a tidal volume of 500 mL and a respiratory rate of 15 breaths/minute.

Clinical reasoning under quiet conditions will consist of answering oral clinical questions in the SCT format.

The study will use a 44-item Script Concordance Test (SCT) distributed across 20 anesthesiology clinical vignettes. The vignettes are distributed as follows: 8 vignettes with 3 items, 8 vignettes with 2 items, and 4 vignettes with 1 item. The vignettes were adapted, without modification of their content, to be compatible with oral administration and the simulation scenario.

In addition, for each participant, the SCT clinical vignettes will be randomized between the "simulation vignettes" and the "control vignettes," with stratification according to the number of items per vignette. Five vignettes will be allocated to the intervention condition and fifteen to the control condition. This approach will help limit the effect of differences in vignette difficulty that could otherwise bias the results. At the group level, all clinical vignettes will ultimately be assessed in both the simulation and control conditions.

Detailed information is available in the study protocol.

Studietyp

Observationell

Inskrivning (Beräknad)

35

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studiekontakt

Studera Kontakt Backup

Studieorter

  • Frankrike
      • Grenoble, Frankrike, 38700
        • Rekrytering
        • Centre d'Évaluation et de Simulation Alpes Recherche (CESAR)
        • Kontakt:
        • Kontakt:

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

  • Vuxen
  • Äldre vuxen

Tar emot friska volontärer

Ja

Testmetod

Icke-sannolikhetsprov

Studera befolkning

The study population consists of a sample of anesthesiology and intensive care physicians working at Grenoble University Hospital.

Beskrivning

Inclusion Criteria:

  • Anesthesiology and intensive care resident or attending physician
  • Written informed consent

Exclusion Criteria:

  • None

Studieplan

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Concordance score with the expert panel on a Script Concordance Test (SCT)
Tidsram: At two time points: - During simulation session under multitasking conditions - During control visit under quiet conditions
Each item of the SCT is scored out of 1 point, and the sum of the points, converted to a 100-point scale, defines the percentage of concordance with the expert panel.
At two time points: - During simulation session under multitasking conditions - During control visit under quiet conditions

Sekundära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Time to answer items of the script concordance test (seconds)
Tidsram: Two time points: intervention and control.

Time between end of question and beggining of answer for each item of the script concordance test.

Evaluates the interruption lag.
Two time points: intervention and control.
Manual ventilation performance assessed by variance of expiratory tidal volume (ml)
Tidsram: - Training before simulation: baseline - During simulation: ventilation only, ventilation plus clinical questions
Participants will be instructed to ventilate with an expiratory tidal volume (Vte) between 450 and 500 mL at a respiratory rate of 15 breaths per minute. Variability in Vte will be used as an indicator of the difficulty in complying with these instructions.
- Training before simulation: baseline - During simulation: ventilation only, ventilation plus clinical questions
Manual ventilation performance assessed by variance of respiratory rate (cycles/minute)
Tidsram: - Training before simulation: baseline - During simulation: ventilation only, ventilation plus clinical questions
Participants will be instructed to ventilate with an expiratory tidal volume (Vte) between 450 and 500 mL at a respiratory rate of 15 breaths per minute. Variability in respiratory rate will be used as an indicator of the difficulty in complying with these instructions.
- Training before simulation: baseline - During simulation: ventilation only, ventilation plus clinical questions
Cognitive load assessed by the NASA-TLX index (score out of 100)
Tidsram: A two time points: - Evaluating cognitive load of manual ventilation alone, before simulation after training. - Evaluation cognitive load of multitasking, at the end of the simulation session
The Official NASA Task Load Index (TLX) is a subjective workload assessment tool. By incorporating a multi-dimensional rating procedure, NASA TLX derives an overall workload score based on a weighted average of ratings on six subscales: mental demand, physical demand, temporal demand, performance, effort, frustration.
A two time points: - Evaluating cognitive load of manual ventilation alone, before simulation after training. - Evaluation cognitive load of multitasking, at the end of the simulation session

Andra resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Exploratory sub-group analysis of the primary outcome measure
Tidsram: Two time points: intervention and control.

Subgroups:

  • Clinical experience in anesthesiology < or >= 5 semesters
  • Left handed or right handed
  • Musical practice < or >= 5 years
  • Need for cognition scale (18 questions): < or >= median of the group score
Two time points: intervention and control.
Exploratory subgroup analyses of expiratory tidal volume variance and respiratory rate variance
Tidsram: - Training before simulation: baseline - During simulation: ventilation only, ventilation plus clinical questions

Subgroups:

  • Clinical experience in anesthesiology < or >= 5 semesters
  • Left handed or right handed
  • Musical practice < or >= 5 years
  • Need for cognition scale (18 questions): < or >= median of the group score
- Training before simulation: baseline - During simulation: ventilation only, ventilation plus clinical questions
Descriptive analysis of ventilation parameters
Tidsram: Training phase (baseline), simulation phase (ventilation-only and ventilation plus clinical questions)
  • Inspiratory tidal volume (ml)
  • Expiratory tidal volume (ml)
  • Respiratory rate (cycles/minute)
  • Resumption lag: time required to re-establish stable ventilation following interruption (seconds)
Training phase (baseline), simulation phase (ventilation-only and ventilation plus clinical questions)

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Sponsor

University Hospital, Grenoble

Publikationer och användbara länkar

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Allmänna publikationer

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Faktisk)

9 juni 2026

Primärt slutförande (Beräknad)

1 december 2026

Avslutad studie (Beräknad)

1 december 2026

Studieregistreringsdatum

Först inskickad

22 maj 2026

Först inskickad som uppfyllde QC-kriterierna

22 maj 2026

Första postat (Faktisk)

29 maj 2026

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

2 juli 2026

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

30 juni 2026

Senast verifierad

1 juni 2026

Mer information

Termer relaterade till denna studie

Ytterligare relevanta MeSH-villkor

Andra studie-ID-nummer

  • RNIPH-2026-CESAR-FOCUS

Plan för individuella deltagardata (IPD)

Planerar du att dela individuella deltagardata (IPD)?

NEJ

IPD-planbeskrivning

Single center study

Läkemedels- och apparatinformation, studiedokument

Studerar en amerikansk FDA-reglerad läkemedelsprodukt

Nej

Studerar en amerikansk FDA-reglerad produktprodukt

Nej

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