Observation of Emergency Obstetrical Situations. (TeamOBS)
2018年2月26日 更新者：TeamOBS
TeamOBS - Focuses on the Association Between Teamwork and Clinical Performance in Emergency Obstetrical Situations
The TeamOBS study is an observational study.
We analyze actually recordings of obstetric emergencies to get an even better understanding and knowledge of the association between the communication and cooperation and the quality of the performance of the interdisciplinary team.
研究概览
详细说明
Background:
In obstetric emergency situations (OES) inadequate non-technical skills (NTS) are the leading causes of substandard care.
Aim:
Based on live audio and video (AV)-recordings of real (OES) the aim is to describes how the NTS and the clinical performance are related.
Method:
- Inclusion of the teams. OES teams from the delivery ward at two Danish hospitals, Aarhus University Hospital and Horsens Regional Hospital are AV-recorded are collected and saved for analyzing with consent from all participant.
- Develop a scoring tool to rate clinical performance in OES. 12 Ekspert Senior Obstetricians from different maternity units in Britain, Norway, Sweden, Denmark and Iceland volunteered to join the Delphi panel and develop a clinical performance tool.
- Rate clinical performance. Using the developed tool in 2) to rate live teams
- Rate NTS Recording of teams will be rated by the validated list: Assessment of Obstetric Team Performance with the validated tool from Pamela Morgan: AOTP. Furthermore important observations will be code. Video assessments is planned for 2016-2018
- Explore the association between clinical performance and NTS in OES. Results from 3) and 4) will be compared.
Discussion:
We expect that this study will add to the knowledge of NTS and the effect on clinical performance in OES.
研究类型
观察性的
注册 (实际的)
235
联系人和位置
本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。
学习地点
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DK
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Aarhus、DK、丹麦、8200
- Aarhus University Hospital Skejby
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Horsens、DK、丹麦、8700
- Horsens Hospital
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参与标准
研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。
资格标准
适合学习的年龄
- 孩子
- 成人
- 年长者
接受健康志愿者
不
有资格学习的性别
全部
取样方法
非概率样本
研究人群
Participants in the study will include working staff (junior and senior doctors, midwifes and other health personal) in the maternity wards of two hospitals in Central Region Denmark: Horsens Regional Hospital and Aarhus University Hospital, Skejby.
Video recording in simulation as well in reality will take place in both hospitals.
Approximately 200 different teams each of 3-5 persons will participate in the study.
In the live emergency scenarios
描述
Inclusion Criteria:
Video recordings of emergency situations in simulation aswell live will include management of every day situations as well as rare emergencies, with the inclusion criteria of obstetric teamwork: >2 healthcare personal present and one of them an obstetrician. The five situations in are study are the following:
- Eclampsia,
- Post-partum haemorrhage,
- New -born resuscitation (Apgar ≤ 7/5 min),
- Shoulder dystocia and
- Instrumental delivery. The situation can be included if a video recording is capture of the event and all participant in the video have given informed consent.
Exclusion Criteria:
Absent informed consent.
学习计划
本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。
研究是如何设计的？
设计细节
- 观测模型：仅案例
- 时间观点：预期
队列和干预
团体/队列 |
干预/治疗 |
|---|---|
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1: Study population
Participants in this study are working staff (junior and senior doctors, midwifes and other health personal) in the maternity wards of two hospitals in Central Region Denmark: Horsens Regional Hospital and Aarhus University Hospital, Skejby.
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No intervention - only observation of teams delivering acute obstetric care
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研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Clinical performance
大体时间：15. october 2014 - 20. May 2016
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Clinical performance is assessed by video raters, using a checklist TeamOBS-tool
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15. october 2014 - 20. May 2016
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Blood loss
大体时间：15. october 2014 - 20. May 2016
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Blood loss measured and verbalized by the emergency team.
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15. october 2014 - 20. May 2016
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合作者和调查者
在这里您可以找到参与这项研究的人员和组织。
赞助
调查人员
- 学习椅：Niels Uldbjerg, MD.PHD、University of Aarhus
- 首席研究员：Ole Kierkegaard, MD、Horsens Hospital
研究记录日期
这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。
研究主要日期
学习开始 (实际的)
2014年10月15日
初级完成 (实际的)
2017年5月20日
研究完成 (实际的)
2018年2月1日
研究注册日期
首次提交
2016年4月12日
首先提交符合 QC 标准的
2018年2月26日
首次发布 (实际的)
2018年3月5日
研究记录更新
最后更新发布 (实际的)
2018年3月5日
上次提交的符合 QC 标准的更新
2018年2月26日
最后验证
2018年2月1日
更多信息
此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.
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