Crisis Resource Management Improvement Through Intellectual Questioning of Authority (CRITIQue)
2021年3月2日 更新者：National University Hospital, Singapore
This is a randomized controlled trial examining the effectiveness of a teaching intervention on residents' and medical students' ability to challenge clearly wrong decisions by a superior during a simulated life-threatening crisis.
Participants will be randomly allocated into the control or intervention arm.
The intervention arm will receive education on crisis resource management (CRM) and teaching targeting the cognitive skills required to monitor and challenge a superior's decision, and conflict resolution tools.
Participants will then take part in a simulation scenario 2 to 4 weeks later and will be assessed based on 6 challenge points, followed by a debrief session.
研究概览
地位
完全的
研究类型
介入性
注册 (实际的)
25
阶段
- 不适用
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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Singapore、新加坡、119085
- National University Hospital, Singapore
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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
21年 及以上 (成人、年长者)
接受健康志愿者
不
有资格学习的性别
全部
描述
Inclusion Criteria:
- Medical officers or Internal medicine, surgical and emergency medicine residents who are in their 2nd post-graduate year of training, or
- Phase V medical students from Yong Loo Lin School of Medicine, National University of Singapore
Exclusion Criteria:
- Refusal for informed consent, or
- Refusal for video recording during simulation sessions
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
- 主要用途：其他
- 分配：随机化
- 介入模型：并行分配
- 屏蔽：三倍
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
|
安慰剂比较：Control
Subjects allocated to the control arm will receive standard didactic interactive session on Advanced Cardiac Life Support (ACLS) principles, as part of their regular teaching schedule.
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Standard didactic interactive session on Advanced Cardiac Life Support (ACLS) principles.
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实验性的：Intervention
Subjects allocated to the intervention arm will receive education on crisis resource management (CRM) and teaching targeting the cognitive skills required to monitor and challenge a superior's decision, and conflict resolution tools, in addition to standard didactic interactive session on Advanced Cardiac Life Support (ACLS) principles.
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Focused crisis resource management training which targets at the cognitive skills needed to monitor and challenge a superior's decision.
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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 |
|---|---|---|
|
Effect of a teaching intervention on participants' ability to challenge clearly wrong decisions by a superior during a simulated life-threatening crisis
大体时间：20 minutes
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Comparison of the best modified Advocacy-Inquiry Score (mAIS) responses of the 6 challenge opportunities between the intervention and control groups.
The mAIS is a modification of the Advocacy-Inquiry method which includes five scoring levels with the addition of a sixth level when a trainee attempts to take over management of the case.
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20 minutes
|
次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Influence of the confederate's gender on participant's ability to challenge incorrect decisions
大体时间：20 minutes
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Comparison of the median modified Advocacy-Inquiry Score (mAIS) responses between the subjects exposed to male versus female confederate specialist.
The mAIS is a modification of the Advocacy-Inquiry method which includes five scoring levels with the addition of a sixth level when a trainee attempts to take over management of the case.
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20 minutes
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其他结果措施
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Qualitative analysis of themes surrounding hierarchy and challenging authority
大体时间：10 minutes
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Themes elicited during open disclosure and discussion during debrief session with participants
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10 minutes
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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。
调查人员
- 首席研究员：Gene Chan, MBBS、National University Hospital, Singapore
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)
2019年3月11日
初级完成 (实际的)
2020年9月20日
研究完成 (实际的)
2020年11月20日
研究注册日期
首次提交
2018年10月12日
首先提交符合 QC 标准的
2018年10月15日
首次发布 (实际的)
2018年10月16日
研究记录更新
最后更新发布 (实际的)
2021年3月3日
上次提交的符合 QC 标准的更新
2021年3月2日
最后验证
2021年3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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