Trial Outcomes & Findings for Learning Crisis Resource Management: Practicing Versus Observational Role in Simulation Training (NCT NCT01653704)

Results Overview

The Ottawa GRS scale is a reliable and valid scale used to measure CRM performance in high fidelity simulation. The scale assesses five main CRM categories: leadership, problem solving, situational awareness, resource allocation and communication skills. In addition to these five categories, there is a category on overall performance of the participant. Each category is measured on a 7 point Likert scale with descriptive anchors to provide guidelines on alternating points along the scale. The categorical scores will be summed to give a total score of 6 to 42. Higher values represent a better outcome.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

42 participants

Primary outcome timeframe

1 day

Results posted on

2019-01-14

Participant Flow

All emergency medicine residents in postgraduate years 1-5 in both the Royal College of Physicians and Surgeons and College of Family Physician programs at the University of Ottawa were invited to participate in the study.

Participant milestones

Participant milestones
Measure	Active Management of Crises Scenario participants assigned to actively manage a crisis scenario active role: active role in managing crisis scenario	Observer Role in Crisis Scenario Observational role in management of crises scenario observational role: observational role in crisis scenario
Overall Study STARTED	21	21
Overall Study COMPLETED	19	20
Overall Study NOT COMPLETED	2	1

Reasons for withdrawal

Reasons for withdrawal
Measure	Active Management of Crises Scenario participants assigned to actively manage a crisis scenario active role: active role in managing crisis scenario	Observer Role in Crisis Scenario Observational role in management of crises scenario observational role: observational role in crisis scenario
Overall Study Technical failure during recording	1	1
Overall Study Performance not reflective of training	1	0

Baseline Characteristics

2 participants' data experienced technical failure during video recording of performance. 1 participant's data was excluded from analysis because performance was not reflective of level of training.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure	Active Management of Crises Scenario n=19 Participants participants assigned to actively manage a crisis scenario active role: active role in managing crisis scenario	Observer Role in Crisis Scenario n=20 Participants Observational role in management of crises scenario observational role: observational role in crisis scenario	Total n=39 Participants Total of all reporting groups
Age, Continuous	NA years n=19 Participants • 2 participants' data experienced technical failure during video recording of performance. 1 participant's data was excluded from analysis because performance was not reflective of level of training.	NA years n=20 Participants • 2 participants' data experienced technical failure during video recording of performance. 1 participant's data was excluded from analysis because performance was not reflective of level of training.	29.9 years n=39 Participants • 2 participants' data experienced technical failure during video recording of performance. 1 participant's data was excluded from analysis because performance was not reflective of level of training.
Sex/Gender, Customized Female	NA participants n=19 Participants • 2 participants' data experienced technical failure during video recording of performance. 1 participant's data was excluded from analysis because performance was not reflective of level of training.	NA participants n=20 Participants • 2 participants' data experienced technical failure during video recording of performance. 1 participant's data was excluded from analysis because performance was not reflective of level of training.	18 participants n=39 Participants • 2 participants' data experienced technical failure during video recording of performance. 1 participant's data was excluded from analysis because performance was not reflective of level of training.
Sex/Gender, Customized Male	NA participants n=19 Participants • 2 participants' data experienced technical failure during video recording of performance. 1 participant's data was excluded from analysis because performance was not reflective of level of training.	NA participants n=20 Participants • 2 participants' data experienced technical failure during video recording of performance. 1 participant's data was excluded from analysis because performance was not reflective of level of training.	21 participants n=39 Participants • 2 participants' data experienced technical failure during video recording of performance. 1 participant's data was excluded from analysis because performance was not reflective of level of training.
Race and Ethnicity Not Collected	—	—	0 Participants Race and Ethnicity were not collected from any participant.
Region of Enrollment Canada	19 participants n=19 Participants • 2 participants' data experienced technical failure during video recording of performance. 1 participant's data was excluded from analysis because performance was not reflective of level of training.	20 participants n=20 Participants • 2 participants' data experienced technical failure during video recording of performance. 1 participant's data was excluded from analysis because performance was not reflective of level of training.	39 participants n=39 Participants • 2 participants' data experienced technical failure during video recording of performance. 1 participant's data was excluded from analysis because performance was not reflective of level of training.

PRIMARY outcome

Timeframe: 1 day

The Ottawa GRS scale is a reliable and valid scale used to measure CRM performance in high fidelity simulation. The scale assesses five main CRM categories: leadership, problem solving, situational awareness, resource allocation and communication skills. In addition to these five categories, there is a category on overall performance of the participant. Each category is measured on a 7 point Likert scale with descriptive anchors to provide guidelines on alternating points along the scale. The categorical scores will be summed to give a total score of 6 to 42. Higher values represent a better outcome.

Outcome measures

Outcome measures
Measure	Active Management of Crises Scenario n=19 Participants participants assigned to actively manage a crisis scenario active role: active role in managing crisis scenario	Observer Role in Crisis Scenario n=20 Participants Observational role in management of crises scenario observational role: observational role in crisis scenario
Total Ottawa GRS Score	24.3 units on a scale Standard Deviation 5.4	21.8 units on a scale Standard Deviation 4.5

Adverse Events

Active Management of Crises Scenario

Serious events: 0 serious events

Other events: 0 other events

Deaths: 0 deaths

Observer Role in Crisis Scenario

Serious events: 0 serious events

Other events: 0 other events

Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Sylvain Boet

The Ottawa Hospital

Phone: 6137985555

Email: [email protected]

Results disclosure agreements

Principal investigator is a sponsor employee
Publication restrictions are in place