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Improving Patient Safety Through Simulation Research

NCT ID: NCT02097498

Last Updated: 2016-09-28

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

387 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-08-31

Study Completion Date

2016-09-30

Brief Summary

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The overall objective of the present proposal is to assess whether medical simulation can enhance the safety and proficiency profile of paramedics performing prehospital endotracheal intubation, and whether feedback from an airway management expert observing the simulation enhances skill retention after 12 and 24 months. Since no validated proficiency assessment tool currently exists to measure the skill of paramedics in airway management, one will be developed and tested. Using this tool, 250 paramedics in central Ohio, will undergo simulation training similar to that required for certification. A baseline assessment of proficiency will be obtained. One group will be randomized to receive simulation training similar to that required for certification, while the other group will receive feedback from an airway management expert linked to the simulation test site via a 2-way audio-video feed. Both groups of paramedics will be reassessed at 12, and 24 months to determine whether skill level was maintained or whether skills deteriorated, and whether expert intervention had any impact on skill retention.

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Detailed Description

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Conditions

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Airway Management Assessment

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Simulation only

One group will be randomized to receive simulation training similar to that required for certification. Paramedics in this group will then complete a second simulation scenario

Group Type NO_INTERVENTION

No interventions assigned to this group

Directed feedback

One group will review their baseline simulation scenario with a member of the research staff while providing specific feedback for errors made during the first simulation. Paramedics in this group will then complete a second simulation scenario.

Group Type EXPERIMENTAL

Directed feedback

Intervention Type OTHER

Group will receive feedback from an airway management expert while the paramedic review their baseline simulation scenario through recorded video

Basic Videolaryngoscopy

One group will review a series of instructional videos related to common airway management errors. Paramedics in this group will then complete a second simulation scenario.

Group Type EXPERIMENTAL

Basic Videolaryngoscopy Videos

Intervention Type OTHER

Group will watch a series of educational videos related to common airway management errors.

Interventions

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Directed feedback

Group will receive feedback from an airway management expert while the paramedic review their baseline simulation scenario through recorded video

Intervention Type OTHER

Basic Videolaryngoscopy Videos

Group will watch a series of educational videos related to common airway management errors.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Currently certified central Ohio paramedics

Exclusion Criteria

* Refusal to participate
* Non-certified paramedics
Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Ohio State University

OTHER

Sponsor Role lead

Responsible Party

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Thomas E. Terndrup

Chair, Department of Emergency Medicine

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Thomas E Terndrup, MD

Role: PRINCIPAL_INVESTIGATOR

Ohio State University

Locations

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The Ohio State University Wexner Medical Center

Columbus, Ohio, United States

Site Status

Countries

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United States

Other Identifiers

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2013H0226

Identifier Type: -

Identifier Source: org_study_id

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