Improving Faculty's Ability to Speak Up to Others in the Operating Room
NCT ID: NCT02170818
Last Updated: 2014-06-23
Study Results
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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COMPLETED
NA
310 participants
INTERVENTIONAL
2008-03-31
2014-05-31
Brief Summary
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Objective
1\. Determine if an educational workshop would improve speaking-up behaviors of practicing anesthesiologists when presented with realistically-simulated clinical situations. 2.Describe speaking-up behaviors addressed to a surgeon, a nurse, and a colleague. 3. Identify the self-reported hurdles and enablers for speaking-up in those situations encountered.
Design Randomized controlled experiment of an educational workshop intervention on communication behaviors in a simulated case. Qualitative analysis of debriefing conversations following the simulated case.
Setting Established academic simulation center
Participants Seventy-one practicing anesthesiologists from four academic medical centers and one community hospital
Intervention Fifty minute educational workshop on speaking-up that included rationale, conversational techniques, a rubric for speaking-up, and role-play.
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Detailed Description
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1\. Observed communication in a simulated case that included a surgeon falling asleep during surgery, inappropriate activation of a speakerphone by a nurse, and an incorrect treatment order by a colleague in response to a venous air embolism. 2. Transcribed conversation during a structured debriefing, analyzed for hurdles and enablers.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
DOUBLE
Study Groups
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Educational Workshop on Speaking-Up
Educational Workshop on Speaking-Up Before Simulated Case
Educational Workshop on Speaking-Up
Educational workshop including lecture, discussion, role-play Concepts include: 2-challenge rule, pairing advocacy and inquiry
Unrelated Education
Unrelated Education (CPR) before simulated case (Educational Workshop on Speaking-up after case and debriefing)
Unrelated Education (CPR)
Unrelated Education (CPR workshop) including: lecture, discussion Topics covered: Cardiac Life Support algorithms, CPR, Medications
Interventions
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Educational Workshop on Speaking-Up
Educational workshop including lecture, discussion, role-play Concepts include: 2-challenge rule, pairing advocacy and inquiry
Unrelated Education (CPR)
Unrelated Education (CPR workshop) including: lecture, discussion Topics covered: Cardiac Life Support algorithms, CPR, Medications
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
ALL
No
Sponsors
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Anesthesia Patient Safety Foundation
OTHER
Massachusetts General Hospital
OTHER
Responsible Party
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Daniel Raemer, Ph.D.
Associate Professor of Anaesthesia
Principal Investigators
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Daniel B Raemer, Ph.D.
Role: PRINCIPAL_INVESTIGATOR
Massachusetts General Hospital
Locations
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Massachusetts General Hospital
Boston, Massachusetts, United States
Countries
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Other Identifiers
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2008P001015
Identifier Type: -
Identifier Source: org_study_id
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