Observation of Non-technical Skills in the Pre-hospital Care in the Czech Republic
NCT ID: NCT04503369
Last Updated: 2021-02-02
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
359 participants
OBSERVATIONAL
2019-07-01
2020-12-31
Brief Summary
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Detailed Description
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Main hypothesis: The EMS crews are using all of the aspects of non-technical skills appropriately.
The field supervision is also the limitation of the study because it is done by different observers / supervisors, the observation therefore might by affected by subjective feelings. To minimise the subjective view of the situation all of the field supervisors undergo a uniform training of non-technical skills and how to observe and evaluate them.
Conditions
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Study Design
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ECOLOGIC_OR_COMMUNITY
PROSPECTIVE
Study Groups
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EMS crews
Crews of Emergency Medical Services
Non-technical skills
Teamwork The work of the team consists of information exchange and coordination of all activities performed. In-team communication is always calm and assertive, and team members support each other.
Task management With the right planning and preparation of individual activities, the likelihood that all standards of care and best practices will be followed increases.
Situational awareness Situational awareness refers primarily to the collection of information, its understanding and, on that basis, prediction of direction into which the situation will develop. Maintaining situational awareness is crucial in order to move towards the right goal.
Decision-making With good situational awareness, one is able to keep in mind all information needed to make the correct decision at the right time. In some cases, it is advisable to consult with other team members or to verify their consent to the proposed procedure.
Communication Communication is a vital tool when working in a team.
Interventions
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Non-technical skills
Teamwork The work of the team consists of information exchange and coordination of all activities performed. In-team communication is always calm and assertive, and team members support each other.
Task management With the right planning and preparation of individual activities, the likelihood that all standards of care and best practices will be followed increases.
Situational awareness Situational awareness refers primarily to the collection of information, its understanding and, on that basis, prediction of direction into which the situation will develop. Maintaining situational awareness is crucial in order to move towards the right goal.
Decision-making With good situational awareness, one is able to keep in mind all information needed to make the correct decision at the right time. In some cases, it is advisable to consult with other team members or to verify their consent to the proposed procedure.
Communication Communication is a vital tool when working in a team.
Eligibility Criteria
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Inclusion Criteria
* More than 2 crews on the scene
* Field supervisor present
Exclusion Criteria
ALL
Yes
Sponsors
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Emergency Medical Services of the Karlovy Vary region, Czech Republic
UNKNOWN
Emergency Medical Services of the Pilsner region, Czech Republic
UNKNOWN
David Peran
OTHER_GOV
Responsible Party
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David Peran
Head of the Education and Training Centre
Principal Investigators
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David Peran, DrPH
Role: STUDY_CHAIR
Prague Emergency Medical Services
Roman Sykora, PhD
Role: STUDY_DIRECTOR
Emergency Medical Services of the Karlovy Vary Region
Jana Vidunová, MD
Role: STUDY_DIRECTOR
Emergency Medical Services of the Pilsner Region
Ivana Krsova, MSc.
Role: PRINCIPAL_INVESTIGATOR
Emergency Medical Services of the Pilsner Region
Jaroslav Pekara, PhD
Role: PRINCIPAL_INVESTIGATOR
Prague Emergency Medical Services
Patrik C Cmorej, PhD
Role: PRINCIPAL_INVESTIGATOR
Emergency Medical Services of the Usti nad Labem Region
Nikola Brizgalová, DrPH
Role: PRINCIPAL_INVESTIGATOR
Emergency Medical Services of the Karlovy Vary Region
Locations
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Emergency Medical Services of the Karlovy Vary region
Karlovy Vary, , Czechia
Emergency Medical Services of the Pilsner region
Pilsen, , Czechia
Prague Emergency Medical Services
Prague, , Czechia
Countries
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References
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Cooper SJ, Cant RP. Measuring non-technical skills of medical emergency teams: an update on the validity and reliability of the Team Emergency Assessment Measure (TEAM). Resuscitation. 2014 Jan;85(1):31-3. doi: 10.1016/j.resuscitation.2013.08.276. Epub 2013 Sep 12.
Napier F, Davies RP, Baldock C, Stevens H, Lockey AS, Bullock I, Perkins GD. Validation for a scoring system of the ALS cardiac arrest simulation test (CASTest). Resuscitation. 2009 Sep;80(9):1034-8. doi: 10.1016/j.resuscitation.2009.04.043. Epub 2009 Jun 13.
PERAN, D., KUBALOVÁ, J..: Observation of non-technical skills during resuscitation (Sledování netechnických dovedností při resuscitaci) [article in Czech language]. Urgentní medicína: Časopis pro neodkladnou lékařskou péči. Mediprax CB s.r.o., 2017 (4). ISSN 1212-1924.
Peran D, Sykora R, Vidunova J, Krsova I, Pekara J, Renza M, Brizgalova N, Cmorej PC. Non-technical skills in pre-hospital care in the Czech Republic: a prospective multicentric observational study (NTS study). BMC Emerg Med. 2022 May 13;22(1):83. doi: 10.1186/s12873-022-00642-4.
Other Identifiers
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ZZSMHP_001_2020
Identifier Type: -
Identifier Source: org_study_id
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