An interventional study of observational role and active role in Focus of Study is Teaching Crisis Resource Management, sponsored by Ottawa Hospital Research Institute. Completed at 1 site in Canada. Per ClinicalTrials.gov, last updated 2019-01-14.
Sponsored by Ottawa Hospital Research Institute · Not applicable, Interventional, and Other
The purpose of this study is to compare the effectiveness in learning crisis resource management (CRM) principles when being an active participant in simulation-based education versus being an observer participant. The investigators hypothesize that active participants will improve their CRM skills more than observer participants.
This will be a prospective randomized controlled study. Participants will be randomized to one of two groups with stratification according to their level of training: the active group and the observer group. Each participant of the active group will be paired with one of the participants from the observer group. The active participant will manage individually a simulated crisis scenario (pretest) while the paired observer participant will observe the scenario from outside the simulation room using a video transmission system. Immediately after, both participants will be debriefed by a trained instructor focused on CRM principles. The same active and observer participants will then individually manage another simulated crisis scenario (post-test). Two independent raters, blinded to the study design and to the randomization groups, will review the videos of all scenarios in a random order and rate each participant on their CRM performance using a global rating scale (GRS).
Ottawa Hospital Research Institute is the lead sponsor of 538 studies on the registry; 100 are open to participants now.
Counted across the registry records on this site, refreshed daily.
Inclusion Criteria:
participants assigned to actively manage a crisis scenario
Behavioral: active role
Observational role in management of crises scenario
Behavioral: observational role
observational role in crisis scenario
active role in managing crisis scenario
Total Ottawa GRS Score
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.
Time frame: 1 day
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.
| Milestone | Active Management of Crises Scenario | Observer Role in Crisis Scenario |
|---|---|---|
| Started | 21 | 21 |
| Completed | 19 | 20 |
| Not completed | 2 | 1 |
| Withdrew: Technical failure during recording | 1 | 1 |
| Withdrew: Performance not reflective of training | 1 | 0 |
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.
| units on a scale | Active Management of Crises Scenario | Observer Role in Crisis Scenario |
|---|---|---|
| Total Ottawa GRS Score | 24.3 ± 5.4 | 21.8 ± 4.5 |
Collected over Duration the simulation session (1 day). Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Active Management of Crises Scenario | 0/21 (0%) | 0/21 (0%) | 0/21 (0%) |
| Observer Role in Crisis Scenario | 0/21 (0%) | 0/21 (0%) | 0/21 (0%) |
| Age, Continuous(years) | Active Management of Crises Scenario | Observer Role in Crisis Scenario | Total |
|---|---|---|---|
| Mean | NA (NA to NA) | NA (NA to NA) | 29.9 (26 to 43) |
| Sex/Gender, Customized(participants) | Active Management of Crises Scenario | Observer Role in Crisis Scenario | Total |
|---|---|---|---|
| Female | NA | NA | 18 |
| Male | NA | NA | 21 |
| Race and Ethnicity Not Collected(Participants) | Active Management of Crises Scenario | Observer Role in Crisis Scenario | Total |
|---|---|---|---|
| Count of participants | — | — | 0 |
| Region of Enrollment(participants) | Active Management of Crises Scenario | Observer Role in Crisis Scenario | Total |
|---|---|---|---|
| Canada | 19 | 20 | 39 |
This study is completed, as verified in Jan 2019. You cannot join it, but the record below documents what was studied.
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Ottawa Hospital Research Institute