An observational study in Emergencies, sponsored by University Hospital, Toulouse. Completed at 1 site in France. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2022-02-03.
Sponsored by University Hospital, Toulouse · Observational
The investigators will study nontechnical skills of emergency physicians in a virtual standardized emergency room and their impact on quality of care.
The ability to manage multiple patients and anticipate the risk of error related to task interruptions or disruptions has been identified among relevant non-technical skills (NTS) for practicing emergency medicine. However, the link between these skills and the quality of care has not been quantified. NTS are usually analyzed by qualitative methods such as interviews, direct observations, or questionnaires that have low performance according to the GRADE system (Grading of Recommendations, Assessment, Development and Evaluation).
The investigators have created and validated an experimental model of a virtual, authentic and realistic Emergency Department (ED). The platform has been modelled in a "Second Life" environment. The NTS of emergency physicians will be assessed and recorded during simulated care of multiple virtual patients. The NTS association with ED length of stay and disposition decision will be analyzed. This study will be an internal pilot study and will include 30 emergency physicians who practice emergency medicine for at least two years.
Sessions will be performed in the Toulouse Institute of Health Care Simulation, Toulouse University Hospital. They will be composed of three stages: briefing (30 minutes), simulated practice (3 hours), and debriefing with an explicit interview (30 minutes). Two researchers and a computer technician will supervise the sessions. The data will be obtained by analyzing the video recorded during the simulated practice and the interview.
University Hospital, Toulouse is the lead sponsor of 807 studies on the registry; 209 are open to participants now.
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Emergency physicians working in the French Midi-Pyrénées region
Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.
Exclusion Criteria:
The observational group will be composed of emergency physicians working in the French Midi-Pyrenees region. Physicians must work since 2 years in emergency service
Other: observational
No intervention, it is observational study
Nontechnical skills
The nontechnical skills will be assessed by the Anaesthetists' Non-Technical Skills (ANTS) system.
Time frame: 3 hours
Quality of care will be measured by a composite criteria (process and result)
Quality of care will be measured by a composite criterion associating a process indicator and a result indicator : * The process indicator is the average time to medical care of patients * The result indicator corresponds to the relevance of the choice of the orientation of each patient by the emergency doctor at the end of medical care
Time frame: 3 hours
ED length of stay
The quality of care will be assessed by ED length of stay : ED length of stay will be measured from triage completion to disposition decision
Time frame: 3 hours
The authenticity of the virtual emergency medicine service
Evaluation of the consistency : perceived internal consistency in the proposed rules and situations will be assessed using a 4-item questionnaire by answering yes or no
Time frame: 3 hours
The authenticity of the virtual emergency medicine service
Evaluation of the realism (the assumed resemblance with a real life reference) will be evaluated through a questionnaire containing 3 areas of comparison between the virtual and real environment (layout of the premises, duration of the actions, staff / patient ratio) with as answer possible for each comparison: Realistic or not realistic.
Time frame: 3 hours
The authenticity of the virtual emergency medicine service
Evaluation of the relevance (necessary to allow users to take ownership of the problems posed by the designers) will be assessed through direct observation with a yes / no evaluation of the acceptance to use the virtual environment, to test the environment, to make choices during the scenario and to control the environment.
Time frame: 3 hours
Plan to share: No
No publications or documents are linked to this record.
This study is completed, as verified in Feb 2022. You cannot join it, but the record below documents what was studied.
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