Effectiveness of In-Situ Simulation Training in Adult Non-Trauma Resuscitation: A Comparison of ISS and OSS Team Performance Using the A-C-L-S Model

National Taiwan University

Status: Enrolling

Conditions: Effectiveness of Off-site Simulation (OSS) Training; Adult Non-trauma Cardiac Arrest Resuscitation; Effectiveness of In-situ Simulation (ISS) Training; Improvement of Teamwork in Emergency Care Settings

Treatments: Other: Off-site Simulation (OSS) Training; Other: In-situ Simulation (ISS) Training

Study type: Interventional

Funder types: Other

Identifiers

NCT07358793

202510146RIND

Details and patient eligibility

About

This study employed a two-group non-randomized pre-post design to evaluate the effectiveness of interprofessional ISS training over one year at the National Taiwan University Hospital Yunlin Branch. The research implements the A-C-L-S teamwork model for adult non-trauma resuscitation teams, comparing the impacts of ISS versus Off-site Simulation (OSS) on team performance. Emergency department teams are assigned between two campuses: ISS at Douliu campus and OSS at Huwei campus. Each training session follows a standardized protocol: twenty-minute briefing, ten-minute high-fidelity simulation, and thirty-minute structured debriefing. The assessment utilizes the Team Emergency Assessment Measure (TEAM) scale for non-technical skills evaluation, alongside secondary outcomes including resuscitation process, CPR quality, and patient outcome indicators. External ACLS instructor-qualified experts conduct blinded evaluations of recorded scenarios to analyze team performance and training transfer. The study aims to deliver benefits across three dimensions: establishing evidence-based education models to enhance resuscitation team efficiency and patient outcomes; strengthening institutional teaching and research capacity through standardized assessment mechanisms; and developing systematic data collection processes with localized quality indicators for early error detection and improvement.

Enrollment: 100 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

The Adult Non-Traumatic Resuscitation Teams in the emergency departments of the Douliu and Huwei (branches consist of approximately 2 to 7 healthcare professionals per team). The healthcare professionals include attending physicians, resident physicians, specialized nurses, and registered nurses from the National Taiwan University Hospital system.

Exclusion criteria

1. Medical students and emergency medical technicians (EMTs) observing resuscitation in the emergency room.
2. Healthcare professionals who have not obtained a valid ACLS certification.

Trial design

Primary purpose: Other

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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100 participants in 2 patient groups

In-situ Simulation (ISS) Group

Experimental group

Treatment:

Other: In-situ Simulation (ISS) Training

Off-site Simulation (OSS) Group

Active Comparator group

Treatment:

Other: Off-site Simulation (OSS) Training