Improving Patient Safety Through Simulation Research

The Ohio State University

Status: Completed

Conditions: Airway Management Assessment

Treatments: Other: Basic Videolaryngoscopy Videos; Other: Directed feedback

Study type: Interventional

Funder types: Other

Identifiers

NCT02097498

2013H0226

Details and patient eligibility

About

The overall objective of the present proposal is to assess whether medical simulation can enhance the safety and proficiency profile of paramedics performing prehospital endotracheal intubation, and whether feedback from an airway management expert observing the simulation enhances skill retention after 12 and 24 months. Since no validated proficiency assessment tool currently exists to measure the skill of paramedics in airway management, one will be developed and tested. Using this tool, 250 paramedics in central Ohio, will undergo simulation training similar to that required for certification. A baseline assessment of proficiency will be obtained. One group will be randomized to receive simulation training similar to that required for certification, while the other group will receive feedback from an airway management expert linked to the simulation test site via a 2-way audio-video feed. Both groups of paramedics will be reassessed at 12, and 24 months to determine whether skill level was maintained or whether skills deteriorated, and whether expert intervention had any impact on skill retention.

Enrollment: 387 patients

Sex: All

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Currently certified central Ohio paramedics

Exclusion criteria

• Refusal to participate
• Non-certified paramedics

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

---

387 participants in 3 patient groups

Simulation only

No Intervention group

Description:

One group will be randomized to receive simulation training similar to that required for certification. Paramedics in this group will then complete a second simulation scenario

Directed feedback

Experimental group

Description:

One group will review their baseline simulation scenario with a member of the research staff while providing specific feedback for errors made during the first simulation. Paramedics in this group will then complete a second simulation scenario.

Treatment:

Other: Directed feedback

Basic Videolaryngoscopy

Experimental group

Description:

One group will review a series of instructional videos related to common airway management errors. Paramedics in this group will then complete a second simulation scenario.

Treatment:

Other: Basic Videolaryngoscopy Videos