Physicians in Training and Critical Care Nurses Performance in Medical Code Events: Effect of Simulation-Based Training

St. Luke's-Roosevelt Hospital Center

Status: Completed

Conditions: Ventricular Fibrillation

Treatments: Behavioral: Simulation-Based Training

Study type: Interventional

Funder types: Other

Identifiers

NCT02707185

10-080

MCT STUDY (Other Grant/Funding Number)

Details and patient eligibility

About

METHODS:

Subjects:

All internal medicine (IM), emergency medicine (EM), anesthesia (A), surgery (S) residents and all hospital ICU nurses (approximately 400 subjects) will be undergoing evaluation and training in CPR techniques according to their department training policy.

Study Assessment Tool:

An objective assessment tool has been developed and tested in medical code scenarios during training sessions recently done in the simulation lab. The tool has five domains: Airway, Breathing, Circulation, Communications/Leadership, and Defibrillation. Each domain consists of 3-8 tasks and skills (attachment A).

Design:

• Phase I: In groups of five to six subjects, residents and nurses will undergo baseline assessment in CPR techniques in the simulation lab. Subject will be presented with a clinical scenario that includes cardiopulmonary arrest. Subjects will be scored by observers based on the previously described assessment tool and will be video recorded.
• Phase II: All study subjects who completed phase I assessment will undergo standardized debriefing and demonstration of proper CPR techniques after reviewing their individual baseline videotape followed by repeated demonstration in CPR techniques during a clinical scenario with cardiopulmonary arrest in the simulation lab. Knowledge retention will be assessed periodically.
• Phase III: Rates of survival to hospital discharge and survival at 24 hours in hospitalized patients after cardiopulmonary arrest collected by the CPR committee and QA department longitudinally for one year after completion of project training (phase II) will be reviewed and compared to the same period one year earlier (CPR outcome data are being collected since 2005 at St. Luke's-Roosevelt Hospitals).

Enrollment: 157 patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Physicians in training and nurses

Exclusion criteria

• Physicians in training and nurses refusing to have their data included in final analysis

Trial design

157 participants in 2 patient groups

Physicians

Other group

Description:

Physician in training: All internal medicine (IM), emergency medicine (EM), anesthesia (A), surgery (S) residents and all hospital ICU nurses.

Treatment:

Behavioral: Simulation-Based Training

Nurses

Other group

Description:

Nurses in Training

Treatment:

Behavioral: Simulation-Based Training