Impact of Crew Resource Management Training to Improve the Effectiveness of Surgical Safety Checklist (IDILIC)

Study Overview
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Brief Summary
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This multicenter cluster-randomized trial will evaluate the impact of Crew Resource Management training on the occurrence of postoperative complications and the adherence to a surgical safety checklist, among a large sample of French surgical departments.

Official Title
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Impact of Crew Resource Management Training to Improve the Effectiveness of Surgical Safety Checklist

Conditions
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Surgery

Intervention / Treatment
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* Other: Diffusion of a surgical safety checklist


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age ≥ 18 years old Hospitalization ≥ 24 hours Available medical file Exclusion Criteria: Patient refusal

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| CRM training of surgical teams<br>CRM : Crew resource Management | Other: Diffusion of a surgical safety checklist<br>* Assistance by a local caregiver investigator (i.e., surgeon, anaesthetist, nurse,...) responsible for the implementation of surgical safety checklist within the operatory rooms of his department ; A two-step CRM training of surgical teams (i.e., surgeons, anaesthetists, nurses,...) conducted by advisors from the world of air company using video support: First month following randomization: a course about the implementation of surgical safety checklist (using online-available WHO short movies and other videos of surgical teams) and core concepts of CRM adapted to the operating room; Sixth month following randomization: a feedback to surgical teams aiming at identifying and solving barriers related to the checklist implementation and interpersonal communication Written reminders including the systematic presence of an unfilled surgical safety checklist in the patient's medical report, stickers and wall posters in operatory rooms<br>|
| No CRM training of surgical teams<br>CRM : Crew resource Management | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Occurrence of any major postoperative complication during hospitalization |  | during the two phases of the study : 18 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Team's adherence to the items of surgical safety checklist |  | During the two phases of the study : 18 months | 
| Occurrence of any postoperative death during hospitalization |  | During the two phases of the study : 18 months | 
| Healthcare workers' attitude regarding the patient safety culture |  | Twice during the study : the 4th and the 17th month after the beginning of the study | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Crew Resource Management, Surgical safety checklist, Postoperative complications