Performance and Stress During Full Scale Simulator Training

Study Overview
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Brief Summary
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In Intensive Care Medicine, critical incidents are not rare and may result in fatal outcome. High fidelity patient simulators are commonly used in training curricula for healthcare professionals especially in anesthesiology, emergency medicine, and intensive care medicine. Several different course concepts have previously been published. As we know from recently published data, up to 80% of all critical incidents in the field of medicine are caused by human error. The authors of the present study aimed to investigate the effects of two different course concepts (one addressing technical skills in intensive care medicine and on addressing non-technical skills) on stress and performance. Stress and performance are measured in a pre-intervention and a post-intervention testing scenario.

Official Title
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Excellence in Performance and Stress Reduction During Two Different Full Scale Simulator Training Courses: A Pilot Study

Conditions
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Performance in Simulated Emergencies, Stress During Simulator Scenario, Behaviour of Physicians in Simulated Emergencies

Intervention / Treatment
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* Other: Medical simulator training
* Other: Simulator based crew resource management course


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Physician with experience in intensive care medicine. Exclusion Criteria: No experience in intensive care medicine previously taken part in simulator training
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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Design Details

Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: 1<br>Classic one-day simulator training for intensivists. | Other: Medical simulator training<br>* Contains seminars on airway management, general anesthesia, peri-arrest arrhythmias, and advanced life support. Furthermore, participants train in simulator scenarios. In the debriefing instructors discuss management of the critical incidents using videotapes of the scenarios.<br>|
| Experimental: 2<br>Crew resource management training | Other: Simulator based crew resource management course<br>* Contains seminars on human error and non-technical skills. Furthermore, participants train in simulator scenarios. In the debriefing instructors discuss usage of non-technical skills as well as behaviour of the participants using videotapes of the scenarios.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Performance in simulated emergencies (medical performance and non-technical skills) |  |  | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Stress in simulated emergencies (measured by salivary amylase and cortisol levels) |  |  | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Patient Simulation, Education, Medical, Continuing, Education, Medical, Graduate, Stress