Non-technical Skills Training and Checklists Versus Standard Training With Checklists for Prevention of Medical Error

Study Overview
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Brief Summary
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The purpose of this study is to reduce medical error by omitting management steps in medical crises. The Interventions will be: training in non-technical skills and checklists versus Control: standard training with checklists

Detailed Description
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56 participants will be searched for simulation training, randomly assigned in assignment 1 to 1, the follow-up will be 10 days, the primary outcome will be Proportion of omissions of treatment steps per group, and secondary outcomes will be sought. Crisis resolution time, detection time. and discrimination from the crisis Global score of non-technical skills, Discriminated score between dimensions of non-technical skills, Student satisfaction and Incidence of inadequate crisis management.

Official Title
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Non-technical Skills Training and Checklists Versus Standard Training With Checklists in Boarding School Students to Reduce Simulation Crisis Medical Error, Randomized Controlled Clinical Trial

Conditions
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Medical Emergencies

Intervention / Treatment
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* Other: Non technical skills and checklist training in simulation
* Other: Checklist training simulation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: over 18 years old. Final semester student of medicine at the University of Antioquia. Have passed the theoretical knowledge exam for handling crisis events with a score of 100%. On-site availability on training days Exclusion Criteria: Having received training in a specific crisis resource management course. Refusing to participate

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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Design Details

Primary Purpose: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: TECRISIS is a study designed as a controlled clinical trial of superiority with parallel groups, random allocation and blinding of investigators who measure outcome.
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Non technical skills and check list<br>10 hours of training in non-technical skills and checklists in high Fidelity simulation | Other: Non technical skills and checklist training in simulation<br>* using structured debrifing, in three random medical simulation crises, training in non-technical skills will be carried out<br>|
| Active Comparator: check list<br>Control: 10 hours of standard training with checklists in high Fidelity simulation | Other: Checklist training simulation<br>* using structured debrifing, in three random medical simulation crises, training in checklist will be carried out<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Medical error | Proportion of omission of treatment steps over the total number of steps per group. | 3 days after finishing the training | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Overall score on non-technical skills scale Ottawa | Mean interval difference per group between 1 to 45 Brief Name: Ottawa Global Rating Scale (GRS) Minimum value: 1 Maximum value: 45 Higher scores mean a better outcome | 3 days after finishing the training | 
| score for each non-technical skill category on the ottawa scale | Mean interval difference per group between 1 to 7 Brief Name: Ottawa Global Rating Scale (GRS)/ For Category Minimum value: 1 Maximum value: 7 Higher scores mean a better outcome | 3 days after finishing the training | 
| Crisis resolution time | Mean interval difference per group | 3 days after finishing the training | 
| Time in detection and discrimination of the crisis | Mean interval difference per group | 3 days after finishing the training | 
| Incidence of improper handling | relative risk | 3 days after finishing the training | 
| Student understanding of strategies | qualitative analysis with grounded theory after conducting semi-structured interviews | 10 days after finishig the primary outcome | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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medical error, high fidelity simulation, non technical skills, checklist