Clinical trial NCT05331001: Quality of Care in Centers Providing Extracorporeal Membrane Oxygenation
Official title: Quality of Care in Centers Providing Extracorporeal Membrane Oxygenation
Study type: OBSERVATIONAL
Overall status: UNKNOWN
Conditions: Cardiogenic Shock
Myocardial Infarction
Cardiac Arrest
Extracorporeal Circulation; Complications
Lead sponsor: Charite University, Berlin, Germany
Sponsor class: OTHER
First posted: 2022-04-15
Enrollment: 100
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: CASE_ONLY
Time perspective: CROSS_SECTIONAL
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Permament adult staff which is employed in a cardiac arrest center that provides therapy with extracorporeal membrane oxygenation (ECMO). Medical doctors and nurses are included.

Brief summary: Cardiac arrest centers are specialized in treating critically ill patients with severe cardiovascular diseases, such as cardiac arrest, cardiogenic shock or acute myocardial infarction. Diagnostic and therapeutic measures, such as the use of devices for extracorporeal life support, require highly specialized training and skills. Apart from extensive medical expertise, physicians and nurses may be exposed to exceptional levels of occupational stressors. Therefore, excellent medical, psychological and inter-personal training of the medical staff is essential to improve patient outcomes. Assessment of quality of care is important to provide continuous improvement in patient care and team performance. To the best of our knowledge, there is no study which examined the quality of care in cardiac arrest centers across key dimensions of quality of care. Therefore, we aim to assess a bundle of key dimensions, that is psychological strain (P), resource utilization (R), interaction (I) between doctoral and nursing staff, costs of care (C) and education (E) programs for staff (PRICE scheme). A cross-sectional study will be conducted with doctors and nurses, using a digital quesitonnaire that will cover the five dimensions of the PRICE scheme.


Eligibility criteria: Inclusion Criteria:

* Adult medical doctors or nurses
* Permament staff in the cardiac arrest center
* Cardiac arrest center that provides therapy with extracorporeal membrane oxygenation (ECMO)

Exclusion Criteria:

* No permanent employment in a cardiac arrest center
* Non-adult staff
* Not a medical doctor or nurse
* Cardiac arrest center that does not provide therapy with ECMO

Primary outcomes:
measure: Psychological strain (P)
timeFrame: During one week all permanent staff of a cardiac arrest center will be asked to fill out the standardized questionnaire.
Secondary outcomes:
measure: Ressource utilization (R)
timeFrame: During one week all permanent staff of a cardiac arrest center will be asked to fill out the standardized questionnaire.
measure: Interaction (I)
timeFrame: During one week all permanent staff of a cardiac arrest center will be asked to fill out the standardized questionnaire.
measure: Costs (C) of care
timeFrame: During one week all permanent staff of a cardiac arrest center will be asked to fill out the standardized questionnaire.
measure: Education (E) programs
timeFrame: During one week all permanent staff of a cardiac arrest center will be asked to fill out the standardized questionnaire.
Other outcomes:
Locations:
Study officials:
affiliation: Charite University
name: Carsten Skurk, MD
role: STUDY_DIRECTOR
affiliation: Charite University
name: Tharusan Thevathasan, MD
role: PRINCIPAL_INVESTIGATOR
References: