Clinical trial NCT04503369: Observation of Non-technical Skills in the Pre-hospital Care in the Czech Republic
Official title: Observation of Non-technical Skills (e.g. Communication, Team Leader Skills, Teamwork, Situational Awareness Etc.) in the Pre-hospital Care in the Czech Republic
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Non-technical Skills
Keywords: non-technical skills
pre-hospital care
emergency medical services
communication
situational awareness
task management
decision making
teamwork
team leading
Lead sponsor: Emergency Medical Service, Prague
Sponsor class: OTHER_GOV
Collaborators: name: Emergency Medical Services of the Karlovy Vary region, Czech Republic
name: Emergency Medical Services of the Pilsner region, Czech Republic
First posted: 2020-08-07
Enrollment: 359
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Observational model: ECOLOGIC_OR_COMMUNITY
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: All patient of EMS in participated regions of the Czech Republic where the pre-hospital care is provided by 2 or more crews and the field supervisor is present.

Brief summary: The aim of the study is to find out if the Emergency Medical Services (EMS) crews are using the non-technical skills (e.g. communication, decision making, situational awareness etc.) in the real practice and how well they use them.

Detailed description: The aim of the study is to find out if the Emergency Medical Services (EMS) crews are using the non-technical skills (teamwork and team leading, communication, decision making, situational awareness and task management) in the real practice and how well they use them. According to the observations of individual crews by field supervisors the use of non-technical skills will be compared between different groups (e.g. resuscitation, trauma, medical problems, non-emergency situations etc.). The comparison between the collaborators of the study is not the subject of the study.

Main hypothesis: The EMS crews are using all of the aspects of non-technical skills appropriately.

The field supervision is also the limitation of the study because it is done by different observers / supervisors, the observation therefore might by affected by subjective feelings. To minimise the subjective view of the situation all of the field supervisors undergo a uniform training of non-technical skills and how to observe and evaluate them.

Eligibility criteria: Inclusion Criteria:

* EMS called
* More than 2 crews on the scene
* Field supervisor present

Exclusion Criteria:

- TEAM tool not filled completely

Primary outcomes:
measure: NTS incidence
timeFrame: Through study completion, an average of 1 year and until 100 cases from each organization will be collected - 300 observations in total.
Secondary outcomes:
Other outcomes:
Locations:
city: Karlovy Vary
country: Czechia
facility: Emergency Medical Services of the Karlovy Vary region
city: Plzen
country: Czechia
facility: Emergency Medical Services of the Pilsner region
city: Praha
country: Czechia
facility: Prague Emergency Medical Services
Study officials:
affiliation: Prague Emergency Medical Services
name: David Peran, DrPH
role: STUDY_CHAIR
affiliation: Emergency Medical Services of the Karlovy Vary Region
name: Roman Sykora, PhD
role: STUDY_DIRECTOR
affiliation: Emergency Medical Services of the Pilsner Region
name: Jana Vidunová, MD
role: STUDY_DIRECTOR
affiliation: Emergency Medical Services of the Pilsner Region
name: Ivana Krsova, MSc.
role: PRINCIPAL_INVESTIGATOR
affiliation: Prague Emergency Medical Services
name: Jaroslav Pekara, PhD
role: PRINCIPAL_INVESTIGATOR
affiliation: Emergency Medical Services of the Usti nad Labem Region
name: Patrik C Cmorej, PhD
role: PRINCIPAL_INVESTIGATOR
affiliation: Emergency Medical Services of the Karlovy Vary Region
name: Nikola Brizgalová, DrPH
role: PRINCIPAL_INVESTIGATOR
References:
citation: Cooper SJ, Cant RP. Measuring non-technical skills of medical emergency teams: an update on the validity and reliability of the Team Emergency Assessment Measure (TEAM). Resuscitation. 2014 Jan;85(1):31-3. doi: 10.1016/j.resuscitation.2013.08.276. Epub 2013 Sep 12.
citation: Napier F, Davies RP, Baldock C, Stevens H, Lockey AS, Bullock I, Perkins GD. Validation for a scoring system of the ALS cardiac arrest simulation test (CASTest). Resuscitation. 2009 Sep;80(9):1034-8. doi: 10.1016/j.resuscitation.2009.04.043. Epub 2009 Jun 13.
citation: PERAN, D., KUBALOVÁ, J..: Observation of non-technical skills during resuscitation (Sledování netechnických dovedností při resuscitaci) [article in Czech language]. Urgentní medicína: Časopis pro neodkladnou lékařskou péči. Mediprax CB s.r.o., 2017 (4). ISSN 1212-1924.
citation: Peran D, Sykora R, Vidunova J, Krsova I, Pekara J, Renza M, Brizgalova N, Cmorej PC. Non-technical skills in pre-hospital care in the Czech Republic: a prospective multicentric observational study (NTS study). BMC Emerg Med. 2022 May 13;22(1):83. doi: 10.1186/s12873-022-00642-4.