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Communication and teamwork failures are the leading causes of errors in healthcare settings. In situ mock code simulations are a potential means to train team-based skills using simulation within real clinical care environments where errors occur; however, debriefing discussions often focus on gaps in learners' clinical skills as opposed to team functioning. This study aims to determine whether learners who are pre-trained using just-in-time simulation regarding CPR quality and medication administration will exhibit improved performance with respect to these skills during in situ mock codes as well as improved team functioning.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Just-in-time training (JITT) group | Experimental | Receive a 20min just-in-time simulation-based teaching session targeting: (1) CPR quality and (2) medication administration within 3 hours of the scheduled in situ simulation. |
|
| No additional training (control) group | No Intervention | Control group who receives no additional training. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Just-in-time training (JITT) | Behavioral | The JITT training is a 20 minute simulation-based teaching session targeting: (1) CPR quality and (2) medication administration. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Team-based non-technical skills | Measured using the Team Emergency Assessment Measure (TEAM) scale | Time Frame: All data will be collected during the one hour when participants engage in the in situ mock code simulation |
| Measure | Description | Time Frame |
|---|---|---|
| CPR quality | Measured using the Zoll R series defibrillator (compressions per minute (cpm), depth in millimeters (mm), and compression fraction) | Time Frame: All data will be collected during the one hour when participants engage in the in situ mock code simulation |
| Measure | Description | Time Frame |
|---|---|---|
| Medication errors | Time Frame: All data will be collected during the one hour when participants engage in the in situ mock code simulation | |
| Focus of debriefing | Qualitative analysis of audio-recordings |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Catharine M Walsh, MD, PhD | The Hospital for Sick Children | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospital for Sick Children (SickKids) | Toronto | Ontario | M5G 1X8 | Canada |
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| Time Frame: All data will be collected during the one hour when participants engage in the in situ mock code simulation |
| Cognitive load | Measured using the Paas scale, Cognitive Load Component Questionnaire, and NASA-TLX cogntiive load questionnaires | Time Frame: All data will be collected during the one hour when participants engage in the in situ mock code simulation |