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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
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Non technical skills and check list | Active Comparator | 10 hours of training in non-technical skills and checklists in high Fidelity simulation |
|
| check list | Active Comparator | Control: 10 hours of standard training with checklists in high Fidelity simulation |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Non technical skills and checklist training in simulation | Other | using structured debrifing, in three random medical simulation crises, training in non-technical skills will be carried out |
| 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 |
| 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 |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Mario Andres Zamudio | MedellÃn | Antioquia | Colombia |
through email communication with the lead author
10 years
through email communication with the lead author
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Nov 3, 2020 |
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TECRISIS is a study designed as a controlled clinical trial of superiority with parallel groups, random allocation and blinding of investigators who measure outcome.
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| Checklist training simulation | Other | using structured debrifing, in three random medical simulation crises, training in checklist will be carried out |
|
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 |
| Nov 3, 2020 |
| Prot_SAP_000.pdf |
| ICF | No | No | Yes | Informed Consent Form | Nov 3, 2020 | Nov 3, 2020 | ICF_001.pdf |