Study of Team Leadership Training Effect on Patient Care

Completed · Not applicable

Conditions studied: Wounds and Injuries, Trauma

In brief

Brief Summary: Trauma is a major public health burden; it is the fifth most common cause of mortality overall in the US and accounts for the majority of deaths in patients younger than 45. Trauma resuscitations present unique patient care challenges due to the need to perform complex tasks under uncertain and time-pressured conditions. It is not entirely surprising that one-third to one-half of trauma patient-related errors occurred in emergency departments during the initial resuscitation period. Effective team leadership can enhance teamwork and team adaptability, thus improving teams' ability to handle unexpected and rapidly changing situations. Simulation-based training provides a clinically relevant practice environment that has been recommended for team and team leader training. The purpose of this research is to evaluate the impact of simulation-based leadership training on clinical teamwork, team leadership and patient care. The investigators hypothesize that team leadership training will improve team leadership, teamwork, and critical patient care events during actual trauma resuscitations.

Key facts

Study ID

NCT03155490

Run by

University of Washington

People needed

79

Starts

2016-04-01

Expected to finish

2018-08-01

Last updated by the study team

2018-10-18

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: accepted.

You may qualify if…

• Second or third year emergency medicine or general surgical resident in good standing with the Office of Graduate Medical Education
• Up-to-date ATLS-certification
• >6 weeks prior experience in trauma care at Harborview Medical Center
• Scheduled for a trauma team leader month during the data collection period of the study

You may not qualify if…

• a) Unavailable for intervention or assessment
• ***************************************
• The trauma patients that are NOT the subjects for this study but who are the clinical recipients of subjects' care also have inclusion/exclusion criteria. These are:
• Inclusion Criteria:
• Age > 21
• Patients with one or more of the following clinical presentations:
• i. Witnessed trauma with intubation in the pre-hospital setting ii. Witnessed trauma with hypotensive (SBP< 90 mmHg for two consecutive readings) in the pre-hospital setting iii. Stab wound or impalement to the neck, chest, abdomen, pelvis, or groin iv. MVC with ejection from the vehicle v. Fall > 20ft vi. Pedestrian struck by a motorized vehicle vii. Motorcycle crash > 20 mph viii. Gunshot wounds to the head, neck, chest, abdomen, pelvis, or groin ix. Two or more obvious long bone/ extremity injuries
• Exclusion Criteria:
• Prisoners
• Obstetric patient
• Patient status downgraded based on first 5 min. of evaluation
• Patient dead on arrival to ED or pronounced dead within 5 min of arrival
• Patient removed from ED within 5 minutes of arrival
• Patients arriving to the ED with do not resuscitate or comfort care orders
• Patients on whom resuscitative efforts ceased within 5 minutes of arrival to the ED

Where it is running

• Harborview Medical Center — Seattle, Washington, United States

Full record on ClinicalTrials.gov

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