Overview

This trial is active, not recruiting.

Condition neonatal resuscitation
Treatment teamwork training
Sponsor The University of Texas Health Science Center, Houston
Start date June 2007
End date May 2009
Trial size 104 participants
Trial identifier NCT00651794, UL1-RR024148-01

Summary

The Neonatal Resuscitation Program (NRP) is the curriculum used to teach providers how to care for newborns in the delivery room. Breakdowns in teamwork and communication contribute to NRP quality problems. Adding teamwork instruction to NRP may be a method to improve communication, teamwork, and the overall quality of neonatal resuscitation. This study uses simulation to incorporate team training into NRP and to evaluate both the effectiveness and duration of the team training. Furthermore, because high fidelity simulation is very expensive and not widely available, we will compare NRP with low fidelity team training to NRP with high fidelity team training.

Our hypotheses are:

1. NRP with low fidelity team training results in a) better teamwork, and b) better quality of care compared with standard NRP.

2. NRP with high fidelity team training does not result in better teamwork or better quality of care than NRP with low fidelity simulation.

3. NRP with high fidelity team training does not produce a longer lasting effect on teamwork than NRP with low fidelity simulation.

United States No locations recruiting
Other Countries No locations recruiting

Study Design

Allocation randomized
Intervention model parallel assignment
Masking single blind (outcomes assessor)
Primary purpose health services research
Arm
(No Intervention)
Standard NRP curriculum with no team training; simulated resuscitation using low-fidelity simulators
(Experimental)
Standard NRP curriculum + team training; simulated resuscitation using low-fidelity simulators
teamwork training
Crew Resource Management (CRM) is an aviation training program mandated for all crew members that teaches human factors concepts, communication skills, and teamwork behaviors that can prevent and manage error. Over the last six years our group has translated these behaviors to neonatal resuscitation and demonstrated that they can be reliably measured. The existing NRP course, taught to most caregivers in the United States who care for newborns, focuses on teaching the technical aspects of neonatal resuscitation with little attention paid to communication and teamwork. Adding teamwork instruction to NRP, based upon CRM, may be a method to improve communication, teamwork, and the overall quality of neonatal resuscitation.
(Experimental)
Standard NRP curriculum + team training; simulated resuscitations using high-fidelity simulators
teamwork training
Crew Resource Management (CRM) is an aviation training program mandated for all crew members that teaches human factors concepts, communication skills, and teamwork behaviors that can prevent and manage error. Over the last six years our group has translated these behaviors to neonatal resuscitation and demonstrated that they can be reliably measured. The existing NRP course, taught to most caregivers in the United States who care for newborns, focuses on teaching the technical aspects of neonatal resuscitation with little attention paid to communication and teamwork. Adding teamwork instruction to NRP, based upon CRM, may be a method to improve communication, teamwork, and the overall quality of neonatal resuscitation.

Primary Outcomes

Measure
Teamwork rate (events per minute)
time frame: measured during the simulated resuscitation
NRP Compliance rate (% compliance)
time frame: measured during simulated resuscitation

Eligibility Criteria

Male or female participants of any age.

Inclusion Criteria: - New interns that enter pediatrics, family medicine, obstetrics/gynecology, and emergency medicine. Exclusion Criteria: -

Additional Information

Official title Improving Teamwork for Neonatal Resuscitation
Principal investigator Eric J Thomas, MD, MPH
Trial information was received from ClinicalTrials.gov and was last updated in January 2011.
Information provided to ClinicalTrials.gov by The University of Texas Health Science Center, Houston.