Simulation Training to Improve 911 Dispatcher Identification of Cardiac Arrest

NCT01972087 | Completed

• 2 other identifiers: 44640-EJ5R18HS021658-02
• Study Type: interventional
• Target: 157
• Locations: 0 countries
• Sites: N/A

Brief Summary

This study is to test the use of simulation training to improve 9-1-1 telecommunicators' call processing and response. Training sessions will expose 9-1-1 telecommunicators to several realistic emergency situations through mock 9-1-1 calls with a trained actor playing the part of a reporting party, followed immediately by feedback on call handling provided by a trained call observer. Investigators hypothesize that simulation followed by trained observer-directed feedback will increase correct triage of medical emergency and delivery of pre-arrival instructions during simulated calls and in actual 9-1-1 calls.

Conditions

Cardiac Arrest

Outcome Measures

Primary Outcomes (1)

• Change in elapsed seconds from call answer to start of telephone-cardiopulmonary resuscitation (T-CPR) instructions in cardiac arrest calls in simulations and in actual calls.

  Once monthly over 4 months (during simulations); at event (actual cardiac arrest 9-1-1 call) over 12 months.

Secondary Outcomes (1)

• Change in proportion of calls with querying behaviors compliant with the "all-callers" interviewing protocol.

  Once monthly over 4 months (during simulations); at event (actual cardiac arrest 9-1-1 call) over 12 months.

Study Arms (2)

Control

NO INTERVENTION

Participants randomized to the control arm receive no telephone simulation training.

Simulation Training

EXPERIMENTAL

Participants randomized to the intervention arm receive telephone simulation training.

Behavioral: Telephone simulation training

Interventions

Telephone simulation training BEHAVIORAL

The intervention consists of four 20-minute telephone simulation training sessions over a 4 month period (one session each month). Each 20-minute training session will include 3 simulated 9-1-1 calls, performed by a standardized caller (trained actor) and feedback will be provided right away by a trained observer who takes notes during the simulation calls and discusses the teaching points after the session. In total, the 9-1-1 dispatchers will receive 12 different simulated calls.

Simulation Training

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

Sponsors & Collaborators

• University of Washington: lead
• Agency for Healthcare Research and Quality (AHRQ): collaborator

Related Publications (3)

• Stangenes SR, Painter IS, Rea TD, Meischke H. Delays in recognition of the need for telephone-assisted CPR due to caller descriptions of chief complaint. Resuscitation. 2020 Apr;149:82-86. doi: 10.1016/j.resuscitation.2020.02.013. Epub 2020 Feb 20.

  PMID: 32088255 DERIVED

• Meischke H, Painter IS, Stangenes SR, Weaver MR, Fahrenbruch CE, Rea T, Turner AM. Simulation training to improve 9-1-1 dispatcher identification of cardiac arrest: A randomized controlled trial. Resuscitation. 2017 Oct;119:21-26. doi: 10.1016/j.resuscitation.2017.07.025. Epub 2017 Jul 29.

  PMID: 28760696 DERIVED

• Meischke H, Painter I, Turner AM, Weaver MR, Fahrenbruch CE, Ike BR, Stangenes S. Protocol: simulation training to improve 9-1-1 dispatcher identification of cardiac arrest. BMC Emerg Med. 2016 Feb 1;16:9. doi: 10.1186/s12873-016-0073-6.

  PMID: 26830676 DERIVED

MeSH Terms

Conditions

Heart Arrest

Condition Hierarchy (Ancestors)

Heart Diseases; Cardiovascular Diseases

Study Officials

• Hendrika Meischke, PhD

  University of Washington

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Study Record Dates

• First Submitted: October 18, 2013
• First Posted: October 30, 2013
• Study Start: September 1, 2013
• Primary Completion: July 1, 2016
• Study Completion: July 1, 2016
• Last Updated: November 9, 2016

Record last verified: 2016-11