Improving Faculty's Ability to Speak Up to Others in the Operating Room

NCT02170818 | Completed

• 1 other identifier: 2008P001015
• Study Type: interventional
• Target: 310
• Locations: 1 country
• Sites: 1

Brief Summary

Importance Team members speaking-up by raising concerns about inappropriate or unsafe actions of others within the team can have direct, immediate, and preventive effect on adverse outcomes. However, little is known about the hurdles and enablers of this behavior in healthcare, especially within the operating room setting. Objective 1\. Determine if an educational workshop would improve speaking-up behaviors of practicing anesthesiologists when presented with realistically-simulated clinical situations. 2.Describe speaking-up behaviors addressed to a surgeon, a nurse, and a colleague. 3. Identify the self-reported hurdles and enablers for speaking-up in those situations encountered. Design Randomized controlled experiment of an educational workshop intervention on communication behaviors in a simulated case. Qualitative analysis of debriefing conversations following the simulated case. Setting Established academic simulation center Participants Seventy-one practicing anesthesiologists from four academic medical centers and one community hospital Intervention Fifty minute educational workshop on speaking-up that included rationale, conversational techniques, a rubric for speaking-up, and role-play.

Conditions

Faculty, Medical

Keywords

Education; Curriculum; Anesthesiology; Operating Rooms

Outcome Measures

Primary Outcomes (1)

• Speaking-Up Behavior

  Subjects were assessed by trained raters as to whether they spoke-up when safety related errors were made during a realistic simulation case.

  Immediate

Secondary Outcomes (2)

• Speaking-up Behaviors

  Immediate

• Self-reported hurdles and enablers of speaking-up

  1 hour

Study Arms (2)

Educational Workshop on Speaking-Up

EXPERIMENTAL

Educational Workshop on Speaking-Up Before Simulated Case

Other: Educational Workshop on Speaking-Up

Unrelated Education

SHAM COMPARATOR

Unrelated Education (CPR) before simulated case (Educational Workshop on Speaking-up after case and debriefing)

Other: Unrelated Education (CPR)

Interventions

Educational Workshop on Speaking-Up OTHER

Educational workshop including lecture, discussion, role-play Concepts include: 2-challenge rule, pairing advocacy and inquiry

Educational Workshop on Speaking-Up

Unrelated Education (CPR) OTHER

Unrelated Education (CPR workshop) including: lecture, discussion Topics covered: Cardiac Life Support algorithms, CPR, Medications

Unrelated Education

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Attending Anesthesiologist

You may not qualify if:

• Prior exposure to test case

Sponsors & Collaborators

• Massachusetts General Hospital: lead
• Anesthesia Patient Safety Foundation: collaborator

Study Sites (1)

Massachusetts General Hospital

Boston, Massachusetts, 02139, United States

Location

MeSH Terms

Interventions

Cardiopulmonary Resuscitation

Intervention Hierarchy (Ancestors)

Resuscitation; Emergency Treatment; Therapeutics

Study Officials

• Daniel B Raemer, Ph.D.

  Massachusetts General Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor of Anaesthesia

Study Record Dates

• First Submitted: June 17, 2014
• First Posted: June 23, 2014
• Study Start: March 1, 2008
• Primary Completion: May 1, 2014
• Study Completion: May 1, 2014
• Last Updated: June 23, 2014

Record last verified: 2014-06

Locations

US (1)