The Association Between Technical and Non-technical Skills in Real-life ALS Situations. Impact of Pit Crew Model on the Resuscitation Skills.

NCT03017144 | Completed

• 1 other identifier: T70/2012
• Study Type: observational
• Target: 36
• Locations: 0 countries
• Sites: N/A

Brief Summary

Cardiac arrest is handled by cardiopulmonary resuscitation which is a time critical emergency situation. The actions during resuscitation are lead by international guidelines. Traditionally, the main focus of the training has been on medical knowledge and technical skills (TS). Nowadays non-technical skills (NTS), such as communication, teamwork behaviour, and leadership, are considered at least equally important. The aim of this study is to evaluate both TS and NTS of the resuscitation team during real-life resuscitation situations using a validated assessment tool. The association between TS and NTS will be analyzed. Findings from this study may help to recognize the possible weaknesses and issues which could be improved by training. Hypothesis is that that TS are probably in a high level, but some improvement points of NTS are ought to be known better. Investigators hypothesis that the good NTS performance in resuscitation is accompanied by good TS performance.

Conditions

Cardiac Arrest

Keywords

non-technical skills (NTS); human factors; team work; Crew Resource Management / Crisis Resource Management (CRM); technical skills (TS); Cardiopulmonary resuscitation; Advanced cardiac life support; Pit Crew Model

Outcome Measures

Primary Outcomes (1)

• To measure the association of the NTS and TS on one-another using validated assessment tool.

  one year

Secondary Outcomes (1)

• To evaluate the association between NTS and TS subgategories.

  one year

Other Outcomes (1)

• To evaluate the impact of the pit crew model in the second part of the study.

  two years

Study Arms (1)

Resuscitation team

Resuscitation pit crew model is educated to the resuscitation team.

Other: Pit crew model education

Interventions

Pit crew model education OTHER

A pit crew model for resuscitation is educated to all resuscitation team members.

Resuscitation team

Eligibility Criteria

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

Study Population

The target group of this study is the resuscitation team of the adult ICU of Turku University Central Hospital. This team consists of an ICU doctor (most commonly an anaesthesiologist specialized for intensive care), two ICU nurses and one medical technician.

You may qualify if:

• a doctor, a nurse, a paramedic or a medical technician working on adult ICU resuscitation team
• all the members of the ICU resuscitation team in the CPR-situation are volunteer to take part in the study

You may not qualify if:

• \) if any member of the ICU resuscitation team in the CPR-situation refuse to be video recoded

Sponsors & Collaborators

• Turku University Hospital: lead

Related Publications (6)

• Nolan JP, Soar J, Zideman DA, Biarent D, Bossaert LL, Deakin C, Koster RW, Wyllie J, Bottiger B; ERC Guidelines Writing Group. European Resuscitation Council Guidelines for Resuscitation 2010 Section 1. Executive summary. Resuscitation. 2010 Oct;81(10):1219-76. doi: 10.1016/j.resuscitation.2010.08.021. No abstract available.

  PMID: 20956052 BACKGROUND

• Fernandez Castelao E, Russo SG, Cremer S, Strack M, Kaminski L, Eich C, Timmermann A, Boos M. Positive impact of crisis resource management training on no-flow time and team member verbalisations during simulated cardiopulmonary resuscitation: a randomised controlled trial. Resuscitation. 2011 Oct;82(10):1338-43. doi: 10.1016/j.resuscitation.2011.05.009. Epub 2011 May 25.

  PMID: 21664757 BACKGROUND

• Fletcher GC, McGeorge P, Flin RH, Glavin RJ, Maran NJ. The role of non-technical skills in anaesthesia: a review of current literature. Br J Anaesth. 2002 Mar;88(3):418-29. doi: 10.1093/bja/88.3.418. No abstract available.

  PMID: 11990277 BACKGROUND

• Helmreich RL, Merritt AC, Wilhelm JA. The evolution of Crew Resource Management training in commercial aviation. Int J Aviat Psychol. 1999;9(1):19-32. doi: 10.1207/s15327108ijap0901_2.

  PMID: 11541445 BACKGROUND

• Gaba DM, Howard SK, Flanagan B, Smith BE, Fish KJ, Botney R. Assessment of clinical performance during simulated crises using both technical and behavioral ratings. Anesthesiology. 1998 Jul;89(1):8-18. doi: 10.1097/00000542-199807000-00005.

  PMID: 9667288 BACKGROUND

• Peltonen V, Peltonen LM, Salantera S, Hoppu S, Elomaa J, Pappila T, Hevonoja E, Hurme S, Perkonoja K, Elomaa T, Tommila M. An observational study of technical and non-technical skills in advanced life support in the clinical setting. Resuscitation. 2020 Aug;153:162-168. doi: 10.1016/j.resuscitation.2020.06.010. Epub 2020 Jun 16.

  PMID: 32561474 DERIVED

MeSH Terms

Conditions

Heart Arrest

Condition Hierarchy (Ancestors)

Heart Diseases; Cardiovascular Diseases

Study Officials

• Miretta Tommila, MD

  Turku University Hospital

  PRINCIPAL INVESTIGATOR

• Sanna Salanterä, PhD, RN

  Vice Head of the Department of Nursing Science and Nurse Director at Turku University Hospital, Finland

  STUDY DIRECTOR

• Ville Peltonen, Lic.Med

  Turku University Hospital

  STUDY CHAIR

• Laura-Maria Peltonen, M.Sc. RN

  University of Turku, Finland, Nursing Science

  STUDY CHAIR

• Teemu Elomaa, Lic.Med

  Turku University Hospital

  STUDY CHAIR

• Jaana Elomaa, RN

  Turku University Hospital

  STUDY CHAIR

• Tomi Pappila, RN

  Vakka-Suomi Hospital Tyks, Finland

  STUDY CHAIR

• Sanna Hoppu, MD

  Tampere University Hospital, Finland

  STUDY CHAIR

• Eeva Hevonoja, RN

  University of Turku, Finland

  STUDY CHAIR

• Saija Hurme

  University of Turku, Finland

  STUDY CHAIR

• Katariina Perkonoja

  University of Turku, Finland

  STUDY CHAIR

Study Design

• Study Type: observational
• Observational Model: CASE ONLY
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER GOV
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: October 17, 2016
• First Posted: January 11, 2017
• Study Start: June 1, 2012
• Primary Completion: December 1, 2018
• Study Completion: September 1, 2020
• Last Updated: January 22, 2026

Record last verified: 2021-06

Data Sharing

• IPD Sharing: Will not share