The Use of a Pediatric Trauma Checklist to Improve Clinical Performance in a Simulated Trauma Resuscitation

NCT03234049 | Completed

• 1 other identifier: REB16-1479
• Study Type: interventional
• Target: 56
• Locations: 1 country
• Sites: 1

Brief Summary

The use of a pre-arrival and pre-departure trauma checklist to optimize care has not yet been studied. The Alberta Children's Hospital (ACH) Trauma Checklist was developed by the ACH Resuscitation Council with input from the ACH Trauma Program. The purpose of this study is to determine if the introduction of the ACH Trauma Checklist as a cognitive aid, coupled with an educational session, will improve clinical performance in a simulated environment. The investigators plan to conduct a pilot, randomized control trial assessing the impact of the ACH trauma checklist on time to critical interventions on a simulated pediatric patient by multidisciplinary teams. The investigators hypothesize that teams who use a trauma checklist as a cognitive aid will have faster initiation of key clinical interventions within a simulated pediatric trauma resuscitation. Improvements in performance in a simulated environment with this tool may translate to similar results in the clinical setting.

Conditions

Trauma

Keywords

pediatric; checklist; cognitive aid

Outcome Measures

Primary Outcomes (10)

• Time measurement interval to initiation of endotracheal tube placement

  Interval from start of scenario to endotracheal tube placement

  within the 20 minute simulation scenario

• Time measurement interval to initiation of induction medication

  Interval from start of scenario to delivery of intubation induction medication

  within the 20 minute simulation scenario

• Time measurement interval to initiation of paralytic medication

  Interval from start of scenario to delivery of intubation paralytic medication

  within the 20 minute simulation scenario

• Time measurement interval to initiation of bag mask ventilation

  Interval from start of scenario to first assisted bag mask breath

  within the 20 minute simulation scenario

• Time measurement interval to initiation of fluid bolus administration

  Interval from start of scenario to initiation of first crystalloid fluid bolus

  within the 20 minute simulation scenario

• Time measurement interval to initiation of blood product administration

  Interval from start of scenario to initiation of first blood product administration

  within the 20 minute simulation scenario

• Time measurement interval to application of pelvic binder

  Interval from start of scenario to application of pelvic binder

  within the 20 minute simulation scenario

• Time measurement interval to Glasgow Coma Score calculation

  Interval from start of scenario to first verbalized and calculated Glasgow Coma Score

  within the 20 minute simulation scenario

• Time measurement interval to initiation of hyperosmolar therapy

  Interval from start of scenario to initiation of hyperosmolar therapy, either mannitol or 3% saline

  within the 20 minute simulation scenario

• Time measurement interval to completion of log roll

  Interval from start of scenario to completion of patient log roll

  within the 20 minute simulation scenario

Secondary Outcomes (3)

• Advanced Trauma Life Support Task Performance

  within the 20 minute simulation scenario

• Checklist completion

  within the 20 minute simulation scenario

• Eye movements of the trauma team leader

  within the 20 minute simulation scenario

Study Arms (2)

Control Arm

NO INTERVENTION

In the control arm, teams will not receive a copy of the checklist for use.

Checklist Arm

EXPERIMENTAL

In the intervention arm, the participants will watch a 10 minute recorded educational video demonstrating the use of the trauma checklist prior to their simulation scenario. These teams will subsequently receive a copy of the checklist for use during their simulation scenario.

Other: Checklist

Interventions

Checklist OTHER

The Alberta Children's Hospital Trauma Checklist was developed by the ACH Resuscitation Council Trauma Committee in response to a quality assurance review of high-acuity trauma activations. It is a cognitive aid and focuses in particular on pre-arrival preparation and a pre-departure review prior to patient transfer to diagnostic imaging or the operating room.

Checklist Arm

Eligibility Criteria

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

You may qualify if:

• Pediatric emergency medicine physician
• Pediatric emergency medicine physician
• Pediatric emergency registered nurse

You may not qualify if:

• Previous participation in the study

Sponsors & Collaborators

• KidSIM Simulation Program: lead
• KidSIM-ASPIRE: collaborator

Study Sites (1)

KidSIM, Alberta Children's Hospital

Calgary, Alberta, T3B6A8, Canada

Location

MeSH Terms

Conditions

Wounds and Injuries

Interventions

Checklist

Intervention Hierarchy (Ancestors)

Data Collection; Health Care Evaluation Mechanisms; Quality of Health Care; Health Care Quality, Access, and Evaluation

Study Officials

• Adam Cheng, MD FRCPC

  Alberta Children's Hospital, University of Calgary, KidSIM

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: NETWORK
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: January 3, 2017
• First Posted: July 31, 2017
• Study Start: November 1, 2016
• Primary Completion: January 1, 2017
• Study Completion: January 1, 2017
• Last Updated: July 31, 2017

Record last verified: 2017-07

Data Sharing

• IPD Sharing: Will not share

Locations

CA (1)