Quality of Care in Centers Providing Extracorporeal Membrane Oxygenation

NCT05331001 | Unknown

• 1 other identifier: ECMO Quality of Care
• Study Type: observational
• Target: 100
• Locations: 0 countries
• Sites: N/A

Brief Summary

Cardiac arrest centers are specialized in treating critically ill patients with severe cardiovascular diseases, such as cardiac arrest, cardiogenic shock or acute myocardial infarction. Diagnostic and therapeutic measures, such as the use of devices for extracorporeal life support, require highly specialized training and skills. Apart from extensive medical expertise, physicians and nurses may be exposed to exceptional levels of occupational stressors. Therefore, excellent medical, psychological and inter-personal training of the medical staff is essential to improve patient outcomes. Assessment of quality of care is important to provide continuous improvement in patient care and team performance. To the best of our knowledge, there is no study which examined the quality of care in cardiac arrest centers across key dimensions of quality of care. Therefore, we aim to assess a bundle of key dimensions, that is psychological strain (P), resource utilization (R), interaction (I) between doctoral and nursing staff, costs of care (C) and education (E) programs for staff (PRICE scheme). A cross-sectional study will be conducted with doctors and nurses, using a digital quesitonnaire that will cover the five dimensions of the PRICE scheme.

Conditions

Cardiogenic Shock; Myocardial Infarction; Cardiac Arrest; Extracorporeal Circulation; Complications

Outcome Measures

Primary Outcomes (1)

• Psychological strain (P)

  The psychologial strain of permanent staff in the cardiac arrest center will be assessed based on a standardized questionnaire.

  During one week all permanent staff of a cardiac arrest center will be asked to fill out the standardized questionnaire.

Secondary Outcomes (4)

• Ressource utilization (R)

  During one week all permanent staff of a cardiac arrest center will be asked to fill out the standardized questionnaire.

• Interaction (I)

  During one week all permanent staff of a cardiac arrest center will be asked to fill out the standardized questionnaire.

• Costs (C) of care

  During one week all permanent staff of a cardiac arrest center will be asked to fill out the standardized questionnaire.

• Education (E) programs

  During one week all permanent staff of a cardiac arrest center will be asked to fill out the standardized questionnaire.

Study Arms (2)

Medical doctors

Medical doctors who are employed as permanent staff in a cardiac arrest center which provides extracorporeal membrane oxygenation.

Nurses

Nurses who are employed as permanent staff in a cardiac arrest center which provides extracorporeal membrane oxygenation.

Eligibility Criteria

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

Study Population

Permament adult staff which is employed in a cardiac arrest center that provides therapy with extracorporeal membrane oxygenation (ECMO). Medical doctors and nurses are included.

You may qualify if:

• Adult medical doctors or nurses
• Permament staff in the cardiac arrest center
• Cardiac arrest center that provides therapy with extracorporeal membrane oxygenation (ECMO)

You may not qualify if:

• No permanent employment in a cardiac arrest center
• Non-adult staff
• Not a medical doctor or nurse
• Cardiac arrest center that does not provide therapy with ECMO

Sponsors & Collaborators

• Charite University, Berlin, Germany: lead

MeSH Terms

Conditions

Shock, Cardiogenic; Myocardial Infarction; Heart Arrest

Condition Hierarchy (Ancestors)

Myocardial Ischemia; Heart Diseases; Cardiovascular Diseases; Vascular Diseases; Infarction; Ischemia; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Necrosis; Shock

Study Officials

• Carsten Skurk, MD

  Charite University

  STUDY DIRECTOR

• Tharusan Thevathasan, MD

  Charite University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Tharusan Thevathasan, MD

CONTACT

+4915774407864; tharusan.thevathasan@charite.de

Carsten Skurk, MD

CONTACT

+4930450513702; carsten.skurk@charite.de

Study Design

• Study Type: observational
• Observational Model: CASE ONLY
• Time Perspective: CROSS SECTIONAL
• Target Duration: 7 Days
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: April 10, 2022
• First Posted: April 15, 2022
• Study Start: June 1, 2022
• Primary Completion: December 30, 2022
• Study Completion: March 30, 2023
• Last Updated: April 18, 2022

Record last verified: 2022-04

Data Sharing

• IPD Sharing: Will not share