Crisis Resource Management Improvement Through Intellectual Questioning of Authority (CRITIQue)
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|ClinicalTrials.gov Identifier: NCT03707964|
Recruitment Status : Recruiting
First Posted : October 16, 2018
Last Update Posted : October 16, 2018
|Condition or disease||Intervention/treatment||Phase|
|Medical Education, Simulation, Crisis Resource Management||Other: Crisis Resource Management Skill Training Other: Standard ACLS Training||Not Applicable|
|Study Type :||Interventional (Clinical Trial)|
|Estimated Enrollment :||140 participants|
|Intervention Model:||Parallel Assignment|
|Masking:||Triple (Participant, Care Provider, Outcomes Assessor)|
Deliberate deception (by not informing of the aim of assessing for ability to challenge authority) will be used to blind the participants. However, open disclosure and explanation of the rationale for deception will be conducted during the debriefing sessions and participants will be extensively counselled.
The confederate specialist will also be blinded to the allocation of the control or intervention arm of participants.
All sessions will be video recorded and assessed in random order by two independent raters blinded to group allocation, using the modified Advocacy-Inquiry Score (mAIS).
|Official Title:||Crisis Resource Management Improvement Through Intellectual Questioning of Authority|
|Estimated Study Start Date :||October 15, 2018|
|Estimated Primary Completion Date :||December 20, 2020|
|Estimated Study Completion Date :||December 20, 2020|
Placebo Comparator: Control
Subjects allocated to the control arm will receive standard didactic interactive session on Advanced Cardiac Life Support (ACLS) principles, as part of their regular teaching schedule.
Other: Standard ACLS Training
Standard didactic interactive session on Advanced Cardiac Life Support (ACLS) principles.
Subjects allocated to the intervention arm will receive education on crisis resource management (CRM) and teaching targeting the cognitive skills required to monitor and challenge a superior's decision, and conflict resolution tools, in addition to standard didactic interactive session on Advanced Cardiac Life Support (ACLS) principles.
Other: Crisis Resource Management Skill Training
Focused crisis resource management training which targets at the cognitive skills needed to monitor and challenge a superior's decision.
- Effect of a teaching intervention on participants' ability to challenge clearly wrong decisions by a superior during a simulated life-threatening crisis [ Time Frame: 20 minutes ]Comparison of the best modified Advocacy-Inquiry Score (mAIS) responses of the 6 challenge opportunities between the intervention and control groups. The mAIS is a modification of the Advocacy-Inquiry method which includes five scoring levels with the addition of a sixth level when a trainee attempts to take over management of the case.
- Influence of the confederate's gender on participant's ability to challenge incorrect decisions [ Time Frame: 20 minutes ]Comparison of the median modified Advocacy-Inquiry Score (mAIS) responses between the subjects exposed to male versus female confederate specialist. The mAIS is a modification of the Advocacy-Inquiry method which includes five scoring levels with the addition of a sixth level when a trainee attempts to take over management of the case.
- Qualitative analysis of themes surrounding hierarchy and challenging authority [ Time Frame: 10 minutes ]Themes elicited during open disclosure and discussion during debrief session with participants
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03707964
|Contact: Ying Wei Yau, MBBS||6772 email@example.com|
|National University Hospital, Singapore||Recruiting|
|Singapore, Singapore, 119085|
|Contact: Ying Wei Yau, MBBS 6772 5000 firstname.lastname@example.org|
|Principal Investigator:||Gene Chan, MBBS||National University Hospital, Singapore|