Ignite Creation Date:
2024-05-06 @ 5:16 PM
Last Modification Date:
2024-10-26 @ 2:25 PM
Study NCT ID:
NCT05250089
Status:
RECRUITING
Last Update Posted:
2024-01-30
First Post:
2022-01-11
Brief Title:
Physicians Performance After Night Shifts
Sponsor:
University Hospital Toulouse
Organization:
University Hospital Toulouse
Study Overview
Official Title:
Performance of Emergency Physicians in the Management of Critical Situations Twenty-four Hours After the End of a Night Shift
Status:
RECRUITING
Status Verified Date:
2024-01
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
URGENCE24
Brief Summary:
Emergency medicine is one of the professional activities integrating a night activity into working time Concerns about the sleep deprivation that this activity generates have been growing for the past thirty years However at present the pace - duration and repetition - of this activity does not yet seem to be optimized and therefore continues to be the subject of questions in terms of safety of care and quality of life at work One of the peculiarities of emergency medicine is that doctors have to work in a crisis situation A situation is qualified as critical for a patient when his state of health is unstable and with an evolution which can be rapidly pejorative Crisis situations are at the heart of the emergency room profession and due to their potential seriousness for the patients it must be managed in all circumstances
To cope with a crisis situation a doctor needs to be efficient However performance calls for two types of skills technical skills on one hand and non-technical skills on the other
This study therefore aims to answer the following question are the non-technical skills of emergency physicians in the management of a crisis situation affected twenty-four hours after the end of a night shift The study assesses the performance of emergency physicians via complex simulations at two time frames 24h after a night shift the post recovery performance simulation and another time were the participant did not have night shifts in less than 3 nights usual performance simulation
To cope with a crisis situation a doctor needs to be efficient However performance calls for two types of skills technical skills on one hand and non-technical skills on the other
This study therefore aims to answer the following question are the non-technical skills of emergency physicians in the management of a crisis situation affected twenty-four hours after the end of a night shift The study assesses the performance of emergency physicians via complex simulations at two time frames 24h after a night shift the post recovery performance simulation and another time were the participant did not have night shifts in less than 3 nights usual performance simulation
Detailed Description:
The study compare the post-recovery performance PRP and the usual performance UP of emergency physicians in the management of a critical situation The PRP corresponds to the performance twenty-four hours after the end of a minimum 12 hours night shift which corresponds to the usual time when a physician go back to work The UP is defined as the performance achieved in the absence of night shifts during the three previous nights
Each participants realises 2 complex simulations each simulation will focus on a trauma case involving difficult decision-making Each simulation session lasts approximately thirty minutes It includes a time to complete the questionnaires necessary for carrying out the study before and or after the simulated practice depending on the type of questionnaire a brief interview on the simulation scenario and the time for the simulated practiceThe simulation environment of the study is as close as possible to a reception room for vital emergencies SAUV in order to be as close as possible to the usual professional environment of the participants
During the simulated practice a technician manages the progress of the scenario under the supervision of an emergency doctor controlling it In the room each participant is accompanied by two trained paramedics whose roles will depend on the scenarios
The performance is assessed via the Ottawa Crisis Resource Management Global Rating Scale Ottawa GRS questionnaires and an electrocardiogram ECG
Each participants realises 2 complex simulations each simulation will focus on a trauma case involving difficult decision-making Each simulation session lasts approximately thirty minutes It includes a time to complete the questionnaires necessary for carrying out the study before and or after the simulated practice depending on the type of questionnaire a brief interview on the simulation scenario and the time for the simulated practiceThe simulation environment of the study is as close as possible to a reception room for vital emergencies SAUV in order to be as close as possible to the usual professional environment of the participants
During the simulated practice a technician manages the progress of the scenario under the supervision of an emergency doctor controlling it In the room each participant is accompanied by two trained paramedics whose roles will depend on the scenarios
The performance is assessed via the Ottawa Crisis Resource Management Global Rating Scale Ottawa GRS questionnaires and an electrocardiogram ECG
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None