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Trial registered on ANZCTR
Registration number
ACTRN12612000887875
Ethics application status
Approved
Date submitted
20/08/2012
Date registered
21/08/2012
Date last updated
21/08/2012
Type of registration
Prospectively registered
Titles & IDs
Public title
The study of human factors, self reflection and introspection by anaesthetists after a simulated critical incident
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Scientific title
The study of human factors, self reflection and introspection by anaesthetists after a simulated critical incident
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Secondary ID [1]
281063
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Nil
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Universal Trial Number (UTN)
U1111-1133-6766
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Human factors after a simulated critical incident in theatre
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Self reflection by anaesthetists after a simulated critical incident
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Introspection by anaesthetists after a simulated critical incident
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Condition category
Condition code
Anaesthesiology
287533
287533
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0
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Anaesthetics
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Public Health
287544
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0
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Health service research
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Intervention/exposure
Study type
Observational
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Senior anaesthetists will participate in a simulated scenario of a critical incident in theatre. The scenario will run for approximately 20 minutes.
This will be followed by a debrief where the participant will watch how they performed in the scenario and discuss and self assess their decisions, actions, use of resources, communication techniques, situational awareness and outcomes. It is expected that this debrief will last for not longer than 1.5 hours
A second debrief will occur 3 to 4 weeks after the simulation where participants will reflect on the events and whether or not the experience has initiated any changes in practice or identified gaps in knowledge and expertise and any action taken or to be taken. It is anticipated that this debrief will last approximately 1 hour.
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Intervention code [1]
285518
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Not applicable
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Comparator / control treatment
This is a qualitative study where each participant will essentially be their own control
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Preferred decision making processes: during the first debrief session, participants will be asked to discuss their preferred decision making processess in a crisis situation, e.g. follow algorithms or trust intuition and/or past experience
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Assessment method [1]
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Timepoint [1]
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At the time of the first debrief
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Primary outcome [2]
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Ability to reflect on decisions made during the critical scenario, and if necessary change practices: during the second debrief participants will be asked to discuss any changes to their behaviour as a result of participating in the scenario
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Assessment method [2]
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Timepoint [2]
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At the time of the second debrief
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Secondary outcome [1]
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Percieved workload will be assessed using the NASA Task Load Index (NASA- TLX
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Assessment method [1]
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Timepoint [1]
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Immediately after the simulated event
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Eligibility
Key inclusion criteria
Participants must be senior consultant anaesthetists, eligible to apply for fellowship with the Australian and New Zealand College of Anaesthetists
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Minimum age
No limit
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Not eligible for fellowship with the Australian and New Zealand College of Anaesthetists
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Study design
Purpose
Psychosocial
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Duration
Cross-sectional
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Selection
Defined population
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Timing
Prospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
12/11/2012
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
25
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Self funded/Unfunded
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Name [1]
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Address [1]
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Country [1]
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Primary sponsor type
Individual
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Name
Anna Maria Carrera
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Address
Dept of Anaesthesia Pain Medicine and Hyperbaric Medicine
Royal Adelaide Hospital
North Terrace
Adelaide SA 5001
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Country
Australia
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Secondary sponsor category [1]
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Individual
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Name [1]
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Dr Graham Lowry
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Address [1]
284666
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Dept of Anaesthesia Pain Medicine and Hyperbaric Medicine
Royal Adelaide Hospital
North Terrace
Adelaide SA 5001
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Country [1]
284666
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Royal Adelaide Hospital Research Ethics Committee
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Ethics committee address [1]
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Royal Adelaide Hospital North Terrace Adelaide SA 5001
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
287868
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Approval date [1]
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01/03/2011
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Ethics approval number [1]
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110302
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Summary
Brief summary
This study will investigate the means and mechanisms by which self reflection and introspection mediate adaptive behaviours and complex decision making during simulated anaesthesthetic critical incidents. It will also explore whether simulation can be used effectively by experienced specialist anaesthetists to self identify gaps in skills and knowledge, increase awareness of personally preferred decision making methods and strategies aimed at optimising clinician welfare.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Anna Maria Carrera
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Address
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Dept of Anaesthesia Pain Medicine and Hyperbaric Medicine
Royal Adelaide Hospital
North Terrace
Adelaide SA 5001
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Country
17843
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Australia
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Phone
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+61 8 8222 5858
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Fax
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+61 8 8222 0037
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Email
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[email protected]
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Contact person for scientific queries
Name
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Anna Maria Carrera
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Address
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Dept of Anaesthesia Pain Medicine and Hyperbaric Medicine
Royal Adelaide Hospital
North Terrace
Adelaide SA 5001
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Country
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Australia
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Phone
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+61 8 8222 5858
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Fax
8771
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+61 8 8222 0037
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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