Cognitive Aids With Roles Defined (CARD) for Obstetrical Crises: A Multisite Cohort Study
NCT02093078 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 346
Last updated 2018-09-07
Summary
Crisis resource management represents the set of non technical skills, such as communication, leadership, delegation, and prioritization, that allow effective teamwork for optimal patient care during an urgent and critical situation. The Cognitive Aids with Roles Defined (CARD) is a new concept of cognitive aid addressing the well-documented issue of teamwork in crisis management. It relies on large identification cards specially designed for each team members profession and role. During a life threatening clinical situation, the CARD protocol focuses on clarification of individual roles and distribution of tasks for crisis management rather than creating an additional algorithm identifying either a list of actions to be taken or the dose of a medication. This study aims to evaluate the clinical impact of introducing the CARD protocol in obstetrical emergency situations ("code 333") in clinical practice at The Ottawa Hospital.
Hypothesis: CARD protocol will: (i) decrease the total time taken to deliver the baby, and (ii) improve clinical outcome for the mother and baby compared to traditional management without the CARD protocol.
Conditions
- Obstetrical Emergency Situations
Interventions
- BEHAVIORAL
-
CARD
Intervention: CARD This group will be introduced to the CARD protocol which focuses on clarification of individual roles and distribution of tasks. It relies on large identification cards specially designed for each team member's profession and role. Each card worn by a team member identifies the specific tasks associated with that individual's role. CARD enables the team leader and other team members to quickly recognize everyone's role at the code, and each team member can commence their assigned tasks without delay.
Sponsors & Collaborators
-
Canadian Anesthesiologists' Society
collaborator OTHER -
The Ottawa Hospital Academic Medical Association
collaborator OTHER -
Ottawa Hospital Research Institute
lead OTHER
Principal Investigators
-
Sylvain Boet, MD · The Ottawa Hospital
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2014-01-31
- Primary Completion
- 2017-12-31
- Completion
- 2017-12-31
Countries
- Canada
Study Locations
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