• Je něco špatně v tomto záznamu ?

Non-technical skills in pre-hospital care in the Czech Republic: a prospective multicentric observational study (NTS study)

D. Peran, R. Sykora, J. Vidunova, I. Krsova, J. Pekara, M. Renza, N. Brizgalova, PC. Cmorej

. 2022 ; 22 (1) : 83. [pub] 20220513

Jazyk angličtina Země Velká Británie

Typ dokumentu časopisecké články, multicentrická studie, pozorovací studie

Perzistentní odkaz   https://www.medvik.cz/link/bmc22018408

BACKGROUND: Non-technical skills (NTS) are important for the proper functioning of emergency medical ambulance crews but have hardly been researched in the conditions of clinical pre-hospital care. The primary objective of this study, therefore, is to describe the use of NTS in practice. The secondary objective is to compare if the performance of NTS varies according to the type of case. METHODS: In this multicentric observational study the modified Team Emergency Assessment Measure (TEAM) score was used to assess the performed NTS of two or more crews on site. The evaluation consisted of leadership, teamwork and task management, rated by a field supervisor. The study observations took place in real clinical pre-hospital emergency medical cases when two or more crews were dispatched between October 2019 and August 2020. The sample size was determined by researchers prior to the study to at least 100 evaluated events per each of the three participating emergency medical services. The results are presented as median and interquartile range. The internal reliability, consistency and validity of test items and results were evaluated. The Kruskal-Wallis test and the post hoc Mann-Whitney U test with Bonferroni correction were used for multiple comparisons of three groups. RESULTS: A total of 359 events were evaluated. Surprisingly, the median value for all eight items was as high as 3.0 with a similar interquartile range of 1.0. There were no differences observed by case type (CPR vs. TRAUMA vs. MEDICAL) except from item 1. A post hoc analysis revealed that this difference is in favour of a higher rated performance of non-technical skills in CPR. CONCLUSIONS: The overall result of the performance of non-technical skills can be regarded as very good and can serve for further evaluations. The crews achieved better parameters of NTS in leadership in resuscitation situations in comparison with general medical events. TRIAL REGISTRATION: The study is registered at Clinical Trials under the ID: NCT04503369 .

Citace poskytuje Crossref.org

000      
00000naa a2200000 a 4500
001      
bmc22018408
003      
CZ-PrNML
005      
20220804134743.0
007      
ta
008      
220720s2022 xxk f 000 0|eng||
009      
AR
024    7_
$a 10.1186/s12873-022-00642-4 $2 doi
035    __
$a (PubMed)35562664
040    __
$a ABA008 $b cze $d ABA008 $e AACR2
041    0_
$a eng
044    __
$a xxk
100    1_
$a Peran, David $u Emergency Medical Services of the Karlovy Vary Region, Karlovy Vary, Czech Republic $u Prague Emergency Medical Services, Prague, Czech Republic $u Department of Anaesthesia and Intensive Care, Third Faculty of Medicine, Charles University and FNKV University Hospital, Prague, Czech Republic $u Medical College, Prague, Czech Republic
245    10
$a Non-technical skills in pre-hospital care in the Czech Republic: a prospective multicentric observational study (NTS study) / $c D. Peran, R. Sykora, J. Vidunova, I. Krsova, J. Pekara, M. Renza, N. Brizgalova, PC. Cmorej
520    9_
$a BACKGROUND: Non-technical skills (NTS) are important for the proper functioning of emergency medical ambulance crews but have hardly been researched in the conditions of clinical pre-hospital care. The primary objective of this study, therefore, is to describe the use of NTS in practice. The secondary objective is to compare if the performance of NTS varies according to the type of case. METHODS: In this multicentric observational study the modified Team Emergency Assessment Measure (TEAM) score was used to assess the performed NTS of two or more crews on site. The evaluation consisted of leadership, teamwork and task management, rated by a field supervisor. The study observations took place in real clinical pre-hospital emergency medical cases when two or more crews were dispatched between October 2019 and August 2020. The sample size was determined by researchers prior to the study to at least 100 evaluated events per each of the three participating emergency medical services. The results are presented as median and interquartile range. The internal reliability, consistency and validity of test items and results were evaluated. The Kruskal-Wallis test and the post hoc Mann-Whitney U test with Bonferroni correction were used for multiple comparisons of three groups. RESULTS: A total of 359 events were evaluated. Surprisingly, the median value for all eight items was as high as 3.0 with a similar interquartile range of 1.0. There were no differences observed by case type (CPR vs. TRAUMA vs. MEDICAL) except from item 1. A post hoc analysis revealed that this difference is in favour of a higher rated performance of non-technical skills in CPR. CONCLUSIONS: The overall result of the performance of non-technical skills can be regarded as very good and can serve for further evaluations. The crews achieved better parameters of NTS in leadership in resuscitation situations in comparison with general medical events. TRIAL REGISTRATION: The study is registered at Clinical Trials under the ID: NCT04503369 .
650    12
$a klinické kompetence $7 D002983
650    12
$a nemocnice $7 D006761
650    _2
$a lidé $7 D006801
650    _2
$a týmová péče o pacienty $7 D010348
650    _2
$a prospektivní studie $7 D011446
650    _2
$a reprodukovatelnost výsledků $7 D015203
651    _2
$a Česká republika $7 D018153
655    _2
$a časopisecké články $7 D016428
655    _2
$a multicentrická studie $7 D016448
655    _2
$a pozorovací studie $7 D064888
700    1_
$a Sykora, Roman $u Emergency Medical Services of the Karlovy Vary Region, Karlovy Vary, Czech Republic. roman.sykora@zzskvk.cz $u Department of Anaesthesia and Intensive Care, Third Faculty of Medicine, Charles University and FNKV University Hospital, Prague, Czech Republic. roman.sykora@zzskvk.cz $u Medical College, Prague, Czech Republic. roman.sykora@zzskvk.cz
700    1_
$a Vidunova, Jana $u Emergency Medical Services of the Pilsen Region, Pilsen, Czech Republic
700    1_
$a Krsova, Ivana $u Emergency Medical Services of the Pilsen Region, Pilsen, Czech Republic
700    1_
$a Pekara, Jaroslav $u Prague Emergency Medical Services, Prague, Czech Republic $u Medical College, Prague, Czech Republic
700    1_
$a Renza, Metodej $u Emergency Medical Services of the Karlovy Vary Region, Karlovy Vary, Czech Republic $u Department of Anaesthesia and Intensive Care, Third Faculty of Medicine, Charles University and FNKV University Hospital, Prague, Czech Republic
700    1_
$a Brizgalova, Nikola $u Emergency Medical Services of the Karlovy Vary Region, Karlovy Vary, Czech Republic
700    1_
$a Cmorej, Patrik Ch $u Jan Evangelista Purkyne University, Faculty of Health Studies, Usti nad Labem, Czech Republic $u Emergency Medical Services of the Usti nad Labem Region, Usti nad Labem, Czech Republic
773    0_
$w MED00006825 $t BMC emergency medicine $x 1471-227X $g Roč. 22, č. 1 (2022), s. 83
856    41
$u https://pubmed.ncbi.nlm.nih.gov/35562664 $y Pubmed
910    __
$a ABA008 $b sig $c sign $y p $z 0
990    __
$a 20220720 $b ABA008
991    __
$a 20220804134737 $b ABA008
999    __
$a ok $b bmc $g 1822142 $s 1169651
BAS    __
$a 3
BAS    __
$a PreBMC
BMC    __
$a 2022 $b 22 $c 1 $d 83 $e 20220513 $i 1471-227X $m BMC emergency medicine $n BMC Emerg Med $x MED00006825
LZP    __
$a Pubmed-20220720

Najít záznam

Citační ukazatele

Možnosti archivace