Observation of Non-technical Skills in the Pre-hospital Care in the Czech Republic

The aim of the study is to find out if the Emergency Medical Services (EMS) crews are using the non-technical skills (e.g. communication, decision making, situational awareness etc.) in the real practice and how well they use them.

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Key information

Conditions

Non-technical Skills Behavior Communication

Sex eligibility

All sexes

Study type

Observational

Primary location

Emergency Medical Services of the Karlovy Vary region, Karlovy Vary, Czechia

About this study

The aim of the study is to find out if the Emergency Medical Services (EMS) crews are using the non-technical skills (teamwork and team leading, communication, decision making, situational awareness and task management) in the real practice and how well they use them. According to the observations of individual crews by field supervisors the use of non-technical skills will be compared between different groups (e.g. resuscitation, trauma, medical problems, non-emergency situations etc.). The comparison between the collaborators of the study is not the subject of the study.

Main hypothesis: The EMS crews are using all of the aspects of non-technical skills appropriately.

The field supervision is also the limitation of the study because it is done by different observers / supervisors, the observation therefore might by affected by subjective feelings. To minimise the subjective view of the situation all of the field supervisors undergo a uniform training of non-technical skills and how to observe and evaluate them.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

EMS called
More than 2 crews on the scene
Field supervisor present

Exclusion criteria

TEAM tool not filled completely

Treatment and study plan

Non-technical skills

Behavioral

Teamwork The work of the team consists of information exchange and coordination of all activities performed. In-team communication is always calm and assertive, and team members support each other.

Task management With the right planning and preparation of individual activities, the likelihood that all standards of care and best practices will be followed increases.

Situational awareness Situational awareness refers primarily to the collection of information, its understanding and, on that basis, prediction of direction into which the situation will develop. Maintaining situational awareness is crucial in order to move towards the right goal.

Decision-making With good situational awareness, one is able to keep in mind all information needed to make the correct decision at the right time. In some cases, it is advisable to consult with other team members or to verify their consent to the proposed procedure.

Communication Communication is a vital tool when working in a team.

Primary outcomes

NTS incidence

Time frame: Through study completion, an average of 1 year and until 100 cases from each organization will be collected - 300 observations in total.

The measurement of non-technical skills usage will be evaluated according to the form developed and published by Cooper et al. (2010) as a Team Emergency Assessment Measure (TEAM) tool based on the Likert scale - Never/Hardly ever (0), Seldom (1), About as often as not (2), Often (3), Always/Nearly always (4).

Sponsors and collaborators

Lead sponsor

David Peran

Other Gov

Collaborators

Emergency Medical Services of the Karlovy Vary region, Czech Republic
Emergency Medical Services of the Pilsner region, Czech Republic

Registry information

Official study title

Observation of Non-technical Skills (e.g. Communication, Team Leader Skills, Teamwork, Situational Awareness Etc.) in the Pre-hospital Care in the Czech Republic

Acronym: NTS

Important dates

Study start: 2019
Primary completion: 2020
Study completion: 2020
First posted: Aug 7, 2020
Registry last updated: Feb 2, 2021

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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Completed