Learning crisis resource management: Practicing versus an observational role in simulation training – a randomized controlled Trial.

Statistical analysis using SPSS

Randomized controlled

An event for systematically assessing solutions for current and emerging needs in such a way that practitioners can do this following a pragmatic and systematic approach.

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and simulation

Performance of participants of the two groups in the post-testChange in performance between pre and post-tests of active participants vs.

Observer participant who witnesses the exercise while remaining separate from exercise activities.
Note 1 to entry: Observers may be part of the evaluation process.

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groups

All

Sudden, urgent, usually unexpected occurrence or event requiring immediate action.
Note 1 to entry: An emergency is usually a disruption or condition that can often be anticipated or prepared for, but seldom exactly foreseen.

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medicine residents in postgraduate years 1–5 in both the Royal College of Physicians and Surgeons and College of Family Physician programs at the University of Ottawa were invited to participate in the study. Each

Pre-planned storyline that drives an exercise, as well as the stimuli used to achieve exercise project performance objectives.

DRIVER+ note 1: In the context of DRIVER+ scenarios are defined for Trials not for exercises.

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was video recorded with multi-screen video, including the  simulated patient’s vital signs Debriefing session + QuestionnaireSample size was calculated based on our primary outcome of the post-test performance comparison using the G*Power software

Compare the effectiveness of learning CRM principles when being an active participant in simulation-based education versus being an

Observer participant who witnesses the exercise while remaining separate from exercise activities.
Note 1 to entry: Observers may be part of the evaluation process.

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participant.

Research question itself prevented from assessing the pre-test performance of the

Observer participant who witnesses the exercise while remaining separate from exercise activities.
Note 1 to entry: Observers may be part of the evaluation process.

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group.The sample size was calculated based on a large effect size.

Learning CRM principles was not largely superior when learners were active participants in a simulated

Pre-planned storyline that drives an exercise, as well as the stimuli used to achieve exercise project performance objectives.

DRIVER+ note 1: In the context of DRIVER+ scenarios are defined for Trials not for exercises.

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compared to being observers followed by debriefing. These findings challenge the experiential learning theory claiming that learning non-technical CRM skills requires active practice.

The Ottawa Hospital

The ethics of the planning, conduct, and reporting of research; this pertains in particular to rules and guidelines for the participation and protection of individuals taking part in the research activities.

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Board granted approval to this study

The SimMan 3G (Norway, Laerdal) was used for the entire study. The participants were expected to properly and effectively manage the crises by utilizing CRM principles.