## Protocol Section
### Identification Module
**NCT ID:** NCT03478579

**Acronym:** 3D-QUAMU

**Brief Title:** Non-technical Skills of Emergency Physicians in a Virtual Emergency Department

**Official Title:** Nontechnical Skills Assessment of Emergency Physicians and Quality of Care in a Virtual Emergency Department

#### Organization Study ID Info
**ID:** RC 31/16/8763
#### Organization
**Class:** OTHER
**Full Name:** University Hospital, Toulouse
### Status Module
#### Completion Date
**Date:** 2020-12-01

**Type:** ACTUAL

#### Expanded Access Info
#### Last Update Post Date
**Date:** 2022-02-03

**Type:** ACTUAL

**Last Update Submit Date:** 2022-02-02

**Overall Status:** COMPLETED

#### Primary Completion Date
**Date:** 2019-09-01

**Type:** ACTUAL

#### Start Date
**Date:** 2018-06-01

**Type:** ACTUAL

**Status Verified Date:** 2022-02

#### Study First Post Date
**Date:** 2018-03-27
**Type:** ACTUAL
**Study First Submit Date:** 2017-06-08
**Study First Submit QC Date:** 2018-03-23
### Sponsor Collaborators Module

#### Lead Sponsor

**Class:** OTHER

**Name:** University Hospital, Toulouse

#### Responsible Party

**Type:** SPONSOR

### Oversight Module

**Is FDA Regulated Device:** False

**Is FDA Regulated Drug:** False

**Oversight Has DMC:** False

### Description Module

**Brief Summary:** The investigators will study nontechnical skills of emergency physicians in a virtual standardized emergency room and their impact on quality of care.

**Detailed Description:** The ability to manage multiple patients and anticipate the risk of error related to task interruptions or disruptions has been identified among relevant non-technical skills (NTS) for practicing emergency medicine. However, the link between these skills and the quality of care has not been quantified. NTS are usually analyzed by qualitative methods such as interviews, direct observations, or questionnaires that have low performance according to the GRADE system (Grading of Recommendations, Assessment, Development and Evaluation).

The investigators have created and validated an experimental model of a virtual, authentic and realistic Emergency Department (ED). The platform has been modelled in a "Second Life" environment. The NTS of emergency physicians will be assessed and recorded during simulated care of multiple virtual patients. The NTS association with ED length of stay and disposition decision will be analyzed. This study will be an internal pilot study and will include 30 emergency physicians who practice emergency medicine for at least two years.

Sessions will be performed in the Toulouse Institute of Health Care Simulation, Toulouse University Hospital. They will be composed of three stages: briefing (30 minutes), simulated practice (3 hours), and debriefing with an explicit interview (30 minutes). Two researchers and a computer technician will supervise the sessions. The data will be obtained by analyzing the video recorded during the simulated practice and the interview.

### Conditions Module

**Conditions:**

- Emergencies

**Keywords:**

- serious game

- simulation

- virtual emergency department

- nontechnical skills

### Design Module

#### Design Info

**Observational Model:** COHORT

**Time Perspective:** PROSPECTIVE

#### Enrollment Info

**Count:** 30

**Type:** ACTUAL

**Study Type:** OBSERVATIONAL

### Arms Interventions Module

#### Arm Group 1

**Description:** The observational group will be composed of emergency physicians working in the French Midi-Pyrenees region. Physicians must work since 2 years in emergency service

**Intervention Names:**

- Other: observational

**Label:** Emergency physicians

### Interventions

#### Intervention 1

**Arm Group Labels:**

- Emergency physicians

**Description:** No intervention, it is observational study

**Name:** observational

**Type:** OTHER

### Outcomes Module

#### Primary Outcomes

**Description:** The nontechnical skills will be assessed by the Anaesthetists' Non-Technical Skills (ANTS) system.

**Measure:** Nontechnical skills

**Time Frame:** 3 hours

#### Secondary Outcomes

**Description:** Quality of care will be measured by a composite criterion associating a process indicator and a result indicator :

* The process indicator is the average time to medical care of patients
* The result indicator corresponds to the relevance of the choice of the orientation of each patient by the emergency doctor at the end of medical care

**Measure:** Quality of care will be measured by a composite criteria (process and result)

**Time Frame:** 3 hours

**Description:** The quality of care will be assessed by ED length of stay : ED length of stay will be measured from triage completion to disposition decision

**Measure:** ED length of stay

**Time Frame:** 3 hours

**Description:** Evaluation of the consistency : perceived internal consistency in the proposed rules and situations will be assessed using a 4-item questionnaire by answering yes or no

**Measure:** The authenticity of the virtual emergency medicine service

**Time Frame:** 3 hours

**Description:** Evaluation of the realism (the assumed resemblance with a real life reference) will be evaluated through a questionnaire containing 3 areas of comparison between the virtual and real environment (layout of the premises, duration of the actions, staff / patient ratio) with as answer possible for each comparison: Realistic or not realistic.

**Measure:** The authenticity of the virtual emergency medicine service

**Time Frame:** 3 hours

**Description:** Evaluation of the relevance (necessary to allow users to take ownership of the problems posed by the designers) will be assessed through direct observation with a yes / no evaluation of the acceptance to use the virtual environment, to test the environment, to make choices during the scenario and to control the environment.

**Measure:** The authenticity of the virtual emergency medicine service

**Time Frame:** 3 hours

### Eligibility Module

**Eligibility Criteria:** Inclusion Criteria:

* Active emergency physicians working in an ED of the French Midi-Pyrenees region
* Two years of practice in emergency medicine or more
* Volunteer to participate in the study

Exclusion Criteria:

* Emergency physician working in another setting than ED, outside the Midi-Pyrenees region, or practicing emergency medicine for less than 2 years.

**Healthy Volunteers:** True

**Minimum Age:** 18 Years

**Sampling Method:** NON_PROBABILITY_SAMPLE

**Sex:** ALL

**Standard Ages:**

- ADULT

- OLDER_ADULT

**Study Population:** Emergency physicians working in the French Midi-Pyrénées region

### Contacts Locations Module

#### Locations

**Location 1:**

**City:** Toulouse

**Country:** France

**Facility:** CHU Toulouse

**Zip:** 31059

#### Overall Officials

**Official 1:**

**Affiliation:** Toulouse CHU

**Name:** Dominique Lauque, MD

**Role:** STUDY_CHAIR

### IPD Sharing Statement Module

**IPD Sharing:** NO

## Derived Section

### Condition Browse Module - Ancestors

- ID: D000020969

- Term: Disease Attributes

- ID: D000010335

- Term: Pathologic Processes

### Condition Browse Module - Browse Branches

- Abbrev: BC23

- Name: Symptoms and General Pathology

- Abbrev: All

- Name: All Conditions

### Condition Browse Module - Browse Leaves

- ID: M7796

- Name: Emergencies

- Relevance: HIGH

- As Found: Emergency

- ID: M22700

- Name: Disease Attributes

- Relevance: LOW

- As Found: Unknown

### Condition Browse Module - Meshes

- ID: D000004630

- Term: Emergencies

### Misc Info Module

- Version Holder: 2024-05-24
