Evidence map›Paper›PMID 32469920›Full record

Trial reportPloS one2020

Actor feedback and rigorous monitoring: Essential quality assurance tools for testing behavioral interventions with simulation.

Martha A Abshire, Xintong Li, Pragyashree Sharma Basyal, Melissa L Teply, Arun L Singh, Margaret M Hayes, Alison E Turnbull

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02721810 (Engaging Surrogates and Physicians to Ensure Concordant Critical Care), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.5field-weighted citation impact, top 36% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02721810 nacompletednot on this map

Engaging Surrogates and Physicians to Ensure Concordant Critical Care

TypeinterventionalSponsorJohns Hopkins UniversityRan2016 to 2019Enrolled116ConditionsCritical IllnessArmsConsideration of 3-month functional prognosis
3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 5 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Martha A AbshireSchool of Nursing, Johns Hopkins University, Baltimore, Maryland, United States of America.ORCID 0000-0003-1824-1542
Xintong LiDepartment of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, United States of America.
Pragyashree Sharma BasyalOutcomes After Critical Illness and Surgery (OACIS) Group, Johns Hopkins University, Baltimore, Maryland, United States of America.ORCID 0000-0002-7180-6955
Melissa L TeplyDivision of Geriatrics, Gerontology, and Palliative Medicine, Department of Internal Medicine, University of Nebraska Medical Center, Omaha, Nebraska, United States of America.
Arun L SinghDivision of Pediatric Palliative Medicine, Prisma Health Children's Hopsital - Upstate, University of South Carolina School of Medicine - Greenville, Greenville, South Carolina, United States of America.
Margaret M HayesDivision of Pulmonary, Critical Care and Sleep Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, United States of America.
Alison E TurnbullDepartment of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, United States of America.ORCID 0000-0002-1564-6547
Johns Hopkins University · USBeth Israel Deaconess Medical Center · USPrisma Health · USUniversity of Nebraska Medical Center · US

Funding

Understanding Response Shift in Acute Respiratory Distress Syndrome (ARDS) survivorsK01HL141637 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI TURNBULL, ALISON · 2018 to 2022
$853k
6 · The paper itself

Abstract

introductionSimulation is a powerful tool for training and evaluating clinicians. However, few studies have examined the consistency of actor performances during simulation based medical education (SBME). The Simulated Communication with ICU Proxies trial (ClinicalTrials.gov NCT02721810) used simulation to evaluate the effect of a behavioral intervention on physician communication. The purpose of this secondary analysis of data generated by the quality assurance team during the trial was to assess how quality assurance monitoring procedures impacted rates of actor errors during simulations.

methodsThe trial used rigorous quality assurance to train actors, evaluate performances, and ensure the intervention was delivered within a standardized environment. The quality assurance team evaluated video recordings and documented errors. Actors received both timely, formative feedback and participated in group feedback sessions.

resultsError rates varied significantly across three actors (H(2) = 8.22, p = 0.02). In adjusted analyses, there was a decrease in the incidence of actor error over time, and errors decreased sharply after the first group feedback session (Incidence Rate Ratio = 0.25, 95% confidence interval 0.14-0.42).

conclusionsRigorous quality assurance procedures may help ensure consistent actor performances during SBME.

Indexed as

Formative FeedbackPatient SimulationAged, 80 and overHumansMaleQuality Assurance, Health Care

Identifiers

PMID32469920
PMCPMC7259593
OpenAlexW3029252556

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.