Evidence map›Paper›PMID 39624958›Full record

ArticleAnnals of medicine2024

Safety management within the scope of teaching practical clinical skills: framing errors for cardiopulmonary resuscitation training - a multi-arm randomized controlled equivalence trial.

Michelle Schmidt, Michael Tobias Schauwinhold, Leonie Anne Kathrin Loeffler, Martin Klasen, Sophie Isabelle Lambert, Saša Sopka, Lina Vogt

Registry-linked trialAbstract readEquivalence Trial
In one paragraph

Article in Annals of medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07530822 (The Effect Of Prenatal Care Training Using The Peyton Model On Midwifery Students' Knowledge, Skills, Self-Efficacy, Anxiety, And Satisfaction Levels), 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
–field-weighted citation impact
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.

NCT07530822 nacompletednot on this mapstarted 2025, after this paper: background citation

The Effect Of Prenatal Care Training Using The Peyton Model On Midwifery Students' Knowledge, Skills, Self-Efficacy, Anxiety, And Satisfaction Levels

TypeinterventionalSponsorSaglik Bilimleri UniversitesiRan2025 to 2026Enrolled64ConditionsPrenatal Care, Midwifery Education, Clinical Self-Efficacy, AnxietyArmsPeyton Model Training, Standard Training
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

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.

Michelle SchmidtAIXTRA - Competence Center for Training and Patient Safety, Medical Faculty, RWTH Aachen University, Aachen, Germany.ORCID 0000-0002-2428-7216
Michael Tobias SchauwinholdAIXTRA - Competence Center for Training and Patient Safety, Medical Faculty, RWTH Aachen University, Aachen, Germany.ORCID 0000-0002-7462-4604
Leonie Anne Kathrin LoefflerAIXTRA - Competence Center for Training and Patient Safety, Medical Faculty, RWTH Aachen University, Aachen, Germany.ORCID 0000-0003-2692-4183
Martin KlasenAIXTRA - Competence Center for Training and Patient Safety, Medical Faculty, RWTH Aachen University, Aachen, Germany.ORCID 0000-0001-7823-3013
Sophie Isabelle LambertAIXTRA - Competence Center for Training and Patient Safety, Medical Faculty, RWTH Aachen University, Aachen, Germany.ORCID 0000-0001-7673-6602
Saša SopkaAIXTRA - Competence Center for Training and Patient Safety, Medical Faculty, RWTH Aachen University, Aachen, Germany.ORCID 0000-0003-2165-5578
Lina VogtAIXTRA - Competence Center for Training and Patient Safety, Medical Faculty, RWTH Aachen University, Aachen, Germany.ORCID 0000-0002-1913-9083

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCardiopulmonary resuscitation (CPR) is among the most important skills in clinical practice. Errors can happen here, just like everywhere, and potentially have severe consequences. Two common error handling strategies known from practice are Error Management (EM) and Error Avoidance (EA). However, its effects on medical performance outcomes remain unclear. This study aimed to examine the role of error framing in basic life support (BLS) training for future healthcare professionals. MATERIALS AND

methodsIn an equivalence trial (

resultsThe results regarding CD revealed equivalence with a trend toward superiority of EM over EA (proportional difference 23.3%-points; 95% CI 11.4%-34.2%) and EM over control (proportional difference 23.4%-points; 95% CI 11.5%-34.2%.) and significant equivalence of EA and control (proportional difference 0.1%-points; 95% CI -11.6%-11.7%). Significant equivalence was determined for all study arms with respect to CR and self-confidence.

conclusionOur study revealed that EM was not detrimental to learners' CPR performance. Given existing research on long-term beneficial effects of EM on patient safety, coupled with the proven equivalence of EM and EA concerning short-term performance, we argue that EM is a promising approach for future medical education purposes. Raising awareness of error framing and teaching error-handling strategies is expected to benefit ongoing safety management efforts in medical education and beyond.

Indexed as

Cardiopulmonary ResuscitationClinical CompetenceAdultFemaleHumansMaleManikinsMedical ErrorsYoung AdultCPR trainingerror cultureError managementresuscitationsafety management

Identifiers

PMID39624958
PMCPMC11459762

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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.