In‑ER versus off‑site simulation training to improve adult non‑trauma resuscitation team performance using the ACLS teamwork model
Effectiveness of In Situ and Off-site Simulation on A-C-L-S Teamwork Model Implementation for Adult Non-trauma Resuscitation: A Two-group Pre-post Study
This project will test whether in‑situ (in‑ER) simulation training helps emergency department resuscitation teams perform better than off‑site simulation when treating adults with non‑traumatic cardiac arrest.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 100 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | National Taiwan University Hospital Academic / other |
| Locations | 1 site (Douliu, Yunlin) |
| Trial ID | NCT07358793 on ClinicalTrials.gov |
What this trial studies
This non-randomized, two-group pre–post study compares in‑situ simulation (ISS) at the Douliu campus with off‑site simulation (OSS) at the Huwei campus over one year using the A‑C‑L‑S teamwork model. Emergency department teams receive standardized sessions with a 20‑minute briefing, a 10‑minute high‑fidelity simulation, and a 30‑minute structured debriefing. Team non‑technical performance is scored using the TEAM scale by blinded, ACLS‑qualified external evaluators from recorded scenarios, and secondary outcomes include resuscitation process metrics, CPR quality, and patient outcome indicators. The design focuses on interprofessional teams of physicians and nurses to measure training transfer into team performance.
Who should consider this trial
Good fit: Ideal participants are emergency department healthcare professionals (attendings, resident physicians, specialized nurses, and registered nurses) at the National Taiwan University Hospital Yunlin Branch who hold valid ACLS certification.
Not a fit: Patients not treated by participating ED teams, pediatric or traumatic cardiac arrest patients, and those cared for at other hospitals are unlikely to experience direct benefit from this training.
Why it matters
Potential benefit: If successful, this training could improve team coordination and CPR quality, which may raise the chances of survival and better neurological outcomes for adults who suffer non‑traumatic cardiac arrest.
How similar studies have performed: Previous research has shown that in‑situ simulation can improve team communication and process measures in resuscitation, though evidence for clear patient survival benefits remains limited.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: The Adult Non-Traumatic Resuscitation Teams in the emergency departments of the Douliu and Huwei (branches consist of approximately 2 to 7 healthcare professionals per team). The healthcare professionals include attending physicians, resident physicians, specialized nurses, and registered nurses from the National Taiwan University Hospital system. Exclusion Criteria: 1. Medical students and emergency medical technicians (EMTs) observing resuscitation in the emergency room. 2. Healthcare professionals who have not obtained a valid ACLS certification.
Where this trial is running
Douliu, Yunlin
- National Taiwan University Hospital Yunlin Branch (Douliu) — Douliu, Yunlin, Taiwan (Recruiting)
Study contacts
- Study coordinator: Liang-wei Wang
- Email: m5867481@gmail.com
- Phone: +886 972 656 326
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.