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Neo RQI: Evaluating the Effect of Neonatal Resuscitation Quality Improvement Cart Booster Training on Provider Positive Pressure Ventilation Skills Retention
Study ID: STU-2021-0282
Summary
a prospective, multicenter, parallel, randomized controlled trial will be conducted. any nRP (neonatal Resuscitation Program) card carrying provider is eligible to be included in the study. all study subjects will undergo training at standardized instructor led positive pressure ventilation (PPV) skills station. Their PPV skills will be assessed before and after the instructor led skills training. This training will minimize confounding due to variation in prior training experience. after this, study subjects will be randomized to either quarterly PPV skill booster training (BT) or no booster training (nBT). Minimization procedure will be used to prevent imbalance between the two groups for profession, experience level and proficiency. outcomes: The primary outcome of the study is the proportion of subjects who provide [Greater Than]80% ventilation with low mask leak ([Less Than] 30% mask leak) during the one-minute assessment at six months from the instructor led PPV skills training. at six and nine months, we will also compare tidal volumes achieved, composite PPV quality score and its individual domains between the two groups. We will also conduct a paired data analysis of mask leak over time using a mixed model approach. We will plan subgroup analysis based on experience level, profession and baseline proficiency in PPV skills. We will also conduct sensitivity analysis by excluding those who remained non-proficient after instructor led PPV skills training to assess true PPV skills decay.
- Cancer Related
- No
- Healthy Volunteers
- No
- UT Southwestern Principal Investigator
- PRIYA SHARMA
UTSW INTERNAL
The Resuscitation Quality improvement (RQi) for nRP (neonatal Resuscitation Program) cart is a novel tool that uses a respiratory function monitor to assess providers' positive pressure ventilation (PPV) skills on a manikin and then provides objective audiovisual real-time feedback. We hypothesize that after an initial instructor led PPV skills training session, quarterly booster training with RQi for nRP will result in better PPV skill retention in nRP (neonatal Resuscitation Program) providers compared to those with no booster training. To test this hypothesis, we propose a prospective multicenter randomized control trial to assess percentage mask leak six months post instructor led PPV skills training in providers who undergo booster training compared to those who do not undergo any booster training.