Influence of Resident Training on Intra-operative Workflow

NCT00591435 — Completed, 600 participants, University Hospital Schleswig-Holstein

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Resident Training Affects Intra-Operative Workflow and Costs

Registry	NCT00591435
Status	Completed
Study type	Observational
Enrollment	600 (Actual)
Sponsor	University Hospital Schleswig-Holstein (Other); collaborators: Department of Anaesthesiology and Intensive Care Medicine
Conditions	Intraoperative Workflow, Anesthesia and Procedure Related Time Intervals
Interventions	Comparison of performance of consultants versus residents (Other)
Dates	start 2007-01-01, primary completion 2007-12-01, completion 2007-12-01, first posted 2008-01-11, last updated 2010-03-24
Locations	1 site in Germany

-Summary

Anaesthesia and surgery related time intervals of three standard operations are compared depending on whether residents or consultants are performing anaesthesia and surgery.

Hypothesis: Perioperative workflow is influenced by state of education, time intervals reflecting anaesthesia as well as surgical performance increase due to resident training. Therefore, costs of perioperative care increase as well.

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+Arms and interventions

Arm	Interventions	Description
1	Other: Comparison of performance of consultants versus residents	200 laparoscopic cholecystectomies will be included, consultant cases will be compared to resident cases
2	Other: Comparison of performance of consultants versus residents	200 laparoscopic pelviscopies will be included, consultant cases will be compared to resident cases
3	Other: Comparison of performance of consultants versus residents	200 transurethral resection of urinary bladder or prostate gland will be included, consultant cases will be compared to resident cases

Comparison of performance of consultants versus residents (Other): Anesthesia as well as surgical workflow will be analysed. Performance of consultants will be compared to residents

+Outcome measures

Primary outcomes

Anaesthesia and procedural related time intervals [All events will be recorded intraoperativly]

Secondary outcomes

OR costs are calculated as $ 15.00 per minute, additional costs due to increase of time intervals will be analyzed [All data will be recorded intraoperaitvly]

+Eligibility

Sex: All, ages: 18 Years to any

Inclusion Criteria:

* Healthy subjects scheduled for one of the three defined procedures (defined by German Diagnose Related Groups ID) under general or regional anesthesia

Exclusion Criteria:

* Patient's refusal of data collection, emergency procedures, change of physician in charge (resident to consultant or the other way around) of anesthesia or surgical team

+Locations (1)

Facility	City	Country	Status
University Hospital Schleswig-Holstein, Campus Kiel	Kiel, Schleswig-Holstein	Germany

+Investigators

Jens Scholz, MD, Professor, Principal investigator, Department of Anaesthesiology and Intenisve Care Medicine, University Hospital Schleswig-Holstein, Campus Kiel