[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"patient-safety\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:patient-safety":29},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,20,0,[8,54,66,88,120,149,182,204,230,262,288,315,345,366,388,409,437,462,491,525],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":15,"eligibilityCriteria":16,"healthyVolunteers":17,"sex":18,"minAge":19,"maxAge":4,"enrollmentInfo":20,"targetDuration":23,"studyType":24,"phases":4,"briefSummary":25,"conditions":26,"keywords":33,"overallStatus":41,"whyStopped":4,"lastUpdateSubmitDate":42,"lastUpdatePostDateStruct":43,"startDateStruct":46,"completionDateStruct":48,"leadSponsor":50,"locationsCount":53},"100054043","intraoperative-cognitive-load-in-anesthesia-nurses-across-anesthetic-phases-100054043",false,"NCT07568158","Intraoperative Cognitive Load in Anesthesia Nurses Across Anesthetic Phases","Carga Cognitiva Intraoperatoria Del Enfermero\u002Fa de Anestesia Según la Fase Del Acto Anestésico: Estudio Observacional Con NASA-TLX","ENCOPER","Inclusion Criteria:\n\n* Registered nurse anesthetist actively working at Hospital Clínic de Barcelona.\n* Minimum 3 months in the current anesthesia nursing position.\n* Voluntary participation with signed informed consent.\n* Scheduled surgery (including deferred urgent surgery) or solid organ transplantation.\n* General anesthesia (endotracheal intubation or laryngeal mask airway) or spinal anesthesia with sedation.\n* Minimum duration of 30 minutes.\n\nExclusion Criteria:\n\n* Refusal to participate or withdrawal of informed consent.\n* Spinal anesthesia without sedation.\n* Exclusive regional anesthesia without sedation.\n* Sedation alone without regional technique.\n* Duration less than 30 minutes.\n* Cases involving an unexpected intraoperative emergency requiring urgent additional personnel.\n* Cases started under spinal anesthesia converted to general anesthesia for any clinical or technical reason.",true,"ALL","18 Years",{"count":21,"type":22},50,"ESTIMATED","8 Months","OBSERVATIONAL","The goal of this observational study is to measure the cognitive load (mental effort) of anesthesia nurses during real surgical procedures at Hospital Clínic de Barcelona, Spain. The main questions it aims to answer are:\n\n* Does cognitive load vary across the three phases of anesthetic care (induction, maintenance, and emergence\u002Frecovery)?\n* Is cognitive load higher during general anesthesia than during spinal anesthesia with sedation?\n* How do surgical specialty and patient complexity relate to cognitive load?\n* How does monitor alarm perception relate to cognitive load during surgery?\n\nParticipants (anesthesia nurses) will complete the NASA Task Load Index (NASA-TLX) questionnaire - a validated 6-item tool measuring mental effort - three times per surgical case: after induction or spinal block, during maintenance, and after patient awakening or sedation reversal. They will also answer 4 brief questions about alarm management at the end of each case. No changes are made to clinical care. Participation adds approximately 11 minutes per surgical case.",[27,28,29,30,31,32],"Alarm Fatigue","Perioperative","Patient Safety","Cognitive Load","Performance","Cognitive Load, Performance",[34,35,36,37,38,29,39,40],"NASA-TLX","Anesthesia Nursing","Perioperative Nursing","Mental Workload","Intraoperative","Monitor Alarms","Operating Room","RECRUITING","2026-07-10",{"date":44,"type":45},"2026-07-13","ACTUAL",{"date":47,"type":45},"2026-06-01",{"date":49,"type":22},"2027-02-28",{"name":51,"class":52},"Hospital Clinic of Barcelona","OTHER",1,{"id":55,"slug":4,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":15,"eligibilityCriteria":16,"healthyVolunteers":17,"sex":18,"minAge":19,"maxAge":4,"enrollmentInfo":56,"targetDuration":23,"studyType":24,"phases":4,"briefSummary":25,"conditions":57,"keywords":58,"overallStatus":41,"whyStopped":4,"lastUpdateSubmitDate":59,"lastUpdatePostDateStruct":60,"startDateStruct":62,"completionDateStruct":63,"leadSponsor":65,"locationsCount":53},"100636628",{"count":21,"type":22},[27,28,29,30,31,32],[34,35,36,37,38,29,39,40],"2026-06-15",{"date":61,"type":45},"2026-06-17",{"date":47,"type":45},{"date":64,"type":22},"2027-01-01",{"name":51,"class":52},{"id":67,"slug":68,"hasResults":11,"nctId":69,"briefTitle":70,"officialTitle":71,"acronym":4,"eligibilityCriteria":72,"healthyVolunteers":11,"sex":18,"minAge":4,"maxAge":4,"enrollmentInfo":73,"targetDuration":4,"studyType":24,"phases":4,"briefSummary":75,"conditions":76,"keywords":4,"overallStatus":41,"whyStopped":4,"lastUpdateSubmitDate":80,"lastUpdatePostDateStruct":81,"startDateStruct":83,"completionDateStruct":85,"leadSponsor":86,"locationsCount":53},"100638437","chemokeyp-a-feasibility-study-for-realtime-safety-data-capture-for-potential-serious-adverse-drug-events-100638437","NCT07592234","Chemokeyp: A Feasibility Study for Realtime Safety Data-Capture for Potential Serious Adverse Drug Events","Chemokeyp: A Feasibility Study to Evaluate and Further Develop Patient Safety Software Enabling Efficient and Effective Information Exchange for Patients Undergoing Systemic Cancer Treatment Who Access Emergency or Unscheduled Care.","Inclusion Criteria:\n\n* Patient undergoing treatment for cancer at SVUH\n\nExclusion Criteria:\n\n* Presence of a condition(s) or diagnosis, either physical or psychological, or physical exam finding that precludes participation (inability to give informed consent)",{"count":74,"type":22},100,"Chemokeyp is a feasibility study testing a secure ED-Oncology interface for patients receiving chemotherapy who may present to unscheduled care with possible treatment-related complications.\n\nParticipants are enrolled through Oncology and issued a medical-alert-style wristband with a QR code. If they attend the Emergency Department, staff can scan the QR code, access a generic study landing page, and, after SVUH authentication, complete a short structured checklist about possible serious adverse events such as infection, chest pain, vomiting, syncope, or other red-flag symptoms.\n\nThe platform is designed as a secure research data-capture portal, not an electronic health record or clinical documentation system. It does not read from or write to the hospital EHR, does not provide clinical decision support, and does not change usual clinical care. Data entered by ED clinicians are limited to predefined structured fields for research and safety-signal feasibility purposes.\n\nThe study will assess whether ED clinicians can complete the checklist in real time, whether the information can support earlier notification to the research\u002Ftrial team, and whether this data accurately corresponds with verified serious adverse events. If feasible, Chemokeyp could help improve communication between Oncology, Emergency Medicine, and trial teams, supporting safer care for patients on chemotherapy and informing future development of ED-oncology digital safety tools.",[77,29,78,79],"Serious Adverse Events","Pharmacovigilance","Oncology","2026-05-11",{"date":82,"type":45},"2026-05-18",{"date":84,"type":45},"2026-02-01",{"date":64,"type":22},{"name":87,"class":52},"St Vincent's University Hospital, Ireland",{"id":89,"slug":90,"hasResults":11,"nctId":91,"briefTitle":92,"officialTitle":93,"acronym":94,"eligibilityCriteria":95,"healthyVolunteers":11,"sex":18,"minAge":96,"maxAge":97,"enrollmentInfo":98,"targetDuration":4,"studyType":100,"phases":101,"briefSummary":103,"conditions":104,"keywords":4,"overallStatus":111,"whyStopped":4,"lastUpdateSubmitDate":112,"lastUpdatePostDateStruct":113,"startDateStruct":114,"completionDateStruct":116,"leadSponsor":118,"locationsCount":4},"100636629","ultrasound-guided-long-vs-short-peripheral-iv-catheters-in-neonates-with-congenital-syphilis-receiving-antibiotics-100636629","NCT07568171","Ultrasound-Guided Long vs Short Peripheral IV Catheters in Neonates With Congenital Syphilis Receiving Antibiotics","Ultrasound-Guided Long Peripheral Intravenous Catheters Versus Conventional Short Peripheral Catheters for Reducing Post-Insertion Failure in Neonates With Congenital Syphilis Receiving Antibiotic Therapy: A Randomized Clinical Trial","ULTRA-ACCESS","Inclusion Criteria:\n\n* Newborns admitted to the Neonatal Intermediate Care Unit;\n* Diagnosis of congenital syphilis;\n* Indication for intravenous penicillin therapy for an estimated duration of 10 days;\n* Enrollment on the first day of treatment.\n\nExclusion Criteria:\n\n* Newborns who have received any type of peripheral venous catheter prior to study enrollment;\n* Clinical instability at the time of vascular access indication and\u002For requirement for admission to a Neonatal Intensive Care Unit;\n* Requirement for concomitant administration of another antimicrobial agent in addition to crystalline penicillin;\n* Need for catheter insertion outside the operating hours of the Vascular Access Program (7:00 AM to 7:00 PM, Monday to Friday).","1 Day","28 Days",{"count":99,"type":22},104,"INTERVENTIONAL",[102],"NA","Congenital syphilis in newborns requires intravenous antibiotic therapy, making reliable peripheral venous access essential. However, high rates of catheter failure and repeated punctures remain a significant clinical challenge. This randomized, controlled, parallel clinical trial aims to compare ultrasound-guided long peripheral intravenous catheters inserted by a specialized vascular access team with conventional short peripheral catheters inserted by neonatal nurses. A total of 104 newborns with congenital syphilis receiving intravenous penicillin will be randomly assigned to either group. The primary outcome is functional dwell time. Secondary outcomes include catheter failure, number of insertion attempts, first-attempt success, complications, and total number of devices required. The study hypothesizes that ultrasound-guided long peripheral catheters will improve vascular access outcomes, reduce complications, and minimize the need for repeated punctures.",[105,106,107,108,109,29,110],"Infant, Newborn","Syphilis, Congenital","Catheterization, Peripheral","Ultrasonography","Advanced Practice Nursing","Neonatal Nursing","NOT_YET_RECRUITING","2026-05-06",{"date":80,"type":45},{"date":115,"type":22},"2026-05",{"date":117,"type":22},"2028-12",{"name":119,"class":52},"Hospital de Clinicas de Porto Alegre",{"id":121,"slug":122,"hasResults":11,"nctId":123,"briefTitle":124,"officialTitle":125,"acronym":4,"eligibilityCriteria":126,"healthyVolunteers":11,"sex":18,"minAge":19,"maxAge":127,"enrollmentInfo":128,"targetDuration":4,"studyType":100,"phases":130,"briefSummary":131,"conditions":132,"keywords":134,"overallStatus":111,"whyStopped":4,"lastUpdateSubmitDate":140,"lastUpdatePostDateStruct":141,"startDateStruct":143,"completionDateStruct":145,"leadSponsor":147,"locationsCount":4},"100632481","standardized-patient-and-in-situ-simulation-for-iv-infiltration-recognition-100632481","NCT07514247","Standardized Patient and In Situ Simulation for IV Infiltration Recognition","Effects Of Standardized Patient and In Situ Simulation On Nursing Students' Peripheral Intravenous Catheter-Related Infiltration Recognition and Clinical Decision-Making: A Randomized Controlled Trial","Inclusion Criteria:\n\n* First-year undergraduate nursing students at the Faculty of Nursing\n* Students enrolling in the \"Fundamentals of Nursing\" course for the first time\n* Students who gave informed consent and agreed to participate in the study voluntarily.\n\nExclusion Criteria:\n\n* Students reviewing the \"Fundamentals of Nursing\" course\n* Students who refused to participate in the study","23 Years",{"count":129,"type":22},90,[102],"Peripheral intravenous catheters (PIVCs) are widely used invasive devices in hospital settings and are associated with a broad range of complications, among which infiltration is one of the most common and clinically significant. Infiltration, defined as the leakage of intravenous fluids or medications into surrounding tissues, may result in local tissue damage, pain, infection, delayed treatment, and increased healthcare costs. Despite its high prevalence and impact on patient safety, early recognition and appropriate management of infiltration remain challenging, particularly among nursing students.\n\nConventional educational approaches that rely predominantly on theoretical instruction may be insufficient to develop the clinical reasoning and decision-making skills required for timely identification and management of such complications. Therefore, there is a growing emphasis on the use of innovative, learner-centered educational strategies that promote active participation and experiential learning.\n\nSimulation-based education, including in situ simulation and standardized patient methodologies, has been shown to provide realistic, safe, and effective learning environments that enhance both technical and non-technical skills. In situ simulation enables training within real clinical settings using existing resources and team structures, while standardized patients facilitate the development of communication, clinical assessment, and decision-making competencies.\n\nThis randomized controlled trial aims to evaluate the effectiveness of standardized patient and in situ simulation-based training, compared with traditional teaching methods, in improving nursing students' ability to recognize PIVC-related infiltration and enhance their clinical decision-making skills. Secondary outcomes include learning satisfaction and self-confidence.\n\nBy integrating evidence-based simulation approaches into nursing education, this study seeks to strengthen clinical competence and contribute to improved patient safety outcomes.",[29,133],"Peripheral Intravenous Catheter-Related İnfiltration",[135,136,137,138,139],"in-situ simulation","nursing education","simulation based learning","patient safety","infiltration","2026-05-03",{"date":142,"type":45},"2026-05-07",{"date":144,"type":22},"2026-04-25",{"date":146,"type":22},"2026-05-25",{"name":148,"class":52},"Selçuk Görücü",{"id":150,"slug":151,"hasResults":11,"nctId":152,"briefTitle":153,"officialTitle":154,"acronym":155,"eligibilityCriteria":156,"healthyVolunteers":17,"sex":18,"minAge":157,"maxAge":4,"enrollmentInfo":158,"targetDuration":4,"studyType":100,"phases":160,"briefSummary":161,"conditions":162,"keywords":166,"overallStatus":111,"whyStopped":4,"lastUpdateSubmitDate":174,"lastUpdatePostDateStruct":175,"startDateStruct":176,"completionDateStruct":178,"leadSponsor":180,"locationsCount":53},"100636780","simulation-based-interprofessional-education-for-operating-room-teams-100636780","NCT07570134","Simulation-Based Interprofessional Education for Operating Room Teams","Simulation-Based Interprofessional Education for Surgical Residents: A Prospective Study Design for Team-Based Competency Development","Surgical IPE","Inclusion Criteria:\n\n* Adults aged 19 years or older.\n* Affiliated with Yongin Severance Hospital and meeting one of the following criteria:\n* Postgraduate year 1-2 surgical resident;\n* Newly appointed anesthesia nurse practitioner with less than 6 months of experience in the relevant role;\n* Newly appointed operating room nurse with less than 6 months of operating room experience.\n* Able to participate in the planned study procedures during the study period.\n* Able and willing to provide written informed consent.\n\nExclusion Criteria:\n\n* Individuals who do not provide written informed consent.\n* Individuals who are unable to complete the baseline or post-intervention questionnaires.\n* Individuals whose rotation, leave of absence, resignation, transfer, or work schedule change makes participation in the study procedures infeasible.\n* Individuals judged by the investigator to be inappropriate for study participation.","19 Years",{"count":159,"type":22},30,[102],"This single-center, prospective, single-arm pilot study will evaluate a simulation-based interprofessional education program for early-career operating room team members at Yongin Severance Hospital. Participants will include postgraduate year 1-2 surgical residents, newly appointed anesthesia nurse practitioners, and newly appointed operating room nurses. Participants will complete two simulation-based interprofessional education sessions, each including scenario-based team training and structured debriefing. Teamwork self-efficacy and readiness for interprofessional learning will be assessed before and after the educational intervention. The study will also assess program completion as a feasibility outcome. Optional semi-structured interviews may be conducted to explore participants' perceptions of the program and suggestions for improvement.",[163,164,29,165],"Medical Education","Interprofessional Relations","Teamwork",[167,168,169,170,171,136,138,172,173],"Interprofessional education","simulation training","operating room","teamwork","surgical education","readiness for interprofessional learning","RIPLS","2026-04-29",{"date":112,"type":45},{"date":177,"type":22},"2026-05-01",{"date":179,"type":22},"2027-04-25",{"name":181,"class":52},"Yonsei University",{"id":183,"slug":184,"hasResults":11,"nctId":185,"briefTitle":186,"officialTitle":187,"acronym":4,"eligibilityCriteria":188,"healthyVolunteers":17,"sex":18,"minAge":4,"maxAge":4,"enrollmentInfo":189,"targetDuration":4,"studyType":100,"phases":191,"briefSummary":192,"conditions":193,"keywords":4,"overallStatus":41,"whyStopped":4,"lastUpdateSubmitDate":144,"lastUpdatePostDateStruct":197,"startDateStruct":199,"completionDateStruct":200,"leadSponsor":202,"locationsCount":53},"100623305","the-effectiveness-of-gamified-metaverse-based-training-on-patient-safety-for-nursing-students-100623305","NCT07394907","The Effectiveness of Gamified Metaverse-Based Training on Patient Safety for Nursing Students","The Effectiveness of Gamified Metaverse-Based Training on Patient Safety for Nursing Students: A Mixed Methods Study","Inclusion Criteria:\n\n* Voluntarily agreeing to participate in the research,\n* Being a second-year undergraduate nursing student,\n* Being able to understand and speak Turkish,\n* Having healthy hearing, vision, and speech.\n\nExclusion Criteria:\n\n* The student voluntarily wishing to withdraw from the study\n* The student ceasing to use the metaverse space during the study period\n* Filling out the survey form incompletely.",{"count":190,"type":22},60,[102],"Introduction: Patient safety issues, such as medication errors, healthcare-associated infections, unsafe surgical procedures, and diagnostic errors, can negatively impact the quality of healthcare and patient outcomes due to preventable risks. There is a need for innovative, interactive educational approaches to ensure the lasting acquisition of patient safety competencies in nursing students and to strengthen their transfer to the clinical environment. Aim: This study aims to evaluate the effect of gamified metaverse-based training on patient safety competencies in nursing students and to assess student opinions regarding metaverse-based training. Method: The research will be conducted using a mixed-methods design. The quantitative phase will be an experimental design including intervention and control groups, pre-test-post-test, and a one-month follow-up (retention test). The research will be conducted between February 2026 and May 2026 with second-year students studying in the Spring semester of 2025-2026 at Başkent University Nursing Department in Ankara. According to G\\*Power calculations, a minimum sample size of 52 was found; considering a possible 10% loss, the total sample size was planned as 60 students (intervention=30, control=30). All participants will take the Patient Safety Knowledge Level Test (pre-test) and the Patient Safety Competency Self-Assessment Tool before the training. This will be followed by 2 hours of traditional theoretical training on patient safety; the intervention group will also receive gamified metaverse-based training via Spatial.io for two weeks. Post-tests will be administered after the training and one month later. Data collection tools include the Demographic Information Form, the Patient Safety Knowledge Level Test, the Patient Safety Competency Self-Assessment Tool (PSCS), and focus group interviews to be conducted in the intervention group. Quantitative data will be analyzed through within-group and between-group comparisons; qualitative data will be analyzed using thematic analysis, and the findings will be interpreted holistically. Findings (Expected): Gamified metaverse-based training is expected to provide a greater increase in mean scores on the Patient Safety Knowledge Level Test (PSL) and total and sub-dimension scores (knowledge-skills-attitudes) of nursing students compared to the control group, and to support the retention of these results.\n\nConclusion: This study is expected to generate evidence regarding the effectiveness of gamified metaverse-based training in improving patient safety competencies in nursing education and to contribute to the structuring of patient safety training in a more integrated, student-centered, and sustainable manner.",[194,195,29,196],"Gamification","Nursing Education","Mixed Method Implementation Study",{"date":198,"type":45},"2026-04-30",{"date":198,"type":22},{"date":201,"type":22},"2026-06-30",{"name":203,"class":52},"Baskent University",{"id":205,"slug":206,"hasResults":11,"nctId":207,"briefTitle":208,"officialTitle":208,"acronym":4,"eligibilityCriteria":209,"healthyVolunteers":17,"sex":18,"minAge":19,"maxAge":4,"enrollmentInfo":210,"targetDuration":4,"studyType":100,"phases":212,"briefSummary":213,"conditions":214,"keywords":217,"overallStatus":111,"whyStopped":4,"lastUpdateSubmitDate":222,"lastUpdatePostDateStruct":223,"startDateStruct":224,"completionDateStruct":226,"leadSponsor":228,"locationsCount":53},"100635776","the-effect-of-standard-patent-based-and-web-based-smulaton-on-nursng-students-knowledge-and-clncal-sklls-n-fall-rsk-assessment-100635776","NCT07557082","THE EFFECT OF STANDARD PATİENT-BASED AND WEB-BASED SİMULATİON ON NURSİNG STUDENTS' KNOWLEDGE AND CLİNİCAL SKİLLS İN FALL RİSK ASSESSMENT","Inclusion Criteria:\n\n* Be a first-year student in the School of Nursing\n* Be willing to participate in the study\n* Have no absences at any point during the study\n* Have completed both theoretical and clinical training\n* Be willing to remain in the study throughout all phases\n* Be a student who is not currently working or has not previously worked as a nurse\n\nExclusion Criteria:\n\n* Be a graduate of a vocational high school for health sciences\n* Be a student admitted through the Foreign Student Exam (YÖS)\n* Be a student who does not wish to participate in the research\n* Be a student who was admitted to the nursing program through the Vertical Transfer Exam (DGS) after graduating from a program offering an associate's degree in a health-related field",{"count":211,"type":22},120,[102],"Introduction: Falls are the most frequently reported and preventable type of safety incident. Patient falls are the most common adverse events in hospitals. This situation impacts clinical outcomes and increases the financial burden on healthcare systems. Simulation is an important component of nursing education because it enhances patient care and ensures patient safety.\n\nObjective: To comparatively examine the effect of standard patient-based and web-based simulation methods, implemented in addition to the same theoretical education provided to nursing students, on students' knowledge levels regarding fall risk assessment and their fall risk assessment skills in clinical practice.\n\nMaterials and Methods: The study was conducted during the spring semester of the 2025-2026 academic year with first-year students in the Department of Nursing at Aydın Adnan Menderes University as part of the Fundamentals of Nursing course. All participating students will complete theoretical classes in the classroom and practical sessions in the laboratory. The study using standard patient and web-based simulation applications will be conducted in the simulation laboratory of the Faculty of Nursing at Aydın Adnan Menderes University. Research data will be collected using the \"Individual Information Form,\" the \"Fall Knowledge Test for Preventing Patient Falls\" prepared in accordance with the literature, and the \"Fall Risk Assessment Skills Rubric.\" Research data will be collected over a 4-month period (February 9 - June 9, 2026). A written permission letter will be obtained from the institution to conduct the study. Participants will be provided with detailed information about the study, and both verbal and written consent will be obtained. For numerically measured data, a normal distribution analysis will be performed; based on the results of this analysis, \"Pearson Chi-square\" and \"t-tests\" will be used for variables showing a normal distribution.\n\nFindings: The research findings will be presented based on the analyses conducted.\n\nConclusion: The results will be presented based on the research findings, and recommendations will be made accordingly.",[29,215,216],"Fall","Simulation Edication",[218,219,220,221],"web-based simulation","standard patient","nursing students","randomized controlled trial","2026-04-23",{"date":174,"type":45},{"date":225,"type":22},"2026-04-27",{"date":227,"type":22},"2026-06-12",{"name":229,"class":52},"ESRA ERTUĞRUL",{"id":231,"slug":232,"hasResults":11,"nctId":233,"briefTitle":234,"officialTitle":235,"acronym":4,"eligibilityCriteria":236,"healthyVolunteers":17,"sex":18,"minAge":19,"maxAge":4,"enrollmentInfo":237,"targetDuration":4,"studyType":100,"phases":239,"briefSummary":240,"conditions":241,"keywords":246,"overallStatus":111,"whyStopped":4,"lastUpdateSubmitDate":253,"lastUpdatePostDateStruct":254,"startDateStruct":256,"completionDateStruct":258,"leadSponsor":260,"locationsCount":53},"100633495","procedure-manual-based-simulation-training-to-improve-operating-room-nurses-core-competencies-100633495","NCT07527429","Procedure Manual-Based Simulation Training to Improve Operating Room Nurses' Core Competencies","The Impact of Procedure Manual-Based Simulation Training on Operating Room Nurses' Core Competencies in a Cambodian National Hospital: A Quasi-Experimental Study","Inclusion Criteria:\n\n* Registered nurses who are appointed to work in the intraoperative phase of Cambodia-China Friendship Preah Kossamak Hospital.\n* Registered nurses at Cambodia-China Friendship Preah Kossamak Hospital who are willing to participate in the study.\n\nExclusion Criteria:\n\n* Registered Nurses Cambodia-China Friendship Preah Kossamak Hospital who are unable to participate in intervention requirements.\n* Registered Nurses Cambodia-China Friendship Preah Kossamak Hospital who are scheduled to participate in hospital mission assignments.",{"count":238,"type":22},49,[102],"This study aims to evaluate the effectiveness of a procedure manual-based simulation training program in improving the core competencies of operating room nurses in a Cambodian national hospital. Operating room nurses play a critical role in maintaining patient safety, assisting the surgical team, and ensuring efficient surgical workflow.\n\nThis study will use a single-group quasi-experimental pre-post design. Baseline data will be collected before the intervention to assess operating room nurses' core competencies, interprofessional collaboration, job satisfaction, and surgical procedure duration.\n\nParticipants will receive structured educational sessions and simulation-based training based on standardized surgical procedure manuals. After the training phase, nurses will implement the procedure manuals during real surgical procedures for six weeks. End-line data will be collected to evaluate improvements in competency levels, teamwork, job satisfaction, and surgical efficiency.",[242,29,243,244,245],"Core Competency","Interprofessional Collaboration","Surgical Outcome","Job Satisfaction",[247,248,249,250,251,195,243,252,245],"Simulation Training","Procedure Manual","Operating Room Nurses","Cambodia","Quasi-Experimental Study","Surgical Outcomes","2026-04-13",{"date":255,"type":45},"2026-04-16",{"date":257,"type":22},"2026-04-20",{"date":259,"type":22},"2027-03-31",{"name":261,"class":52},"Hiroshima University",{"id":263,"slug":264,"hasResults":11,"nctId":265,"briefTitle":266,"officialTitle":267,"acronym":268,"eligibilityCriteria":269,"healthyVolunteers":11,"sex":18,"minAge":4,"maxAge":4,"enrollmentInfo":270,"targetDuration":4,"studyType":100,"phases":272,"briefSummary":273,"conditions":274,"keywords":275,"overallStatus":111,"whyStopped":4,"lastUpdateSubmitDate":278,"lastUpdatePostDateStruct":279,"startDateStruct":281,"completionDateStruct":283,"leadSponsor":285,"locationsCount":53},"100444054","an-intervention-to-impact-cardiovascular-implantable-electronic-device-lead-models-implanted-in-veterans-100444054","NCT05062434","An Intervention to Impact Cardiovascular Implantable Electronic Device Lead Models Implanted in Veterans","Improving Safety of Cardiovascular Implantable Electronic Devices in Veterans (CDA 21-057)","Veteran CIEDs","Inclusion Criteria:\n\n* Department of Veterans Affairs-based cardiac electrophysiologists who implant cardiovascular implantable electronic devices at three Veterans Integrated Service Networks (VISNs)\n\nExclusion Criteria:\n\n* Not willing to participate in the study",{"count":271,"type":22},12,[102],"This study will evaluate if an intervention using academic detailing and audit and feedback impacts the specific pacemaker or implantable cardioverter-defibrillator (ICD) lead models implanted in Veterans.",[29],[276,277],"Defibrillators, Implantable","Pacemaker, Artificial","2026-03-27",{"date":280,"type":45},"2026-04-02",{"date":282,"type":22},"2026-11-01",{"date":284,"type":22},"2027-09-02",{"name":286,"class":287},"VA Office of Research and Development","FED",{"id":289,"slug":290,"hasResults":11,"nctId":291,"briefTitle":292,"officialTitle":293,"acronym":294,"eligibilityCriteria":295,"healthyVolunteers":17,"sex":18,"minAge":4,"maxAge":4,"enrollmentInfo":296,"targetDuration":4,"studyType":100,"phases":298,"briefSummary":299,"conditions":300,"keywords":4,"overallStatus":41,"whyStopped":4,"lastUpdateSubmitDate":306,"lastUpdatePostDateStruct":307,"startDateStruct":309,"completionDateStruct":311,"leadSponsor":313,"locationsCount":53},"100470535","patients-and-families-improving-safety-in-hospitals-by-actively-reporting-experiences-100470535","NCT05407129","Patients and Families Improving Safety in Hospitals by Actively Reporting Experiences","Patients and Families Improving Safety in Hospitals by Actively Reporting Experiences (I-SHARE)","I-SHARE","Inclusion Criteria:\n\n* Patient\u002FFamily\u002FCaregiver who has been hospitalized on the study unit during the study period (within the past 24 hours) or hospital employee who works at the study sites\n* Participants speaking all languages are eligible\n\nExclusion Criteria:\n\n* Admitted awaiting inpatient psychiatric placement\n* In state custody\n* Admitted for greater than 24 hours\n* Same day discharge\n* Covid positive\n* Previously enrolled in I-SHARE\n* Airborne illness precautions",{"count":297,"type":22},656,[102],"Hospitals ineffectively examine the safety of their processes by relying on voluntary incident reporting (VIR) by clinical staff who are overworked and afraid to report. VIR captures only 1-10% of events, excludes patients and families, and underdetects events in vulnerable groups like patients with language barriers. Patients and families are vigilant partners in care who are adept at identifying errors and AEs. Failing to actively include patients and families in safety reporting and instead relying on flawed VIR presents an important missed opportunity to improve safety. To improve hospital safety, there is a critical need to coproduce (create in partnership with families) effective systems to identify uncaptured errors. Without this information, hospitals are impeded in their ability to improve patient safety. In partnership with diverse families, nurses, physicians, and hospital leaders, investigators created a multicomponent communication intervention to engage families of hospitalized children in safety reporting. The intervention includes 3 elements: (1) a multilingual mobile (email, text, and QR-code) reporting tool prompting families to share concerns and suggestions about safety, (2) family\u002Fstaff education, and (3) a process for sharing family reports with the unit and hospital so systemic issues can be addressed.",[301,302,303,29,304,305],"Family Reported Errors and Adverse Events","Health Disparities","Family Safety Reporting","Voluntary Incident Reporting","Quality Improvement","2026-03-22",{"date":308,"type":45},"2026-03-24",{"date":310,"type":45},"2023-04-13",{"date":312,"type":22},"2028-10-28",{"name":314,"class":52},"Boston Children's Hospital",{"id":316,"slug":317,"hasResults":11,"nctId":318,"briefTitle":319,"officialTitle":320,"acronym":4,"eligibilityCriteria":321,"healthyVolunteers":11,"sex":18,"minAge":19,"maxAge":4,"enrollmentInfo":322,"targetDuration":4,"studyType":100,"phases":324,"briefSummary":325,"conditions":326,"keywords":332,"overallStatus":111,"whyStopped":4,"lastUpdateSubmitDate":336,"lastUpdatePostDateStruct":337,"startDateStruct":339,"completionDateStruct":341,"leadSponsor":343,"locationsCount":53},"100625910","online-watch-summarize-question-ask-method-in-falls-education-for-nursing-students-100625910","NCT07428772","Online Watch-Summarize-Question-Ask Method in Falls Education for Nursing Students","The Effect of the Online Watch-Summarize-Question-Ask Learning Method on Nursing Students' Knowledge, Skills, Attitudes, and Behaviors Regarding Patient Falls","Inclusion Criteria:\n\n* Volunteers from the 4th year students of the Nursing Faculty at İnönü University\n\nExclusion Criteria:\n\n* Graduates of high school, associate's degree, or bachelor's degree programs in a health-related field\n* Students who have enrolled in the 4th grade for the second time\n* Students who do not have the technical means to access the online education platform\n* Students who wish to withdraw from the research at any stage\n* Students who do not participate in the training sessions\n* Students who do not complete the data collection forms",{"count":323,"type":22},66,[102],"This randomized controlled study will evaluate the effectiveness of an online Watch-Summarize-Question-Ask (WSQA) learning method on nursing students' knowledge, skills, attitudes, and behaviors related to patient fall prevention and management. Sixty-six nursing students will be randomly assigned to intervention and control groups. Both groups will receive standard patient safety education, while the intervention group will additionally participate in an online, evidence-based fall prevention training program structured according to the WSQA method, including video-based learning, summarization, question generation, and interactive discussions. Outcomes will be assessed using validated instruments measuring fall management knowledge, self-efficacy, attitudes toward fall prevention, care planning performance, and student satisfaction. The study aims to determine the effectiveness of an innovative educational approach to improve fall prevention competencies and enhance the quality and safety of nursing care.",[327,328,329,330,331,29],"Education","Online Learning","Fall Prevention","Fall, Accidental","Nursing Students",[333,334,335,138,220],"online learning","patient falls","fall prevention","2026-02-17",{"date":338,"type":45},"2026-02-24",{"date":340,"type":22},"2026-02-27",{"date":342,"type":22},"2026-06-07",{"name":344,"class":52},"Inonu University",{"id":346,"slug":347,"hasResults":11,"nctId":348,"briefTitle":349,"officialTitle":350,"acronym":4,"eligibilityCriteria":351,"healthyVolunteers":17,"sex":18,"minAge":4,"maxAge":4,"enrollmentInfo":352,"targetDuration":4,"studyType":100,"phases":354,"briefSummary":355,"conditions":356,"keywords":357,"overallStatus":111,"whyStopped":4,"lastUpdateSubmitDate":358,"lastUpdatePostDateStruct":359,"startDateStruct":361,"completionDateStruct":363,"leadSponsor":365,"locationsCount":53},"100623013","the-effect-of-standard-patient-and-web-based-simulation-on-fall-knowledge-and-attitudes-among-nursing-students-100623013","NCT07391111","THE EFFECT OF STANDARD PATIENT AND WEB-BASED SIMULATION ON FALL KNOWLEDGE AND ATTITUDES AMONG NURSING STUDENTS","THE EFFECT OF STANDARD PATIENT AND WEB-BASED SIMULATION APPLICATIONS ON NURSING STUDENTS' KNOWLEDGE AND ATTITUDES TOWARDS FALLS","Inclusion Criteria:Students were included in the study if they were:\n\n* A senior nursing student at Aydın Adnan Menderes University Faculty of Nursing\n* Volunteering to participate in the study\n* Not absent at any time during the study period\n* Working\u002Fnot working as a nurse\n\nExclusion Criteria:\n\n* Graduated from a health vocational high school\n* Admitted through the Foreign Student Exam (YÖS)\n* Graduated from a health-related associate's degree program and then enrolled in the nursing department through the Vertical Transfer Exam (DGS)\n* Students who did not wish to participate in the study were excluded from the study.",{"count":353,"type":22},81,[102],"The most fundamental principle of any healthcare service is \"First, do no harm.\" No one should be harmed in healthcare services. Falls are the most frequently reported and preventable incident among all safety incidents in the hospital environment. However, falls are the most frequently reported incident among all safety incidents. Patient falls are the most common adverse events in hospitals. Patient falls in hospitals cause physiological and psychological harm to patients, affect the timeliness, effectiveness, and efficiency of care, and lead to increases in hospital costs and length of stay. Therefore, preventing falls, which have serious consequences, is of vital importance in terms of patient safety and healthcare quality. Nurses are a group that can sensitively identify and manage issues related to patient safety. Therefore, it is important to identify and reduce the underlying risk factors for falls in patients and to provide appropriate nursing interventions to prevent secondary injuries in patients who have fallen.\n\nSimulation is an important part of nursing education because it improves patient care and ensures patient safety. Simulation-based learning provides students with realistic clinical situations, allowing them to practice clinical skills in a safe environment. This enables students to develop their clinical skills, communication, decision-making, and self-efficacy in a risk-free, safe, and structured environment, representing a contemporary teaching approach.\n\nTeaching safe patient care during nursing students' education is one of the most fundamental elements of nursing education. Inadequate nursing knowledge and attitudes increase the risk of falls among patients receiving care. Students with insufficient clinical experience are at high risk of making undesirable errors in patient care. It is important to increase nursing students' knowledge and attitudes regarding falls during their education.\n\nThe standard patient and web-based simulation application offers the closest experience to real clinical situations, providing students with significant potential to become aware of falls they may encounter in practice and prevent potential errors. The increasing importance given to patient safety due to the rising number of fall cases supports the necessity of this research. The aim of this study is to evaluate the effect of standard patient and web-based simulation methods on nursing students' knowledge and attitudes regarding falls.",[29,215,216],[218,219,220,221],"2026-02-02",{"date":360,"type":45},"2026-02-05",{"date":362,"type":22},"2026-01-05",{"date":364,"type":22},"2026-05-22",{"name":229,"class":52},{"id":367,"slug":368,"hasResults":11,"nctId":369,"briefTitle":370,"officialTitle":371,"acronym":4,"eligibilityCriteria":372,"healthyVolunteers":17,"sex":18,"minAge":4,"maxAge":4,"enrollmentInfo":373,"targetDuration":4,"studyType":100,"phases":374,"briefSummary":375,"conditions":376,"keywords":377,"overallStatus":111,"whyStopped":4,"lastUpdateSubmitDate":381,"lastUpdatePostDateStruct":382,"startDateStruct":384,"completionDateStruct":386,"leadSponsor":387,"locationsCount":53},"100619802","simulation-practices-and-medical-error-tendencies-in-nursing-students-100619802","NCT07349355","Simulation Practices and Medical Error Tendencies in Nursing Students","The Effect of In-Situ Simulation and Standardized Patient Practice on Medical Error Tendencies and Attitudes of Senior Nursing Students","Inclusion Criteria: Students were included in the study if they were:\n\n* A senior nursing student at Aydın Adnan Menderes University Faculty of Nursing\n* Volunteering to participate in the study\n* Not absent at any time during the study period\n* Working\u002Fnot working as a nurse\n\nExclusion Criteria:\n\n* Graduated from a health vocational high school\n* Admitted through the Foreign Student Exam (YÖS)\n* Graduated from a health-related associate's degree program and then enrolled in the nursing department through the Vertical Transfer Exam (DGS)\n* Students who did not wish to participate in the study were excluded from the study.",{"count":353,"type":22},[102],"As the professional group that has the most frequent contact with patients, nurses are critical to the sustainability of safe care. Literature demonstrates that nursing practice is prone to error due to heavy workloads, time pressures, complex clinical tasks, inadequate rest, inappropriate working conditions, and the physiological strain of demanding shifts. When these conditions strain both physical and cognitive resources, the risk of errors during treatment administration increases.\n\nMedical errors remain one of the most devastating realities of healthcare. Data from the World Health Organization reveals the significant morbidity and mortality caused by errors on a global scale. Numerous studies have demonstrated that student nurses have a significant rate of errors, and those with limited clinical experience are particularly at risk in fundamental areas such as medication administration, asepsis, and patient identification. Increasing patient numbers, short stays, rapid turnover, and the intense pace of clinics negatively impact student nurses' ability to provide safe care, prompting both educators and students to seek stronger pedagogical solutions.\n\nThis is where simulation-based training comes into play. Simulation is emerging as a contemporary teaching approach that enables students to develop their clinical skills, communication, decision-making, and self-efficacy in a risk-free, safe, and structured environment. It is increasingly being used because it supports knowledge and skill transfer, reduces fear and anxiety, strengthens self-confidence, and provides the opportunity to experience errors. In-situ simulation and standardized patient practice offer strong potential for reducing students' error proneness by providing an experience closest to real-world clinical situations. However, the lack of a study in the literature examining the effects of these two methods, particularly on the medical error proneness and attitudes of final-year nursing students, is a significant gap.\n\nThis study aims to strengthen a critical area of nursing education. The aim is to evaluate the impact of in-situ simulation and standardized patient practice on final-year nursing students' medical error proneness and attitudes toward medical errors and to reveal how they transform students' competencies in providing safe care.",[29],[378,379,220,221,136,380],"In-situ simulation","standardized patient","medical error","2026-01-11",{"date":383,"type":45},"2026-01-16",{"date":385,"type":22},"2026-01-15",{"date":177,"type":22},{"name":148,"class":52},{"id":389,"slug":390,"hasResults":11,"nctId":391,"briefTitle":392,"officialTitle":393,"acronym":4,"eligibilityCriteria":394,"healthyVolunteers":11,"sex":18,"minAge":19,"maxAge":4,"enrollmentInfo":395,"targetDuration":4,"studyType":24,"phases":4,"briefSummary":397,"conditions":398,"keywords":4,"overallStatus":41,"whyStopped":4,"lastUpdateSubmitDate":400,"lastUpdatePostDateStruct":401,"startDateStruct":403,"completionDateStruct":405,"leadSponsor":407,"locationsCount":53},"100428072","introduction-of-an-operating-room-black-box-to-identify-analyse-and-prevent-errors-in-the-vascular-hybrid-room-100428072","NCT04854278","Introduction of an Operating Room Black Box to Identify, Analyse and Prevent Errors in the Vascular Hybrid Room","Development of Strategies to Identify, Analyse and Prevent Errors in the Vascular Hybrid Room - an Inter-professional Approach to Enhance Technical and Non-technical Performance and to Improve Patient Safety","Inclusion Criteria:\n\n* Patients undergoing elective (planned more than 48 hours) endovascular procedures.\n* Symptomatic aortic-iliac-femoral-popliteal-below the knee atherosclerotic stenotic or occlusive disease (PVI)\n* Endovascular exclusion of thoracic aortic, infrarenal abdominal aortic and\u002For iliac aneurysm repair (EVAR)\n\nExclusion Criteria:\n\n* No consent of patient\n* No consent of all endovascular team members\n* Emergency procedure (planned \\\u003C 48h before)\n* Endovascular procedure not treating atherosclerotic aortic-iliac-femoral-popliteal-below the knee disease or aortic-iliac aneurysm",{"count":396,"type":22},400,"The \"OR Black box\", an inclusive multiport data capturing system has been developed and successfully used for detailed analysis of laparoscopic surgical procedures. A pilot study has shown that this system can be successfully installed in the hybrid room at Ghent University Hospital and used for detailed analysis of intra-operative errors and radiation safety issues in endovascular procedures.\n\nSecondary analysis of pilot study data via direct video coding assessed the relationship between leadership style of the surgeon and team behavior and possible fluctuations during surgery.\n\nThis novel approach allows a prospective objective assessment of human and environmental factors as well as measurement of errors, events and outcomes. In this study, the aim is to use the acquired knowledge to characterize a chain of events, identify high-risk interventions and identify areas for improvement, both on an organizational, team or individual level.\n\nHypothesis: non-technical skills, environmental factors and teamwork in the hybrid room correlate with surgical technical performance and error rates. Furthermore, we hypothesize that incidents and adverse events can be tracked to a chain of errors that is influenced by technical and non-technical skills as well as environmental factors.",[29,399,305],"Endovascular Procedures","2025-12-15",{"date":402,"type":45},"2025-12-22",{"date":404,"type":45},"2019-02-19",{"date":406,"type":22},"2027-12-31",{"name":408,"class":52},"University Ghent",{"id":410,"slug":411,"hasResults":11,"nctId":412,"briefTitle":413,"officialTitle":414,"acronym":415,"eligibilityCriteria":416,"healthyVolunteers":11,"sex":18,"minAge":19,"maxAge":4,"enrollmentInfo":417,"targetDuration":4,"studyType":100,"phases":419,"briefSummary":420,"conditions":421,"keywords":426,"overallStatus":111,"whyStopped":4,"lastUpdateSubmitDate":428,"lastUpdatePostDateStruct":429,"startDateStruct":431,"completionDateStruct":433,"leadSponsor":435,"locationsCount":53},"100598181","telenursing-in-the-immediate-preoperative-period-of-elective-surgeries-100598181","NCT07068152","TELENURSING IN THE IMMEDIATE PREOPERATIVE PERIOD OF ELECTIVE SURGERIES","COST-EFFECTIVENESS ANALYSIS OF \"PIGGYBACK\" TELENURSING IN THE IMMEDIATE PREOPERATIVE PERIOD OF ELECTIVE SURGERIES: RANDOMIZED CLINICAL TRIAL PROTOCOL","TIPPES","Inclusion Criteria:\n\n* Patient recruitment will be conducted using the hospital's general surgical center surgical map. The participating population will consist of:\n* All patients 18 years of age or older, of both sexes, in the immediate preoperative period;\n* Admitted on the day of elective surgery;\n* Coming from their home.\n\nExclusion Criteria:\n\n* Inpatients;\n* Ophthalmology, obstetrics, and pediatrics specialties;\n* Exams performed in the surgical center, such as endoscopy, colonoscopy, video hysteroscopy, and others.",{"count":418,"type":22},352,[102],"Introduction: Telenursing encompasses Nursing Consultation, Interconsultation, Consulting, Monitoring, Health Education and Reception of Spontaneous Demand mediated by Information and Communication Technology. Objective: To perform a cost-effectiveness analysis of telenursing in the immediate preoperative period of adult patients undergoing elective surgeries in a university hospital of the SUS. Materials and method: Cost-effectiveness analysis nested in a clinical trial or empirical economic analysis of the piggyback evaluation type. Divided into 2 phases: a) Experimental research - randomized clinical trial to be carried out in a university hospital located in Rio de Janeiro and part of the SUS, with two parallel groups - intervention and control - with 1:1 allocation. The inclusion criteria will be adult patients, of both sexes, in the immediate preoperative period who are admitted on the day of elective surgery from their home. Patients who are hospitalized, patients in ophthalmology and obstetrics specialties, and those who will undergo examinations in the surgical center will be excluded. The sample size calculation was performed with a 95% confidence level and a sample loss of 5%, totaling 352 patients. The sampling will be random. Randomization and allocation concealment will be performed by the independent researcher. Patients in the GI will receive telenursing on the day before surgery with an anamnesis script for telenursing by the main researcher. On the day of surgery, all patients on the surgical map who came from their residence will be directed to the nursing assessment room where the auxiliary researcher will apply the in-person anamnesis script. The data will be processed by two independent researchers in an electronic spreadsheet and will be analyzed using descriptive and inferential statistics. The research will respect all legal and ethical frameworks necessary for its implementation; b) Prospective analysis of complete economic evaluation - in the piggyback evaluation modality - of the cost-effectiveness type. The effectiveness of telenursing will be verified by the outcome of surgical cancellation. A decision tree model will be used with a view to analyzing the SUS user at the local level (microcosting). The time horizon will be two days. The cost-effectiveness threshold will be 1 GDP per capita and the data analysis will include deterministic and probabilistic sensitivity. Expected results: It is expected to prove that telenursing can be a safe and efficient method for guiding patients before surgery, generating greater patient satisfaction, increasing access to information about health care for users through remote communication with nurses, reducing the waiting list by reducing surgical cancellations and possible incorporation of telenursing as a consolidated practice in the university hospital studied.",[422,423,29,424,425],"Preoperative Care","Telenursing","Elective Surgical Procedures","Hospitals",[424,427,138,422,425],"telenursing","2025-07-16",{"date":430,"type":45},"2025-07-20",{"date":432,"type":22},"2025-08-01",{"date":434,"type":22},"2027-02",{"name":436,"class":52},"Rio de Janeiro State University",{"id":438,"slug":439,"hasResults":11,"nctId":440,"briefTitle":441,"officialTitle":441,"acronym":442,"eligibilityCriteria":443,"healthyVolunteers":11,"sex":18,"minAge":19,"maxAge":4,"enrollmentInfo":444,"targetDuration":4,"studyType":100,"phases":445,"briefSummary":446,"conditions":447,"keywords":449,"overallStatus":41,"whyStopped":4,"lastUpdateSubmitDate":452,"lastUpdatePostDateStruct":453,"startDateStruct":455,"completionDateStruct":457,"leadSponsor":459,"locationsCount":461},"100376021","intensive-care-unit-resident-scheduling-trial-100376021","NCT04176094","Intensive Care Unit Resident Scheduling Trial","InCURS","Inclusion Criteria for ICUs:\n\n* Admit adult patients (≥18 years);\n* Are anticipated to have sufficient rotating residents from Royal College of Physicians and Surgeons of Canada -accredited training programs to provide overnight in-house coverage for at least 20 overnight periods in 28 days; and\n* Are willing to participate in the study (schedule randomization, measurements).\n\nInclusion Criteria for Patients:\n\n• Patients admitted to ICU during either period of the study.\n\nInclusion Criteria for Residents:\n\n* Are enrolled in an accredited specialty training program of the Royal College of Physicians and Surgeons of Canada (internal or emergency medicine, surgery, anaesthesia, other, but not critical care medicine),\n* Are able to perform overnight in-house duty with supervision from critical care trainees and intensivists, and\n* Have the first 4 weeks of their ICU rotation entirely in one period. Residents who have participated in the study previously will not complete the competency assessments, however will be eligible to participate in the wellbeing and description of learning activities.\n\nInclusion Criteria for Supervisors:\n\n• Are Physicians responsible for the supervision of residents and other trainees in the ICU, and include Critical Care Trainees and Staff Physicians.\n\nInclusion Criteria for ICU frontline staff:\n\n• Are Registered nurses, registered respiratory therapists, pharmacists, social workers, physiotherapists and occupational therapists, who provide care in the ICU.\n\nExclusion Criteria for ICUs:\n\n* ICUs with no rotating residents performing overnight in-house duty.\n* ICUs that are anticipating a major change in ICU staffing (e.g. in-house intensivist added or removed, in-house fellow added or removed) or\n* Are unwilling to have either resident schedule randomized, to provide study measurements or both.\n\nExclusion Criteria for Patients:\n\n• Patients will be excluded if they are in the ICU at the start of a study period.\n\nExclusion Criteria for Residents:\n\n* Residents enrolled in a critical care medicine accredited specialty training program,\n* Who are not able to perform overnight in-house duty,\n* Where the first 4 weeks of their ICU rotation are not in one period,\n* Where the length of their ICU rotation is less than 4 week.",{"count":5,"type":22},[102],"Many patients, doctors and others worry that tired doctors provide worse patient care, may not learn well and become burnt-out. In response to these concerns, some countries changed their laws to limit work-hours for doctors in training ('residents').\n\nIn Canada, most residents work six or seven 24-30h shifts each month. A recent Canadian report ordered by Health Canada said that making good decisions about resident work-hour rules was \"significantly limited by quality evidence, especially evidence directly attributable to the Canadian context.\" Creating this evidence is the main goal of this research.\n\nThe pilot study in 2 intensive care units(ICU) found that shorter shifts may be worse for patients, and for residents were more tiring than expected but improved wellbeing. Learning was not assessed. Previous studies on resident work-hours report similar findings: conflicting effects for patients, benefits for resident wellbeing, inconsistent and under-studied effects on learning. Overall, these results are not conclusive and confirm the need for a larger study.\n\nThe current study will provide high-quality Canadian evidence. The investigators will compare two common ICU schedules used in Canada: resident shifts of 16h and 24h. ICU patients are very sick, there is little margin for error: they need doctors who know them well and are thinking clearly.\n\nThe effects of each schedule on patients and residents will be measured. For patients, mortality rates and harm caused by care in ICU will be studied. For resident education, their learning about managing common illnesses in ICU, to do basic ICU procedures, and communicate with families will be studied. For resident wellbeing measures will include sleepiness, other fatigue symptoms, and burnout.\n\nInvestigators will study both resident and patient outcomes so that Canadians can understand trade-offs linked to changing schedules. With this knowledge, Canadians can expect safer care for today's patients and better-trained doctors for the patients of tomorrow.",[29,448,327],"Well-being",[450,451],"health service and systems research","population health","2025-04-08",{"date":454,"type":45},"2025-04-11",{"date":456,"type":45},"2019-11-18",{"date":458,"type":22},"2027-12",{"name":460,"class":52},"The Hospital for Sick Children",5,{"id":463,"slug":464,"hasResults":11,"nctId":465,"briefTitle":466,"officialTitle":467,"acronym":4,"eligibilityCriteria":468,"healthyVolunteers":11,"sex":469,"minAge":470,"maxAge":4,"enrollmentInfo":471,"targetDuration":473,"studyType":24,"phases":4,"briefSummary":474,"conditions":475,"keywords":478,"overallStatus":41,"whyStopped":4,"lastUpdateSubmitDate":481,"lastUpdatePostDateStruct":482,"startDateStruct":484,"completionDateStruct":486,"leadSponsor":488,"locationsCount":490},"100587293","teambirth-swe---a-care-process-to-improve-safe-and-person-centered-intrapartum-care-100587293","NCT06926504","TeamBirth-SWE - a Care Process to Improve Safe and Person-centered Intrapartum Care","TeamBirth - an Intervention to Improve Patient Safety and Person-centered Care During Childbirth","Inclusion criteria:\n\n* Spontaneous onset of labor\n* Induction of labort\n* Gestational week \\>22+0\n\nExclusion criteria:\n\n* Planned cesarean section\n* Intrauterine Fetal Demise\n* Gestational week \\\u003C22+0, .","FEMALE","15 Years",{"count":472,"type":22},800000,"2 Years","The primary objective of this project is to enhance understanding of intrapartum patient safety and person-centered care through the evaluation of an intervention designed to improve team communication and patient involvement during childbirth, thereby positively impacting maternal and infant health.\n\nDespite various efforts to improve safety in intrapartum care, women and their infants are still harmed. Most adverse events within intrapartum care stem from communication and teamwork failures. Despite national and international recommendations, few interventions target patient safety by incorporating person-centered care.\n\nThis project will investigate the effectiveness and implementation of the TeamBirth care process developed by Ariadne Labs Boston, U.S. to improve communication and teamwork among caregivers and women during childbirth. The Swedish version of this care process (TeamBirth-SWE) was adapted, tested, and piloted at Karolinska University Hospital during 2021.\n\nHypothesis: We hypothesize that the TeamBirth-SWE intervention will have a positive impact on interprofessional teamwork, communication, information sharing, patient involvement, and shared decision-making during labor and birth. These improvements are expected to result in improved maternal and infant outcomes, process measures i.e., patient safety climate, interprofessional collaboration, and improved patient reported measures such as patient involvement, shared-decision-making, and satisfaction with care.",[476,29,477],"Person Centered Care","Patient Satisfaction",[479,480],"person-centered care","intrapartum patient safety","2025-04-07",{"date":483,"type":45},"2025-04-13",{"date":485,"type":45},"2024-02-05",{"date":487,"type":22},"2029-12-31",{"name":489,"class":52},"Karolinska Institutet",7,{"id":492,"slug":493,"hasResults":11,"nctId":494,"briefTitle":495,"officialTitle":496,"acronym":497,"eligibilityCriteria":498,"healthyVolunteers":11,"sex":18,"minAge":4,"maxAge":4,"enrollmentInfo":499,"targetDuration":4,"studyType":100,"phases":501,"briefSummary":502,"conditions":503,"keywords":509,"overallStatus":111,"whyStopped":4,"lastUpdateSubmitDate":517,"lastUpdatePostDateStruct":518,"startDateStruct":520,"completionDateStruct":522,"leadSponsor":523,"locationsCount":53},"100580273","automatic-feedback-indicator-to-enhance-the-hospital-discharge-communication-between-acute-care-and-primary-care-100580273","NCT06835153","Automatic Feedback Indicator to Enhance the Hospital Discharge Communication Between Acute Care and Primary Care.","Automatic Feedback Indicator to Enhance the Hospital Discharge Communication Between Acute Care and Primary Care: a Randomized Controlled Cluster Trial","FIAQLS","Inclusion Criteria:\n\n* Patients hospitalized for at least 24 hours in participating services.\n* Patients discharged alive directly from participating services.\n\nExclusion Criteria:\n\n* Patients hospitalized for less than 24 hours.\n* Patients who died during hospitalization.\n* Stays in services not meeting inclusion criteria (e.g., psychiatry, long-term care, emergency services with rare direct discharges, or critical care units).",{"count":500,"type":22},132000,[102],"This study, titled \"Automated Indicator Feedback for Improving the Quality of Discharge Letters: A Cluster-Randomized Controlled Trial\" (FIAQ-LS), aims to evaluate whether continuous real-time feedback to hospital teams can improve the quality of discharge letters. Discharge letters are critical for ensuring continuity of care and reducing adverse events by providing detailed information about a patient's hospital stay to both the patient and their primary care physician.\n\nThe study will be conducted at Grenoble Alpes University Hospital and involve 40 hospital services across three campuses. The trial design includes two parallel arms: an intervention group receiving monthly performance feedback through automated dashboards and a control group with no additional intervention. Services are randomized into these groups using a stratified cluster approach.\n\nThe primary objective is to assess whether this intervention increases the proportion of discharge letters validated on the day of discharge compared to usual care. Secondary objectives include evaluating patient satisfaction, rates of unplanned 30-day readmissions, and completeness of discharge letter content.\n\nThe study will include data from approximately 132,000 patient stays over two phases: a pre-implementation observational period (12 months) and an intervention phase (12 months). All data will be collected and analyzed anonymously, with findings expected to inform the broader implementation of quality improvement strategies in French hospitals.",[504,29,505,506,507,508],"Continuity of Care","Hospital Discharge Communication Processes","Communication","Quality Indicators, Health Care","Electronic Health Records",[510,511,305,512,513,477,514,515,516],"Discharge Summary","Patient Handover","Cluster Randomized Trial","Healthcare Outcomes","Quality Indicators","Real-Time Feedback","Electronic Health Records (EHR)","2025-02-13",{"date":519,"type":45},"2025-02-19",{"date":521,"type":22},"2025-03-01",{"date":84,"type":22},{"name":524,"class":52},"University Hospital, Grenoble",{"id":526,"slug":527,"hasResults":11,"nctId":528,"briefTitle":529,"officialTitle":529,"acronym":4,"eligibilityCriteria":530,"healthyVolunteers":11,"sex":18,"minAge":4,"maxAge":4,"enrollmentInfo":531,"targetDuration":4,"studyType":100,"phases":532,"briefSummary":533,"conditions":534,"keywords":535,"overallStatus":41,"whyStopped":4,"lastUpdateSubmitDate":540,"lastUpdatePostDateStruct":541,"startDateStruct":543,"completionDateStruct":545,"leadSponsor":547,"locationsCount":53},"100562858","the-effect-of-patient-safety-escape-room-on-nursing-students-knowledge-level-and-team-collaboration-100562858","NCT06608628","The Effect of Patient Safety Escape Room on Nursing Students' Knowledge Level and Team Collaboration","Inclusion Criteria:\n\n* Being a first year nursing student,\n* Participating in a theoretical course on Patient Safety,\n* Taking the Nursing Fundamentals-I course for the first time,\n* Volunteering to participate in the research\n\nExclusion Criteria:\n\n* Not attending the theoretical lecture on Patient Safety\n* Nursing Fundamentals course have had it before\n* Having transitioned to nursing through vertical transfer from other health departments,\n* High school in a health-related field, Having an associate degree or bachelor's degree.\n* Incomplete completion or failure to complete the pre-test or post-test,\n* The student's wanting to withdraw from the research at some stage.",{"count":190,"type":22},[102],"The concept of patient safety first emerged more than two decades ago in research by practitioners applying different approaches to improve care in the areas they work in. The main goal in patient safety is to prevent mistakes while providing service, to protect patients from possible harm and to minimize the possibility of making mistakes. For this reason, patient safety is one of the indispensable parts of nursing education. The planned research will be carried out in order to increase the patient safety escape room design and the current knowledge level of student nurses and team cooperation on this subject. The research will be carried out with the first year students of the Faculty of Health Sciences, Nursing Department of a state university, in an experimental design with pre-test and post-test. The data of the research will be collected with the \"General Information Questionnaire\", \"Patient Safety Knowledge Test\", \"Collaboration Scale\" and \"Gamy Experience for Gamification Scale\". It is planned to carry out the study with 60 students. Control Group=30, Experiment Group=30. After the subject of patient safety is explained in the Nursing Fundamentals course, the students who agree to participate in the study will be randomly divided into experimental and control groups.\n\nPatient safety practices will be explained to the control and experimental group students with the demonstration method in the laboratory environment after the lesson. Experimental group students will be taken to patient safety escape rooms prepared by the researcher. Students will be taken to escape rooms in groups of 5 and will be expected to perform the targeted tasks. After the lab and escape room activity, students will fill in the knowledge test and scales again. Since there is a limited number of studies in the literature on the knowledge levels of nursing students on patient safety and team collaboration, and there is no study in which escape room design is used in the field of nursing in Turkey, the research is important in terms of filling this gap in the literature.",[29],[536,537,538,331,539,194],"Knowledge","Safety","Patient","Collaboration","2024-09-19",{"date":542,"type":45},"2024-09-23",{"date":544,"type":45},"2024-07-20",{"date":546,"type":22},"2024-12-15",{"name":548,"class":52},"Karadeniz Technical University"]