<clinical_study>
  <!-- This xml conforms to an XML Schema at:
    https://clinicaltrials.gov/ct2/html/images/info/public.xsd -->
  <required_header>
    <download_date>ClinicalTrials.gov processed this data on September 20, 2023</download_date>
    <link_text>Link to the current ClinicalTrials.gov record.</link_text>
    <url>https://clinicaltrials.gov/ct2/show/NCT03234049</url>
  </required_header>
  <id_info>
    <org_study_id>REB16-1479</org_study_id>
    <nct_id>NCT03234049</nct_id>
  </id_info>
  <brief_title>The Use of a Pediatric Trauma Checklist to Improve Clinical Performance in a Simulated Trauma Resuscitation</brief_title>
  <official_title>The Use of a Pediatric Trauma Checklist to Improve Clinical Performance in a Simulated Trauma Resuscitation: a Randomized Trial</official_title>
  <sponsors>
    <lead_sponsor>
      <agency>KidSIM Simulation Program</agency>
      <agency_class>Other</agency_class>
    </lead_sponsor>
    <collaborator>
      <agency>KidSIM-ASPIRE</agency>
      <agency_class>Other</agency_class>
    </collaborator>
  </sponsors>
  <source>KidSIM Simulation Program</source>
  <oversight_info>
    <has_dmc>No</has_dmc>
  </oversight_info>
  <brief_summary>
    <textblock>
      The use of a pre-arrival and pre-departure trauma checklist to optimize care has not yet been&#xD;
      studied. The Alberta Children's Hospital (ACH) Trauma Checklist was developed by the ACH&#xD;
      Resuscitation Council with input from the ACH Trauma Program. The purpose of this study is to&#xD;
      determine if the introduction of the ACH Trauma Checklist as a cognitive aid, coupled with an&#xD;
      educational session, will improve clinical performance in a simulated environment. The&#xD;
      investigators plan to conduct a pilot, randomized control trial assessing the impact of the&#xD;
      ACH trauma checklist on time to critical interventions on a simulated pediatric patient by&#xD;
      multidisciplinary teams. The investigators hypothesize that teams who use a trauma checklist&#xD;
      as a cognitive aid will have faster initiation of key clinical interventions within a&#xD;
      simulated pediatric trauma resuscitation. Improvements in performance in a simulated&#xD;
      environment with this tool may translate to similar results in the clinical setting.&#xD;
    </textblock>
  </brief_summary>
  <detailed_description>
    <textblock>
      Research Aims:&#xD;
&#xD;
      Aim 1: To evaluate the effectiveness of a pre-arrival, pre-departure trauma checklist on&#xD;
      improving time to initiation of key clinical interventions in a simulated pediatric trauma&#xD;
      scenario&#xD;
&#xD;
      Aim 2: To evaluate the impact of a pre-arrival, pre-departure trauma checklist on completion&#xD;
      of primary and secondary survey tasks as demonstrated by an Advanced Trauma Life Support&#xD;
      (ATLS) performance tool.&#xD;
&#xD;
      Aim 3: To evaluate the cognitive task load of a trauma checklist on emergency department&#xD;
      physicians during a simulated trauma resuscitation scenario.&#xD;
&#xD;
      Aim 4: To describe patterns of eye movement of a trauma team leader in a simulated scenario&#xD;
      in relation to critical patient interventions and team communication.&#xD;
&#xD;
      METHODS:&#xD;
&#xD;
      POPULATION:&#xD;
&#xD;
      Simulation scenarios will be run with multidisciplinary trauma teams recruited from the&#xD;
      Alberta Children's Hospital. Each team will be comprised of a trauma team leader, second&#xD;
      physician, three registered nurses and a respiratory therapist. Confederate actors will play&#xD;
      the role of the medication nurse and respiratory therapist.&#xD;
&#xD;
      STUDY DESIGN:&#xD;
&#xD;
      This study utilizes a prospective, randomized controlled study design. The investigators&#xD;
      propose a randomized control trial methodology with a control group representing standard&#xD;
      practice to justify the change to adopt the method amongst clinical trauma teams.&#xD;
&#xD;
      Participants recruited to partake in the study will be asked to perform as members of a&#xD;
      pediatric trauma resuscitation team. Each team of healthcare providers will be randomized&#xD;
      into one of two study arms. In the intervention arm, the participants will watch a 10-minute&#xD;
      recorded educational video demonstrating the use of the trauma checklist prior to their&#xD;
      simulation scenario. These teams will subsequently receive a copy of the checklist for use&#xD;
      during their simulation scenario. In the control arm, teams will not receive a copy of the&#xD;
      checklist for use. All simulated trauma resuscitations will be video recorded and reviewed.&#xD;
&#xD;
      All teams will be asked to participate in a standardized 20-minute trauma resuscitation&#xD;
      simulation scenario. This scenario will be followed by a 10-minute debriefing session&#xD;
      facilitated by a simulation consultant. Following the trauma resuscitation scenario, and&#xD;
      debriefing, the trauma team leader and bedside physician will be asked to complete the NASA&#xD;
      Task Load Index (NASA-TLX) survey on cognitive workload. The data collected from this survey,&#xD;
      will allow further insight into the impact on mental workload on participants with the use of&#xD;
      a cognitive aid.&#xD;
&#xD;
      In addition, the trauma team leader will be asked to wear an eye-tracking device during the&#xD;
      simulation scenario. Eye movements are recorded using an eye tracking system. The system&#xD;
      captures a scene view calibrated to the participant's perspective of the environment, and an&#xD;
      eye view capturing the surface anatomy of the eye (i.e. pupil, iris, sclera, eyelids). The&#xD;
      software processes eye and scene data to compute point of gaze data in the environment.&#xD;
      Eye-tracking data will be collected and analyzed for development of future studies. In&#xD;
      particular, the study investigators aim to describe patterns of eye tracking of a trauma team&#xD;
      leader during periods of critical interventions and key team member communication within a&#xD;
      simulated scenario.&#xD;
&#xD;
      SAMPLE SIZE &amp; STATISTICAL ANALYSIS:&#xD;
&#xD;
      This study is a pilot study and the investigators will use team performance as unit of&#xD;
      measure. In order to achieve a significant level of 0.05 and a power of 0.8, 12 teams per&#xD;
      group allows us to detect a large effect size (d = 1.2). A 2-sample t-test is planned to&#xD;
      detect the difference in time to initiation of key interventions between 2 groups. If the&#xD;
      data does not fall with a normal distribution, the team will use the Wilcoxon rank sum test.&#xD;
&#xD;
      POSSIBLE PROBLEMS &amp; ANTICIPATED SOLUTIONS:&#xD;
&#xD;
        1. Participants may have prior exposure to the trauma checklist: The Alberta Children's&#xD;
           Hospital Trauma checklist has been available for use since July 2016. Physical copies&#xD;
           are available in the trauma bay; however, the checklist was not formally introduced to&#xD;
           the department staff with specific educational initiatives, demonstrations or rounds&#xD;
           presentations. Less than 5 completed checklists have been submitted to the Trauma&#xD;
           Committee for review. The success of checklist use is influenced by implementation and&#xD;
           team culture. The investigators anticipate that participants will have minimal&#xD;
           experience with checklist use.&#xD;
&#xD;
        2. Imprecision of outcome measurements: Defining the exact timing of initiation and&#xD;
           completion of clinical tasks by video review can be difficult and variable. The research&#xD;
           team will determine standardized definitions for video reviewers. All video reviewers&#xD;
           will undergo an hour long training session and assessment of their inter-rater&#xD;
           reliability.&#xD;
&#xD;
        3. Variability within the simulation scenario: A standardized simulation lab will be&#xD;
           prepared. All simulations will be run by a study co-investigator and study coordinator.&#xD;
           Confederate actors will undergo specific training and have tightly scripted roles.&#xD;
&#xD;
      Confidentiality and Privacy Protection&#xD;
&#xD;
      Informed and written consent to participate in this research study will be obtained from each&#xD;
      team member before the start of each simulation scenario. All data will be stored on a&#xD;
      password protected computer within a secured server that can only be accessed by research&#xD;
      team members. Data will be destroyed after completion of the study.&#xD;
    </textblock>
  </detailed_description>
  <overall_status>Completed</overall_status>
  <start_date>November 2016</start_date>
  <completion_date type="Actual">January 2017</completion_date>
  <primary_completion_date type="Actual">January 2017</primary_completion_date>
  <phase>N/A</phase>
  <study_type>Interventional</study_type>
  <has_expanded_access>No</has_expanded_access>
  <study_design_info>
    <allocation>Randomized</allocation>
    <intervention_model>Parallel Assignment</intervention_model>
    <primary_purpose>Health Services Research</primary_purpose>
    <masking>None (Open Label)</masking>
  </study_design_info>
  <primary_outcome>
    <measure>Time measurement interval to initiation of endotracheal tube placement</measure>
    <time_frame>within the 20 minute simulation scenario</time_frame>
    <description>Interval from start of scenario to endotracheal tube placement</description>
  </primary_outcome>
  <primary_outcome>
    <measure>Time measurement interval to initiation of induction medication</measure>
    <time_frame>within the 20 minute simulation scenario</time_frame>
    <description>Interval from start of scenario to delivery of intubation induction medication</description>
  </primary_outcome>
  <primary_outcome>
    <measure>Time measurement interval to initiation of paralytic medication</measure>
    <time_frame>within the 20 minute simulation scenario</time_frame>
    <description>Interval from start of scenario to delivery of intubation paralytic medication</description>
  </primary_outcome>
  <primary_outcome>
    <measure>Time measurement interval to initiation of bag mask ventilation</measure>
    <time_frame>within the 20 minute simulation scenario</time_frame>
    <description>Interval from start of scenario to first assisted bag mask breath</description>
  </primary_outcome>
  <primary_outcome>
    <measure>Time measurement interval to initiation of fluid bolus administration</measure>
    <time_frame>within the 20 minute simulation scenario</time_frame>
    <description>Interval from start of scenario to initiation of first crystalloid fluid bolus</description>
  </primary_outcome>
  <primary_outcome>
    <measure>Time measurement interval to initiation of blood product administration</measure>
    <time_frame>within the 20 minute simulation scenario</time_frame>
    <description>Interval from start of scenario to initiation of first blood product administration</description>
  </primary_outcome>
  <primary_outcome>
    <measure>Time measurement interval to application of pelvic binder</measure>
    <time_frame>within the 20 minute simulation scenario</time_frame>
    <description>Interval from start of scenario to application of pelvic binder</description>
  </primary_outcome>
  <primary_outcome>
    <measure>Time measurement interval to Glasgow Coma Score calculation</measure>
    <time_frame>within the 20 minute simulation scenario</time_frame>
    <description>Interval from start of scenario to first verbalized and calculated Glasgow Coma Score</description>
  </primary_outcome>
  <primary_outcome>
    <measure>Time measurement interval to initiation of hyperosmolar therapy</measure>
    <time_frame>within the 20 minute simulation scenario</time_frame>
    <description>Interval from start of scenario to initiation of hyperosmolar therapy, either mannitol or 3% saline</description>
  </primary_outcome>
  <primary_outcome>
    <measure>Time measurement interval to completion of log roll</measure>
    <time_frame>within the 20 minute simulation scenario</time_frame>
    <description>Interval from start of scenario to completion of patient log roll</description>
  </primary_outcome>
  <secondary_outcome>
    <measure>Advanced Trauma Life Support Task Performance</measure>
    <time_frame>within the 20 minute simulation scenario</time_frame>
    <description>ATLS performance will be scored based on rates of completion of primary and secondary survey tasks, using a previously derived Trauma Resuscitation Checklist</description>
  </secondary_outcome>
  <secondary_outcome>
    <measure>Checklist completion</measure>
    <time_frame>within the 20 minute simulation scenario</time_frame>
    <description>In the intervention arm, the investigators will determine the completion rate of the ACH trauma checklist by video review.</description>
  </secondary_outcome>
  <secondary_outcome>
    <measure>Eye movements of the trauma team leader</measure>
    <time_frame>within the 20 minute simulation scenario</time_frame>
    <description>Data will be recorded off an eye tracking device worn by the trauma team leader. In particular, the investigators aim to describe patterns of eye tracking of a trauma team leader during periods critical patient interventions and key team member communication within a simulated scenario. There are 3 specific areas of interest: the patient, the monitor, and the external environment. The frequency of which eye movements rest on those areas will be tracked. This will be reported as a total duration of time (in minutes) spent looking at each of the 3 areas of interest.</description>
  </secondary_outcome>
  <number_of_arms>2</number_of_arms>
  <enrollment type="Actual">56</enrollment>
  <condition>Trauma</condition>
  <arm_group>
    <arm_group_label>Control Arm</arm_group_label>
    <arm_group_type>No Intervention</arm_group_type>
    <description>In the control arm, teams will not receive a copy of the checklist for use.</description>
  </arm_group>
  <arm_group>
    <arm_group_label>Checklist Arm</arm_group_label>
    <arm_group_type>Experimental</arm_group_type>
    <description>In the intervention arm, the participants will watch a 10 minute recorded educational video demonstrating the use of the trauma checklist prior to their simulation scenario. These teams will subsequently receive a copy of the checklist for use during their simulation scenario.</description>
  </arm_group>
  <intervention>
    <intervention_type>Other</intervention_type>
    <intervention_name>Checklist</intervention_name>
    <description>The Alberta Children's Hospital Trauma Checklist was developed by the ACH Resuscitation Council Trauma Committee in response to a quality assurance review of high-acuity trauma activations. It is a cognitive aid and focuses in particular on pre-arrival preparation and a pre-departure review prior to patient transfer to diagnostic imaging or the operating room.</description>
    <arm_group_label>Checklist Arm</arm_group_label>
  </intervention>
  <eligibility>
    <criteria>
      <textblock>
        Inclusion Criteria:&#xD;
&#xD;
          1. Trauma team leader inclusion criteria:&#xD;
&#xD;
               -  Pediatric emergency medicine physician&#xD;
&#xD;
          2. Second physician inclusion criteria:&#xD;
&#xD;
               -  Pediatric emergency medicine physician&#xD;
&#xD;
          3. Nurse inclusion criteria:&#xD;
&#xD;
               -  Pediatric emergency registered nurse&#xD;
&#xD;
        Exclusion criteria:&#xD;
&#xD;
          -  Previous participation in the study&#xD;
      </textblock>
    </criteria>
    <gender>All</gender>
    <minimum_age>N/A</minimum_age>
    <maximum_age>N/A</maximum_age>
    <healthy_volunteers>No</healthy_volunteers>
  </eligibility>
  <overall_official>
    <last_name>Adam Cheng, MD FRCPC</last_name>
    <role>Principal Investigator</role>
    <affiliation>Alberta Children's Hospital, University of Calgary, KidSIM</affiliation>
  </overall_official>
  <location>
    <facility>
      <name>KidSIM, Alberta Children's Hospital</name>
      <address>
        <city>Calgary</city>
        <state>Alberta</state>
        <zip>T3B6A8</zip>
        <country>Canada</country>
      </address>
    </facility>
  </location>
  <location_countries>
    <country>Canada</country>
  </location_countries>
  <verification_date>July 2017</verification_date>
  <study_first_submitted>January 3, 2017</study_first_submitted>
  <study_first_submitted_qc>July 28, 2017</study_first_submitted_qc>
  <study_first_posted type="Actual">July 31, 2017</study_first_posted>
  <last_update_submitted>July 28, 2017</last_update_submitted>
  <last_update_submitted_qc>July 28, 2017</last_update_submitted_qc>
  <last_update_posted type="Actual">July 31, 2017</last_update_posted>
  <responsible_party>
    <responsible_party_type>Sponsor</responsible_party_type>
  </responsible_party>
  <keyword>pediatric</keyword>
  <keyword>checklist</keyword>
  <keyword>cognitive aid</keyword>
  <condition_browse>
    <!-- CAUTION:  The following MeSH terms are assigned with an imperfect algorithm            -->
    <mesh_term>Wounds and Injuries</mesh_term>
  </condition_browse>
  <patient_data>
    <sharing_ipd>No</sharing_ipd>
  </patient_data>
  <!-- Results have not yet been posted for this study                                          -->
</clinical_study>


download date: ClinicalTrials.gov processed this data on September 20, 2023
link text: Link to the current ClinicalTrials.gov record.
url: https://clinicaltrials.gov/ct2/show/NCT03234049
org study id: REB16-1479
nct id: NCT03234049
lead sponsor: 
collaborator: 
has dmc: No
The use of a pre-arrival and pre-departure trauma checklist to optimize care has not yet been
      studied. The Alberta Children's Hospital (ACH) Trauma Checklist was developed by the ACH
      Resuscitation Council with input from the ACH Trauma Program. The purpose of this study is to
      determine if the introduction of the ACH Trauma Checklist as a cognitive aid, coupled with an
      educational session, will improve clinical performance in a simulated environment. The
      investigators plan to conduct a pilot, randomized control trial assessing the impact of the
      ACH trauma checklist on time to critical interventions on a simulated pediatric patient by
      multidisciplinary teams. The investigators hypothesize that teams who use a trauma checklist
      as a cognitive aid will have faster initiation of key clinical interventions within a
      simulated pediatric trauma resuscitation. Improvements in performance in a simulated
      environment with this tool may translate to similar results in the clinical setting.
Research Aims:

      Aim 1: To evaluate the effectiveness of a pre-arrival, pre-departure trauma checklist on
      improving time to initiation of key clinical interventions in a simulated pediatric trauma
      scenario

      Aim 2: To evaluate the impact of a pre-arrival, pre-departure trauma checklist on completion
      of primary and secondary survey tasks as demonstrated by an Advanced Trauma Life Support
      (ATLS) performance tool.

      Aim 3: To evaluate the cognitive task load of a trauma checklist on emergency department
      physicians during a simulated trauma resuscitation scenario.

      Aim 4: To describe patterns of eye movement of a trauma team leader in a simulated scenario
      in relation to critical patient interventions and team communication.

      METHODS:

      POPULATION:

      Simulation scenarios will be run with multidisciplinary trauma teams recruited from the
      Alberta Children's Hospital. Each team will be comprised of a trauma team leader, second
      physician, three registered nurses and a respiratory therapist. Confederate actors will play
      the role of the medication nurse and respiratory therapist.

      STUDY DESIGN:

      This study utilizes a prospective, randomized controlled study design. The investigators
      propose a randomized control trial methodology with a control group representing standard
      practice to justify the change to adopt the method amongst clinical trauma teams.

      Participants recruited to partake in the study will be asked to perform as members of a
      pediatric trauma resuscitation team. Each team of healthcare providers will be randomized
      into one of two study arms. In the intervention arm, the participants will watch a 10-minute
      recorded educational video demonstrating the use of the trauma checklist prior to their
      simulation scenario. These teams will subsequently receive a copy of the checklist for use
      during their simulation scenario. In the control arm, teams will not receive a copy of the
      checklist for use. All simulated trauma resuscitations will be video recorded and reviewed.

      All teams will be asked to participate in a standardized 20-minute trauma resuscitation
      simulation scenario. This scenario will be followed by a 10-minute debriefing session
      facilitated by a simulation consultant. Following the trauma resuscitation scenario, and
      debriefing, the trauma team leader and bedside physician will be asked to complete the NASA
      Task Load Index (NASA-TLX) survey on cognitive workload. The data collected from this survey,
      will allow further insight into the impact on mental workload on participants with the use of
      a cognitive aid.

      In addition, the trauma team leader will be asked to wear an eye-tracking device during the
      simulation scenario. Eye movements are recorded using an eye tracking system. The system
      captures a scene view calibrated to the participant's perspective of the environment, and an
      eye view capturing the surface anatomy of the eye (i.e. pupil, iris, sclera, eyelids). The
      software processes eye and scene data to compute point of gaze data in the environment.
      Eye-tracking data will be collected and analyzed for development of future studies. In
      particular, the study investigators aim to describe patterns of eye tracking of a trauma team
      leader during periods of critical interventions and key team member communication within a
      simulated scenario.

      SAMPLE SIZE & STATISTICAL ANALYSIS:

      This study is a pilot study and the investigators will use team performance as unit of
      measure. In order to achieve a significant level of 0.05 and a power of 0.8, 12 teams per
      group allows us to detect a large effect size (d = 1.2). A 2-sample t-test is planned to
      detect the difference in time to initiation of key interventions between 2 groups. If the
      data does not fall with a normal distribution, the team will use the Wilcoxon rank sum test.

      POSSIBLE PROBLEMS & ANTICIPATED SOLUTIONS:

        1. Participants may have prior exposure to the trauma checklist: The Alberta Children's
           Hospital Trauma checklist has been available for use since July 2016. Physical copies
           are available in the trauma bay; however, the checklist was not formally introduced to
           the department staff with specific educational initiatives, demonstrations or rounds
           presentations. Less than 5 completed checklists have been submitted to the Trauma
           Committee for review. The success of checklist use is influenced by implementation and
           team culture. The investigators anticipate that participants will have minimal
           experience with checklist use.

        2. Imprecision of outcome measurements: Defining the exact timing of initiation and
           completion of clinical tasks by video review can be difficult and variable. The research
           team will determine standardized definitions for video reviewers. All video reviewers
           will undergo an hour long training session and assessment of their inter-rater
           reliability.

        3. Variability within the simulation scenario: A standardized simulation lab will be
           prepared. All simulations will be run by a study co-investigator and study coordinator.
           Confederate actors will undergo specific training and have tightly scripted roles.

      Confidentiality and Privacy Protection

      Informed and written consent to participate in this research study will be obtained from each
      team member before the start of each simulation scenario. All data will be stored on a
      password protected computer within a secured server that can only be accessed by research
      team members. Data will be destroyed after completion of the study.
allocation: Randomized
intervention model: Parallel Assignment
primary purpose: Health Services Research
masking: None (Open Label)
measure: Time measurement interval to initiation of endotracheal tube placement
time frame: within the 20 minute simulation scenario
description: Interval from start of scenario to endotracheal tube placement
measure: Time measurement interval to initiation of induction medication
time frame: within the 20 minute simulation scenario
description: Interval from start of scenario to delivery of intubation induction medication
measure: Time measurement interval to initiation of paralytic medication
time frame: within the 20 minute simulation scenario
description: Interval from start of scenario to delivery of intubation paralytic medication
measure: Time measurement interval to initiation of bag mask ventilation
time frame: within the 20 minute simulation scenario
description: Interval from start of scenario to first assisted bag mask breath
measure: Time measurement interval to initiation of fluid bolus administration
time frame: within the 20 minute simulation scenario
description: Interval from start of scenario to initiation of first crystalloid fluid bolus
measure: Time measurement interval to initiation of blood product administration
time frame: within the 20 minute simulation scenario
description: Interval from start of scenario to initiation of first blood product administration
measure: Time measurement interval to application of pelvic binder
time frame: within the 20 minute simulation scenario
description: Interval from start of scenario to application of pelvic binder
measure: Time measurement interval to Glasgow Coma Score calculation
time frame: within the 20 minute simulation scenario
description: Interval from start of scenario to first verbalized and calculated Glasgow Coma Score
measure: Time measurement interval to initiation of hyperosmolar therapy
time frame: within the 20 minute simulation scenario
description: Interval from start of scenario to initiation of hyperosmolar therapy, either mannitol or 3% saline
measure: Time measurement interval to completion of log roll
time frame: within the 20 minute simulation scenario
description: Interval from start of scenario to completion of patient log roll
measure: Advanced Trauma Life Support Task Performance
time frame: within the 20 minute simulation scenario
description: ATLS performance will be scored based on rates of completion of primary and secondary survey tasks, using a previously derived Trauma Resuscitation Checklist
measure: Checklist completion
time frame: within the 20 minute simulation scenario
description: In the intervention arm, the investigators will determine the completion rate of the ACH trauma checklist by video review.
measure: Eye movements of the trauma team leader
time frame: within the 20 minute simulation scenario
description: Data will be recorded off an eye tracking device worn by the trauma team leader. In particular, the investigators aim to describe patterns of eye tracking of a trauma team leader during periods critical patient interventions and key team member communication within a simulated scenario. There are 3 specific areas of interest: the patient, the monitor, and the external environment. The frequency of which eye movements rest on those areas will be tracked. This will be reported as a total duration of time (in minutes) spent looking at each of the 3 areas of interest.
arm group label: Control Arm
arm group type: No Intervention
description: In the control arm, teams will not receive a copy of the checklist for use.
arm group label: Checklist Arm
arm group type: Experimental
description: In the intervention arm, the participants will watch a 10 minute recorded educational video demonstrating the use of the trauma checklist prior to their simulation scenario. These teams will subsequently receive a copy of the checklist for use during their simulation scenario.
intervention type: Other
intervention name: Checklist
description: The Alberta Children's Hospital Trauma Checklist was developed by the ACH Resuscitation Council Trauma Committee in response to a quality assurance review of high-acuity trauma activations. It is a cognitive aid and focuses in particular on pre-arrival preparation and a pre-departure review prior to patient transfer to diagnostic imaging or the operating room.
arm group label: Checklist Arm
criteria: 
gender: All
minimum age: N/A
maximum age: N/A
healthy volunteers: No
last name: Adam Cheng, MD FRCPC
role: Principal Investigator
affiliation: Alberta Children's Hospital, University of Calgary, KidSIM
facility: 
country: Canada
responsible party type: Sponsor
mesh term: Wounds and Injuries
sharing ipd: No