A Simulation-Based Training Program Improves Emergency Department Staff Communication

Abstract

The objectives of this study were to evaluate the effectiveness of Project CLEAR!, a novel simulation-based training program designed to instill Crew Resource Management (CRM) as the communication standard and to create a service-focused environment in the emergency department (ED) by standardizing the patient encounter. A survey-based study compared physicians' and nurses' perceptions of the quality of communication before and after the training program. Surveys were developed to measure ED staff perceptions of the quality of communication between staff members and with patients. Pretraining and posttraining survey results were compared. After the training program, survey scores improved significantly on questions that asked participants to rate the overall communication between staff members and between staff and patients. A simulation-based training program focusing on CRM and standardizing the patient encounter improves communication in the ED, both between staff members and between staff members and patients.

Medical Practice Differences Among Internal Medicine Fellows During in-hospital Emergency Department 24-hour Shifts

“…Moreover, it would be interesting to know at which phase during the rst year of fellowship novices reach level of older fellows, as well as how many 24-hour shifts per month are needed to make this learning and acquiring ED-skills faster. In addition, it is highly important to assess areas in which novices' skills and knowledge gaps are most pronounced [5,7,14,18,20].…”

Interprofessional Communication and Collaboration During Emergent Birth Center Transfers: A Quality Improvement Project

“…11 Additional comparable initiatives have reported significant improvements in interprofessional communication and perceived confidence after developing an education and simulation program. 4,5,10,14,[20][21][22] All of these QI initiatives address the importance of ongoing interprofessional collaboration in perinatal care and the community birth setting, providing a solid precedent for the development of initiatives targeting perinatal outcomes.…”

Communication and Influencing for ED Professionals: A training programme developed in the emergency department for the emergency department

“…Despite the identified need for effective communication, ED health professionals receive inadequate training in non‐technical skills, including communicating, during their vocational medical education . The key training areas in the ED reported in the literature, to date, include structured communication protocols to guide handover, structured communication tools to improve communication and teamwork training (with or without simulation‐based training), comprised of team strategies and tools to enhance performance and patient safety (TeamSTEPPS) and crisis resource management (CRM) …”

“…7 The key training areas in the ED reported in the literature, to date, include structured communication protocols to guide handover, 8,9 structured communication tools to improve communication 10,11 and teamwork training (with or without simulation-based training), comprised of team strategies and tools to enhance performance and patient safety (TeamSTEPPS) 12,13 and crisis resource management (CRM). 14,15 Of interest, the two most popular approaches reported within the literature for teamwork training have been translated from the defence (TeamSTEPPS) and aviation industries (CRM). In addition, there are limited…”