Anaesthesia and Critical Care Department at a Major Academic Centre’s Adaptation to Face the COVID-19 Pandemic

Farsi, Sara; Noaman, Nada; Bukhary, Auhood; Bahaziq, Wadeeah; Sabbahi, Alaa; Abushoshah, Ibrahim; Boker, Abdulaziz

doi:10.2147/ijgm.s318336

Cited by 2 publications

(2 citation statements)

References 27 publications

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“…[ 11 ] Simulation-based sessions (clinical simulation/clinical drills) of this project presented a concrete experience in the process of collaboration and formulating clinical and administrative management pathways during the Department of Anesthesia and Critical Care's COVID-19 response planning, which can be applied to vast different quality improvement projects as well. [ 12 ]…”

Section: Discussionmentioning

confidence: 99%

Formulating interprofessional anesthesiology and operating room clinical management pathway during COVID-19 pandemic using experiential learning theory in a university hospital in Saudi Arabia

Boker

Bahaziq

Noaman

et al. 2023

Saudi Journal of Anaesthesia

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As the number of COVID-19 cases is rapidly increasing internationally, management, recommendations and guidelines of COVID-19 are rapidly evolving and changing. Formulating local clinical management policies among institutions adopting these recommendations is vital to staff as well as the patients’ safety. Also, training multidisciplinary teams on these policies is an important, yet challenging, part of the process. The purpose of this paper is to present the process that has been followed to formulate COVID-19-specific response anesthesiology and operating room (OR) policies at King Abdulaziz University Hospital, by applying David A. Kolb's experiential learning theory during simulation-based training. This project had a total of six simulation-based sessions (four simulation scenarios and two clinical drills) designed to test the efficacy and efficiency of the then current practice in the hospital, facing the COVID-19 pandemic. Qualitative data analysis was completed using qualitative thematic data analysis. To apply experiential Kolb's theory, session's checklist (two raters per session), outcomes, and participants’ feedback to develop and improve clinical management pathway in the department were used. The 12 reports and participants’ feedback highlighted three main areas for improvement. These are Personal Protective Equipment implementation, team dynamics, and airway management. This process then guided in creating a new understanding of the multidisciplinary clinical management pathway, in addition to enhancing viability of the current practice and clinical management guidelines and protocols, which were already established and adapted at the hospital before the COVID-19 pandemic crisis. The alignment with Kolb's experiential theory helped formulate anesthesiology and OR effective clinical management pathway has been demonstrated. Applying experiential learning theory by a clinical institute using interprofessional, multidisciplinary simulations and clinical drills can guide the process of formulating clinical management pathways during pandemic outbreaks.

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Section: Discussionmentioning

confidence: 99%

Formulating interprofessional anesthesiology and operating room clinical management pathway during COVID-19 pandemic using experiential learning theory in a university hospital in Saudi Arabia

Boker

Bahaziq

Noaman

et al. 2023

Saudi Journal of Anaesthesia

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“…As a part of COVID-19 surge planning and in anticipation for increased ICU admission, we opened an entirely new ICU dedicated for the treatment of critically ill COVID-19 patients [ 2 ]. The sudden ICU expansion resulted in even more strain on an already insufficient existing ICU medical staff resource.…”

Section: Introductionmentioning

confidence: 99%

Rapid cycle training for non-critical care physicians to meet intensive care unit staff shortage at an academic training center in a developing country during the COVID-19 pandemic

Bakhsh,

Asiri,

Alotaibi

et al. 2023

BMC Med Educ

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Background The sudden unexpected increase in critically ill COVID-19 patients admitted to Intensive Care Units (ICUs), resulted in an urgent need for expanding the physician workforce. A COVID-19 critical care crash (5C) course was implemented to introduce physicians without formal critical care training to care for critically ill COVID-19 patients. Upon successful completion of the course, physicians were recruited to work in a COVID-19 ICU under the supervision of a board-certified critical care physician. The aim of this study is to describe the methods of a novel course designed specifically to teach the management critically ill COVID-19 patients, while assessing change in knowledge, skill competency, and self-reported confidence. Methods The blended focused 5C course is composed of both virtual and practical components. Candidates may register for the practical component only after successful completion of the virtual component. We assessed knowledge acquisition using a multiple-choice question test (pre- and post-test assessment), skill competency, and self-reported confidence levels during simulated patient settings. Paired T-test was used to compare before and after course results. Results Sixty-five physicians/trainees from different specialties were included in the analysis. Knowledge significantly increased from 14.92± 3.20 (out of 20 multiple-choice questions) to 18.81± 1.40 (p< 0.01), skill competence during practical stations had a mean minimum of 2 (out of 3), and self-reported confidence during a simulated patient setting increased significantly from 4.98± 1.15 (out of 10) to 8.76± 1.10 (out of 10) (p< 0.01). Conclusion We describe our initiative in increasing the ICU physician workforce in the midst of the COVID-19 pandemic. The blended 5C course is a valuable educational program designed by experts from different backgrounds. Future research should be directed at examining outcomes of patients associated with graduates of such program.

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Anaesthesia and Critical Care Department at a Major Academic Centre’s Adaptation to Face the COVID-19 Pandemic

Cited by 2 publications

References 27 publications

Formulating interprofessional anesthesiology and operating room clinical management pathway during COVID-19 pandemic using experiential learning theory in a university hospital in Saudi Arabia

Formulating interprofessional anesthesiology and operating room clinical management pathway during COVID-19 pandemic using experiential learning theory in a university hospital in Saudi Arabia

Rapid cycle training for non-critical care physicians to meet intensive care unit staff shortage at an academic training center in a developing country during the COVID-19 pandemic

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