Comparison of anaesthetists' activity patterns in the operating room and during simulation

Manser, Tanja; Dieckmann, Peter; Wehner, Theo; Rall, Marcus

doi:10.1080/00140130601032655

Cited by 48 publications

(33 citation statements)

References 54 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Little is known about the effect of the physical setting on the practice of simulation [51, 52]. To our knowledge, there are only a handful of studies [20, 23, 27–29] in the medical domain that use randomised or retrospective studies to compare various simulation settings in terms of outcomes.…”

Section: Discussionmentioning

confidence: 99%

Design of simulation-based medical education and advantages and disadvantages of in situ simulation versus off-site simulation

et al. 2017

View full text Add to dashboard Cite

BackgroundSimulation-based medical education (SBME) has traditionally been conducted as off-site simulation in simulation centres. Some hospital departments also provide off-site simulation using in-house training room(s) set up for simulation away from the clinical setting, and these activities are called in-house training. In-house training facilities can be part of hospital departments and resemble to some extent simulation centres but often have less technical equipment. In situ simulation, introduced over the past decade, mainly comprises of team-based activities and occurs in patient care units with healthcare professionals in their own working environment. Thus, this intentional blend of simulation and real working environments means that in situ simulation brings simulation to the real working environment and provides training where people work. In situ simulation can be either announced or unannounced, the latter also known as a drill. This article presents and discusses the design of SBME and the advantage and disadvantage of the different simulation settings, such as training in simulation-centres, in-house simulations in hospital departments, announced or unannounced in situ simulations.DiscussionNon-randomised studies argue that in situ simulation is more effective for educational purposes than other types of simulation settings. Conversely, the few comparison studies that exist, either randomised or retrospective, show that choice of setting does not seem to influence individual or team learning. However, hospital department-based simulations, such as in-house simulation and in situ simulation, lead to a gain in organisational learning. To our knowledge no studies have compared announced and unannounced in situ simulation. The literature suggests some improved organisational learning from unannounced in situ simulation; however, unannounced in situ simulation was also found to be challenging to plan and conduct, and more stressful among participants. The importance of setting, context and fidelity are discussed.SummaryBased on the current limited research we suggest that choice of setting for simulations does not seem to influence individual and team learning. Department-based local simulation, such as simulation in-house and especially in situ simulation, leads to gains in organisational learning. The overall objectives of simulation-based education and factors such as feasibility can help determine choice of simulation setting.

show abstract

Section: Discussionmentioning

confidence: 99%

Design of simulation-based medical education and advantages and disadvantages of in situ simulation versus off-site simulation

et al. 2017

View full text Add to dashboard Cite

show abstract

“…However, although behavior patterns in the simulator are strikingly similar to those in real-life situations (17), transfer of knowledge from the simulator to the real-life clinical setting has not been clearly demonstrated (55).…”

Section: Limitations Of Simulator Studiesmentioning

confidence: 96%

“…Simulation also provides an important research venue that allows rigorous assessment of complex interactions during emergency situations in a realistic yet safe environment (17). Many research groups have created highly realistic settings using life-sized mannequins placed in a standard intensive care unit room where the physiology of the computer-based patient, such as vital signs and continuous electrocardiogram tracings, can be manipulated.…”

Section: Simulation For Training and Researchmentioning

confidence: 99%

Teamwork and Leadership in Cardiopulmonary Resuscitation

Hunziker

Johansson

Tschan

et al. 2011

Journal of the American College of Cardiology

261

200

View full text Add to dashboard Cite

Despite substantial efforts to make cardiopulmonary resuscitation (CPR) algorithms known to healthcare workers, the outcome of CPR has remained poor during the past decades. Resuscitation teams often deviate from algorithms of CPR. Emerging evidence suggests that in addition to technical skills of individual rescuers, human factors such as teamwork and leadership affect adherence to algorithms and hence the outcome of CPR. This review describes the state of the science linking team interactions to the performance of CPR. Because logistical barriers make controlled measurement of team interaction in the earliest moments of real-life resuscitations challenging, our review focuses mainly on high-fidelity human simulator studies. This technique allows in-depth investigation of complex human interactions using precise and reproducible methods. It also removes variability in the clinical parameters of resuscitation, thus letting researchers study human factors and team interactions without confounding by clinical variability from resuscitation to resuscitation. Research has shown that a prolonged process of team building and poor leadership behavior are associated with significant shortcomings in CPR. Teamwork and leadership training have been shown to improve subsequent team performance during resuscitation and have recently been included in guidelines for advanced life support courses. We propose that further studies on the effects of team interactions on performance of complex medical emergency interventions such as resuscitation are needed. Future efforts to better understand the influence of team factors (e.g., team member status, team hierarchy, handling of human errors), individual factors (e.g., sex differences, perceived stress), and external factors (e.g., equipment, algorithms, institutional characteristics) on team performance in resuscitation situations are critical to improve CPR performance and medical outcomes of patients.

show abstract

“…Based on observational and interview data from anesthesia, high-fidelity simulations appear to be ecologically valid settings for human performance research. 41,42 However, these studies also suggest that "fiction cues" that may compromise ecological validity have to be considered carefully when designing simulation scenarios for research purposes. To date, relatively little is known regarding how the simulation environment itself could affect participant performance.…”

Section: Considerations In Conducting This Researchmentioning

confidence: 96%

The Study of Factors Affecting Human and Systems Performance in Healthcare Using Simulation

LeBlanc

Manser

Weinger

et al. 2011

Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare

View full text Add to dashboard Cite

A large body of research using simulation in healthcare has focused on simulation itself as an object of research. However, simulation can also be used in research on human or system performance. It can be used to investigate the effects of performance shaping factors that would otherwise be difficult to study in the actual clinical setting due to practical constraints or ethical concerns. In this monograph, we illustrate various ways in which simulation has been used to study performance shaping factors. We also discuss possible directions for future research as well as methodological considerations for researchers engaging in this approach to study performance shaping factors.

show abstract

Comparison of anaesthetists' activity patterns in the operating room and during simulation

Cited by 48 publications

References 54 publications

Design of simulation-based medical education and advantages and disadvantages of in situ simulation versus off-site simulation

Design of simulation-based medical education and advantages and disadvantages of in situ simulation versus off-site simulation

Teamwork and Leadership in Cardiopulmonary Resuscitation

The Study of Factors Affecting Human and Systems Performance in Healthcare Using Simulation

Contact Info

Product

Resources

About