Full-Scale-Simulation in der anästhesiologischen Lehre und Weiterbildung in Deutschland

Baschnegger, Heiko; Meyer, Oliver; Zech, Alexandra; Urban, B.; Rall, M.; Breuer, Georg; Prückner, S.

doi:10.1007/s00101-016-0251-7

Cited by 14 publications

(5 citation statements)

References 22 publications

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“…Die 2017 veröffentlichte Umfrage von Baschnegger et al [25] mit Daten aus 2012 zeigt: Die "Full-Scale-Simulation" (Level 5) ist trotz der Komplettausstattung aller anästhesiologischen Lehrstühle mit Patientensimulatoren in der Fort-und Weiterbildung zwar in der Breite angekommenaber in der Tiefe noch nicht fest etabliert. In den bestehenden Simulationszentren lag der Erreichungsgrad für die jeweils eigenen Ärzte bei 39 % und für die Pflegekräfte bei 16 %.…”

Section: Wissenunclassified

Kompetenzbasierte Ausbildung im „geschützten Umfeld“: vom Schonraum zum Realraum

Quandt¹,

Friedrich²

2018

Anästhesiol Intensivmed Notfallmed Schmerzther

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The idea of "learning in a protected environment" is frequently used within the framework of postgradual education in anaesthesiology. However it remains unclear and its exact meaning lies in the eye of the beholder. This paper aims to highlight the definition of the term "protected environment" and its relevance in anaesthesiology. This includes teaching and learning strategies like competence based training and simulation based training in all its variations. We conclude with an attempt to classify the wide variety of Simulators and teaching methods in use including their individual problems transferred into real life situations. Concerning the fact that this paper is supposed to be a review in medical education, its structure differs from case related papers with more medical content.

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Section: Wissenunclassified

Kompetenzbasierte Ausbildung im „geschützten Umfeld“: vom Schonraum zum Realraum

Quandt¹,

Friedrich²

2018

Anästhesiol Intensivmed Notfallmed Schmerzther

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“…To strengthen the competence in managing critical situations, the use of simulation training in healthcare is increasing ( 2 – 4 ). Non-technical skills (NTS) ( 5 , 6 ), such as safe communication, teamwork, task-orientation and decision-making, are experienced as key elements of successful crisis management.…”

Section: Introductionmentioning

confidence: 99%

Implementation of Crisis-Resource-Management-based Team Training in Lower Austria

Trimmel¹,

Csomor²,

Seedoch³

et al. 2021

Turk J Anaesthesiol Reanim

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Objective Sequelae of medical errors are a significant problem in acute care. Human-factor-based events are frequent but avoidable causes. Thus, non-technical skills are crucial. In 2008, crisis-resource-management (CRM)-based simulation training was established for the medical staff of the Lower Austria Regional Hospitals, one of the largest hospital operators in Europe. Methods Implementation and development of simulation training from 2008 until today are described, costs and performance data retrospectively analysed over a 10-year period. The applied methodology and organisational aspects of CRM training are highlighted. To complete the picture, activities triggered through CRM training throughout the hospitals with potential to further improve patient safety are shown. Results With an initial funding of €100,000 by the Landeskliniken Holding and course rates of €350 to €500, a simulation programme was established for approximately 1,900 co-workers in the acute care setting. In the past 10 years, more than 2,300 doctors and nurses took part in one of the courses, held by 14 qualified trainers. Training was held in the simulation centre as well as in hospitals. Over the time, simulation facilities have been expanded to 8 different manikins, high-fidelity ventilation and monitoring simulation. In addition, a variety of patient safety activities like implementation of critical incident reporting, OR checklists and anaesthesia briefing was accompanied by the trainer team. The total cost of the project was just under €20, 00,000. Conclusion Simulation-based CRM training was successfully introduced and sustainably institutionalised at the NOE LKH group of hospitals. The demand for and acceptance of the training were both excellent. The previous costs of training were relatively low; the organisational model of an independent, non-profit registered association allowed the training activities to be implemented without reducing the availability of the instructors in their clinical roles.

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“…Nishisaki ( Nishisaki, Keren and Nadkarni, 2007 ) reported a direct association between improved patient safety, simulation performance and management in clinical settings. Based on the supportive evidence in the literature for simulation as an effective teaching method with consequences for patient care, simulation is being increasingly integrated into the German medical curriculum ( Baschnegger et al, 2017 ; Curry, 2018 ).…”

Section: Introductionmentioning

confidence: 99%

Learning by doing: To explore the influence of Simulation on Clinical Decision-Making Approaches on Final Year Medical Students at the University of Duisburg-Essen, Germany

Szalai¹,

Herbstreit²,

Novosadova³

et al. 2021

MedEdPublish

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Background: Final year medical students at the University Duisburg-Essen, Germany, are unsatisfied with their clinical judgement skills in common elective and emergency clinical situations. A competency based medical curriculum determines that clinical judgement is an essential tool in effective patient care, patient safety and limiting clinical error. Approaches to clinical judgement include either analytical, intuitive or a combination of both approaches. Novices show specific factors, which are typical in inexperienced clinicians. Simulation provides opportunities in a competency-based medical education curriculum. There is limited evidence showing that simulation can provide an effective environment for teaching and learning clinical decision-making skills. This project explores how final year medical students at the University of Duisburg-Essen approach the clinical decisionmaking process as well as how simulation influences this process. Methods: Ethics approval was obtained from the local ethics committee. After completing a 10-week simulation course,thirty-five students completed a clinical decision-making instrument to categorise their clinical decisionmaking approaches. The Novice Decision Making Model and the Cognitive Continuum Model were combined with learning theories in Simulation (Social Cognitive Theory) and used to explore and interpret data collected through questionnaires, interviews and observation. Results:The majority (60%) of students employed a predominantly analytic approach, some students showed intuitive tendencies in clinical situations. During interviews students displayed typical novice approaches to decision-

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Full-Scale-Simulation in der anästhesiologischen Lehre und Weiterbildung in Deutschland

Cited by 14 publications

References 22 publications

Kompetenzbasierte Ausbildung im „geschützten Umfeld“: vom Schonraum zum Realraum

Kompetenzbasierte Ausbildung im „geschützten Umfeld“: vom Schonraum zum Realraum

Implementation of Crisis-Resource-Management-based Team Training in Lower Austria

Learning by doing: To explore the influence of Simulation on Clinical Decision-Making Approaches on Final Year Medical Students at the University of Duisburg-Essen, Germany

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