Abstract:While our study supports the value of formal team communications during precase briefing, sign in and time out in the Surgical Safety Checklist, our findings suggest suboptimal transmission of information between team members and unequal contributions of information by different professional groups.
“…Box 2 describes a study on information sharing in surgical teams.Exploratory study on information sharing in surgical teamsCollaboration and teamwork are essential elements of safe care. Cumin et al 89 investigated the sharing of information between individuals in a surgery team. Twenty teams of six people participated in surgical simulation.…”
Section: Simulation-based Research Designsmentioning
confidence: 99%
“…Collaboration and teamwork are essential elements of safe care. Cumin et al 89 investigated the sharing of information between individuals in a surgery team. Twenty teams of six people participated in surgical simulation.…”
Section: Simulation-based Research Designsmentioning
Simulation can offer researchers access to events that can otherwise not be directly observed, and in a safe and controlled environment. How to use simulation for the study of how to improve the quality and safety of healthcare remains underexplored, however. We offer an overview of simulation-based research (SBR) in this context. Building on theory and examples, we show how SBR can be deployed and which study designs it may support. We discuss the challenges of simulation for healthcare improvement research and how they can be tackled. We conclude that using simulation in the study of healthcare improvement is a promising approach that could usefully complement established research methods.
“…Box 2 describes a study on information sharing in surgical teams.Exploratory study on information sharing in surgical teamsCollaboration and teamwork are essential elements of safe care. Cumin et al 89 investigated the sharing of information between individuals in a surgery team. Twenty teams of six people participated in surgical simulation.…”
Section: Simulation-based Research Designsmentioning
confidence: 99%
“…Collaboration and teamwork are essential elements of safe care. Cumin et al 89 investigated the sharing of information between individuals in a surgery team. Twenty teams of six people participated in surgical simulation.…”
Section: Simulation-based Research Designsmentioning
Simulation can offer researchers access to events that can otherwise not be directly observed, and in a safe and controlled environment. How to use simulation for the study of how to improve the quality and safety of healthcare remains underexplored, however. We offer an overview of simulation-based research (SBR) in this context. Building on theory and examples, we show how SBR can be deployed and which study designs it may support. We discuss the challenges of simulation for healthcare improvement research and how they can be tackled. We conclude that using simulation in the study of healthcare improvement is a promising approach that could usefully complement established research methods.
“…SBAR), training teams together, the use of simulation, encouraging the ability of all to be able to speak up and see their teams as inclusive, with protocols that support teamwork within a supportive organisational culture. In a simulation study, 20 teams of 6 members managed a challenging laparotomy (perforated viscus with anaphylaxis, stab to inferior vena cava with profound hypotension) . Different members of the team were given separate items of information, and the team was observed to see if these items were shared and recalled by other team members.…”
SummaryA narrative review was carried out to identify articles on monitoring of teamwork, with particular relevance to anaesthetists. The papers reviewed showed that team monitoring takes place both implicitly and explicitly in the anaesthetic environment. No single optimal model of teamwork monitoring for all situations was identified. Most of the studies identified were of a pre-intervention, post-intervention design, without randomisation or control group. Information shared during a formal briefing is more likely to be recalled, and provides a basis for a shared team mental model. A number of studies appeared to show that targeted teamwork training has a positive impact on both teamwork and patient safety.
“…15 A simulation-based observational study found that information was significantly more likely to be communicated effectively if mentioned in a formal communication setting, for example a debrief. 16 The quality of the debrief following the training session was an area where improvement was suggested. Participants felt that more time should be allocated to a whole team debrief at the end of the training to allow the groups to discuss their learning points from the event.…”
Background: Despite efforts to promote the effective use of the WHO surgical safety checklist, wrong tooth extractions have continued to occur within dentistry.
Method:A training initiative combined methods of teaching comprising of a presentation, video and simulation to deliver LocSSIP training at an Oral Surgery Department of a UK dental hospital. Participant feedback was analysed to determine their perception of using combined methods to deliver the training.
Result:Overall feedback was very positive with regard to relevance of the training, and its ability to meet the learning needs of all participants. Participants advocated that there should be regular re-training and incorporation of this training into the local induction programme. Almost About 94% of staff members Strongly Agreed or Agreed that they would recommend this format of training to other departments.
Conclusion:Effective training is essential to maintain safe clinical practice within health care, and training methods that are inclusive of various learning styles are well received.
K E Y W O R D Schecklist, never events, oral surgery, patient safety, simulation training
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