Interrater Reliability of Performance Assessment Tools for the Management of Simulated Anesthetic Crisis

Gaba, David M.; Botney, Richard; Howard, Steven K.; Fish, Kevin J.; Flanagan, Brendan

doi:10.1097/00000542-199409001-01277

Cited by 34 publications

(59 citation statements)

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“…Therefore,we elected to focus our efforts on the education of leadership skills specific to resuscitation. The majority of research in this area has been conducted in the field of crisis resource management (CRM) (Howard et al 1992;Gaba et al 1994). This was a curriculum designed to teach anaesthetists how to be effective team leaders in the operating room.…”

Section: Practice Pointsmentioning

confidence: 99%

“…Three key areas of focus are: tasks required of a leader, effective communication skills within a team, and avoidance of fixation errors. Fixation errors are defined as ''persistent failure to revise a diagnosis or plan in the face of readily available evidence that suggests a revision is necessary'' (Gaba et al 1994). During their training program, our paediatric residents had no explicit education of the leadership skills required during a resuscitation effort.…”

Section: Practice Pointsmentioning

confidence: 99%

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Development of a leadership skills workshop in paediatric advanced resuscitation

2007

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Background: Paediatric residency programs rarely prepare trainees to assume resuscitation team leadership roles despite the recognized need for these skills by specialty accreditation organizations. We conducted a needs-assessment survey of all residents in the McGill Pediatric Residency Program, which demonstrated that most residents had minimal or no experience at leading resuscitation events and felt unprepared to assume this role in the future. Aims: We developed an educational intervention (workshop) and evaluated immediate and long term learning outcomes in order to determine whether residents could acquire and retain team leadership skills in pediatric advanced resuscitation. Methods: Fifteen paediatric residents participated in a workshop that we developed to fulfill the learning needs highlighted with the needs assessment, as well as the Objectives of Training in Pediatrics from the Royal College of Physicians and Surgeons of Canada. It consisted of a plenary session followed by 2 simulated resuscitation scenarios. Team performance was evaluated by checklist. Residents were evaluated again 6 months later without prior interactive lecture. Learning was also assessed by self-reported retrospective pre/post questionnaire. Conclusions: Residents acquired resuscitation team leadership skills following an educational intervention as shown by both observational checklist scores and self-reported survey. The six-month follow-up evaluation demonstrated skill retention beyond the initial intervention. A control group suggested that these results were due to completion of the first workshop.

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Section: Practice Pointsmentioning

confidence: 99%

Section: Practice Pointsmentioning

confidence: 99%

Development of a leadership skills workshop in paediatric advanced resuscitation

2007

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“…Th is is why engineers and pilots also talk about enhancing situational awareness [12,13]. Th is is because identifying a discrepancy between what is happening and what should be happening is often the fi rst indication of an error.…”

Section: Engineering and Error Preventionmentioning

confidence: 99%

“…Traditional eff orts to reduce error, however well intentioned, emphasize discipline, and retraining, but ignore the context in which the error occurred [3]. Th is is also why they are less likely to prevent recurrence [12,13].…”

Section: Engineering and Error Preventionmentioning

confidence: 99%

Patient Safety and Acute Care Medicine: Lessons for the Future, Insights from the Past

Brindley¹

2010

Yearbook of Intensive Care and Emergency Medicine

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“…A scenario of an intraoperative power failure is mentioned, yet how the physicians were taught to deal with such a situation is not thoroughly detailed. Therefore, after experiencing such a unique event firsthand and noting the contribution made by Gaba et al, 6 we have formulated the following recommendations to help prepare those who may find themselves in a similar situation (Table).…”

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confidence: 99%

A Case of a Power Failure in the Operating Room

Yasny¹,

Soffer²

2005

Anesthesia Progress

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In the operating room, safely administering anesthesia amidst a major power failure can instantly present one with a formidable challenge. A case is presented involving a 23-year-old healthy woman who underwent a complex oral and maxillofacial surgery to correct a dentofacial deformity. Three hours into the case and with the patient's maxilla downfractured, the overhead surgical lights blacked out, and there was an apparent loss of the anesthesia machine's ability to function. Providing adequate oxygenation, ventilation, anesthesia levels, monitoring of vital signs, and transportation of the patient were some of the challenges faced, and the response to this unexpected event is recounted. The importance of one's familiarity with an anesthesia machine's backup battery supply, routinely checking machinery, ensuring that appropriate and sufficient supplies are readily available, exercising calm leadership with clear communication, and formulating a clear plan with backup alternatives are discussed. Various recommendations are proposed with respect to the preparation for and the prevention of a power failure in the operating room. This report's account of events is aimed to ''shed some light'' on this topic, serve as a check of one's own preparedness, and facilitate the optimal management of a similarly unexpected incident.

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Interrater Reliability of Performance Assessment Tools for the Management of Simulated Anesthetic Crisis

Cited by 34 publications

References 0 publications

Development of a leadership skills workshop in paediatric advanced resuscitation

Development of a leadership skills workshop in paediatric advanced resuscitation

Patient Safety and Acute Care Medicine: Lessons for the Future, Insights from the Past

A Case of a Power Failure in the Operating Room

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