Managing a Surgical Exsanguination Emergency in the Operating Room Through Simulation: An Interdisciplinary Approach

Simulation for Pediatric Surgery and Surgical Specialties

“…Simulation training in the OR is often centered around emergent scenarios with the aim to improve team communication and efficiency. Despite barriers to implementation such as staff recruitment and cost, it has been shown to be both feasible and have favorable outcomes, such as increased knowledge, confidence, and team communication [61][62][63].…”

Pursuing Excellence Through Creative Education

“…5 Researchers at the University of Pennsylvania studied the effects of simulation on team performance during a surgical exsanguination emergency. 6 The simulation resulted in better understanding of team members' roles, activation of the massive transfusion protocol, and improvement in time spent performing eight clinically significant tasks. This year, the AORN Simulation Task force will develop a template for multidisciplinary simulations and a set of simulations on major patient safety topics.…”

Do interprofessional simulations increase knowledge retention and perceptions of teamwork skills in a surgical trauma burn ICU setting?

“…Similarly, Acero et al (2012) . The concept that more errors occur when clinicians are afraid to speak up is well supported in the literature .…”

“…Participants managed an exsanguination and cardiac arrest simulation without any prior training (cold simulation), then underwent training and ended with their "warm simulation" of the same scenario. All tasks were performed at least 40% faster during the warm simulation (p <0.001), the number of key steps completed significantly increased (p <0.001), and post-intervention knowledge scores were significantly higher (Acero et al, 2012). Additionally, reported that as of March 2012 the emergency department had sustained more than 2.5 years without a patient safety event, after the implementation of their IPS program.…”

“…Multiple studies show a relationship between poorly functioning teams and increased medical errors, which may lead to suboptimal patient outcomes (Acero et al, 2012;Figueroa MI et al, 2013; The high acuity of the patients in the STBICU also requires the resident physicians (RPs) to be astutely trained to respond to clinical emergencies. Previously, no training specific to the STBICU patient population existed to prepare resident physicians for their rotations through the unit.…”