Mode of Information Delivery Does Not Effect Anesthesia Trainee Performance During Simulated Perioperative Pediatric Critical Events

Watkins, Scott C.; Anders, Shilo; Clebone, Anna; Hughes, Elisabeth; Patel, Vikram; Zeigler, Laura; Shi, Yaping; Shotwell, Matthew S.; McEvoy, Matthew D.; Weinger, Matthew B.

doi:10.1097/sih.0000000000000191

Cited by 20 publications

(15 citation statements)

References 26 publications

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“…Subjective findings of this study found in Tables 2 and 5 demonstrate a need for familiarization, self-review, but also training on how to use the manual which correlates with previous studies [8-9]. An article regarding previous large-scale implementation in China focused on different forms of simulation training performed in China and included interactive lectures regarding why, how, and when to use emergency manuals which were included in an overall implementation movement with multiple forms of simulation including lecture, workshop, demonstrations and simulation competition [10].…”

Section: Discussionsupporting

confidence: 85%

Free Emergency Manual Books Improve Actual Clinical Use During Crisis in China

Huang

Hoang

Simmons

et al. 2019

Cureus

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Introduction Emergency manuals (EM) are widely implemented and effective tools for anesthesiologists and perioperative teams to manage patients during critical events. Team simulation studies have shown that the use of training aids and checklists decreases human error. Previous research has examined the use of EM at hospitals in the United States, but few studies have explored its impact in an international setting. In this paper, we conduct a nationwide survey in China to assess the implementation and effectiveness of EM in clinical settings. Methods Based on the known benefits of using these training aids, we hypothesize that introducing EM will improve team response and reduce errors during crisis management. Copies of the translated Stanford University Operating Room Emergency Handbook were distributed free of charge to hospital anesthesiology departments across China. A survey was then sent out to members of the New Youth Anesthesia Forum, a social networking group of over 100,000 anesthesiologists. Results Respondents (n = 818) were separated based on whether or not they received the free EM (yes = 410; no = 408). Our study found that groups who received the manuals demonstrated significantly higher levels of self-review, group study, simulation training participation, and usage during critical events than groups that did not receive the free books (respectively; p < 0.001). Conclusions These findings strengthen prior evidence suggesting that implementing EM can contribute to the effective management of acute events in a hospital and preoperative setting. Overall, EM can minimize preventable patient risk and benefit anesthesiologists in their clinical practice. These findings indicate that free books can enhance the implementation of emergency manual and actual emergency manual use during critical events.

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Section: Discussionsupporting

confidence: 85%

Free Emergency Manual Books Improve Actual Clinical Use During Crisis in China

Huang

Hoang

Simmons

et al. 2019

Cureus

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“…The reasons for this are unclear and with limited numbers may be solely related to individual deficiencies. However, previous studies have found that using an eDSS reduces situational awareness, diverts the user's attention away from the patient, delays life-saving interventions [26] and increases the risk of misunderstandings [24]. In keeping with these findings, our participants suggested that they were distracted; such distraction may have been caused by a lack of familiarity with the software.…”

Section: Discussionsupporting

confidence: 73%

Does electronic decision support influence advanced life support in simulated cardiac arrest?

Jones

Hayes

Williams

et al. 2019

British Journal of Cardiac Nursing

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In-hospital Cardiac arrest is common but despite mandatory resuscitation training for staff, the survival rates vary considerably. The reason for such variation is unclear but may relate to a number of human factors. Decision support systems and tools have been suggested as a means of reducing human errors and improve patient outcome. In this proof of concept study, we tested the use of such a device in a simulated environment Methods The aims of this study were firstly, to investigate if the introduction of an electronic decision support system (eDSS) influenced the delivery of advanced life support in a simulated cardiac arrest scenario and secondly, to explore the users' views on their performance both with and without the eDSS.

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“…The e-checklist reduced provider errors and cognitive workload without increasing checklist completion time, showing the feasibility of checklists in emergency medical settings. In contrast, Watkins et al [26] found no difference between the two formats. These studies are critical because they establish the importance of a proper design and appropriate use of cognitive aids, in addition to the format.…”

Section: Background and Related Workmentioning

confidence: 91%

Exploring Design Opportunities for a Context-Adaptive Medical Checklist Through Technology Probe Approach

Kulp

Sarcevic

Farneth

et al. 2017

Proceedings of the 2017 Conference on Designing Interactive Systems

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This paper explores the workflow and use of an interactive medical checklist for trauma resuscitation—an emerging technology developed for trauma team leaders to support decision making and task coordination among team members. We used a technology probe approach and ethnographic methods, including video review, interviews, and content analysis of checklist logs, to examine how team leaders use the checklist probe during live resuscitations. We found that team leaders of various experience levels use the technology differently. Some leaders frequently glance at the checklist and take notes during task performance, while others place the checklist on a stand and only interact with the checklist when checking items. We compared checklist timestamps to task activities and found that most items are checked off after tasks are performed. We conclude by discussing design implications and new design opportunities for a future dynamic, adaptive checklist.

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Mode of Information Delivery Does Not Effect Anesthesia Trainee Performance During Simulated Perioperative Pediatric Critical Events

Cited by 20 publications

References 26 publications

Free Emergency Manual Books Improve Actual Clinical Use During Crisis in China

Free Emergency Manual Books Improve Actual Clinical Use During Crisis in China

Does electronic decision support influence advanced life support in simulated cardiac arrest?

Exploring Design Opportunities for a Context-Adaptive Medical Checklist Through Technology Probe Approach

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