Short 2-H in Situ Trauma Team Simulation Training Effectively Improves Non-Technical Skills of Hospital Trauma Teams

Rosqvist, Eerika; Lauritsalo, Seppo; Paloneva, Juha

doi:10.1177/1457496918789006

Cited by 23 publications

(38 citation statements)

References 16 publications

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“…Hospital St. Gallen, St. Gallen, Switzerland. 2 Air Zermatt, Emergency Medical Service, Zermatt, Switzerland. 3 Bergwacht Schwarzwald, Hessen, Bayern, Germany.…”

Section: Acknowledgementsmentioning

confidence: 99%

“…Simulation training applying crisis resource management (CRM) principles aims to address human factors (HF) in aviation and medicine [2,3]. As a considerable number of errors are caused by HF, simulation training provides an opportunity to manage complex medical situations under standardised conditions without endangering patients, thus reducing the occurrence of errors and increasing crew and patient safety.…”

Section: Introductionmentioning

confidence: 99%

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Efficacy and efficiency of indoor nighttime human external cargo mission simulation in a high-fidelity training Centre

Pietsch

Lischke²,

Sollid

et al. 2020

Scand J Trauma Resusc Emerg Med

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Background: The human external cargo (HEC) operations conducted by Helicopter Emergency Medical Services (HEMS) rarely take place at night, making it difficult for crew members to attain and maintain the level of expertise needed to perform winch operations in the dark. As EASA requirements for training cannot currently be met, we evaluated whether simulation training could be an option. Methods: This paper reports on a training concept using indoor simulation for the training of nighttime HEC operations. Participants' experience and perceptions were evaluated with a survey and the procedural and economic advantages of the simulation approach were compared with those of the usual outdoor HEC training. Results: Most participants had limited exposure to real-life nighttime HEC missions before undergoing the simulation-based training. The frequency of training cycles in simulation was much higher compared to conventional training (60 cycles indoors vs. 20 outdoors for HEMS-TC, 20 cycles indoors vs. 4 outdoors for MCM). Trainees perceived that their technical and non-technical skills (NTS) improved with the training. The estimated costs of standard outdoor-based nighttime HEC training (138€ per cycle) are at least 6.5 times higher than the costs of indoor simulated training (approximately 21€ per cycle). With a change to simulation, carbon dioxide emissions could potentially be reduced by more than 35 tons. Conclusions: Indoor simulation training of night HEC operations has advantages with regard to cost-effectiveness, environmental friendliness, and self-reported improvements in skills and knowledge. Its use is feasible and could improve crew and patient safety and fulfill regulatory demands for training intensity.

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“…Hospital St. Gallen, St. Gallen, Switzerland. 2 Air Zermatt, Emergency Medical Service, Zermatt, Switzerland. 3 Bergwacht Schwarzwald, Hessen, Bayern, Germany.…”

Section: Acknowledgementsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Efficacy and efficiency of indoor nighttime human external cargo mission simulation in a high-fidelity training Centre

Pietsch

Lischke²,

Sollid

et al. 2020

Scand J Trauma Resusc Emerg Med

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“…To overcome these limitations, in situ simulation-based studies offer the opportunity to assess non-technical skills in a standardized and controlled critical environment. Although previous organizational and training measures have been identified as possible means to improve team communication and SA during CPR [28][29][30][31][32], evidence is scarce regarding the impact of mobile health (mHealth) tools to support cardiac arrest team members. We developed a shared decision-making mHealth supportive tool (Interconnected and Focused mobile Applications on patients' Care Environment [InterFACE]) as a collaborative platform to support CPR providers in real-time with shared patient-centered information.…”

Section: Introductionmentioning

confidence: 99%

Impact of a shared decision-making mHealth tool on caregivers’ team situational awareness, communication effectiveness, and performance during pediatric cardiopulmonary resuscitation: study protocol of a cluster randomized controlled trial

Ehrler

Sahyoun

Manzano

et al. 2021

Trials

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Background Effective team communication, coordination, and situational awareness (SA) by team members are critical components to deliver optimal cardiopulmonary resuscitation (CPR). Complexity of care during CPR, involvement of numerous providers, miscommunication, and other exogenous factors can all contribute to negatively influencing patient care, thus jeopardizing survival. We aim to investigate whether an mHealth supportive tool (the Interconnected and Focused Mobile Apps on patient Care Environment [InterFACE]) developed as a collaborative platform to support CPR providers in real-time and share patient-centered information would increase SA during pediatric CPR. Methods We will conduct a prospective, cluster randomized controlled trial by groups of 6 participants in a tertiary pediatric emergency department (33,000 consultations/year) with pediatric physicians and nurses. We will compare the impact of the InterFACE tool with conventional communication methods on SA and effective team communication during a standardized pediatric in-hospital cardiac arrest and a polytrauma high-fidelity simulations. Forty-eight participants will be randomized (1:1) to consecutively perform two 20-min video-recorded scenarios using either the mHealth tool or conventional methods. The primary endpoint is the SA score, measured with the Situation Awareness Global Assessment Technique (SAGAT) instrument. Enrollment will start in late 2020 and data analysis in early 2021. We anticipate that the intervention will be completed by early 2021 and study results will be submitted in mid 2021 for publication. Discussion This clinical trial will assess the impact of a collaborative mHealth tool on increasing situational awareness and effective team communication during in-hospital pediatric resuscitation. As research in this area is scarce, the results generated by this study may become of paramount importance in improving the care of children receiving in-hospital CPR, in the era of increasing communication technology. Trial registration ClinicalTrials.gov NCT04464603. Registered on 9 July 2020.

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“…In situ simulation in the emergency department (ED) involves moving patient scenarios out of the simulation lab and into the ED, where patient care teams can interact in a more realistic environment than the lab setting. In situ simulations, particularly in the setting of trauma teams, can improve a wide variety of skills including problem identification, decision-making, time management, and confidence [1][2][3]. Multidisciplinary in situ simulation improve resident education [4,5] and can improve ED protocols through the identification of errors and latent safety threats [6,7].…”

Section: Introductionmentioning

confidence: 99%

In Situ Simulation to Promote Residents as Resuscitation Leaders

Kalnow

Davis

Hampton

et al. 2021

Cureus

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Our study sought to assess whether perceptions of residents as resuscitation team leaders could be improved by using emergency department (ED) in situ simulations involving ED staff. Secondarily, we monitored changes indicated in overall resuscitation team dynamics. MethodsWe conducted a prospective experimental study over the 2018-2019 academic year. Data were collected at a community-based ED with an emergency medicine residency program. Prior to starting the education, all ED staff including residents, attending physicians nurses and techs completed a survey of their perceptions of team performance and leadership during medical resuscitations. Throughout the year, residents and ED staff members were exposed to various in situ simulation scenarios. A follow-up survey was administered to reassess resident and ED staff perceptions of team dynamics and, specifically, residents as patient care team leaders. A relational coordination survey analysis was performed, dichotomized by professional domain. ResultsA total of 20 participants completed surveys before and after the in situ simulations, covering the professional domains with matched pre-simulation and post-simulation data showing significant improvement in communication and team dynamics for residents (p = 0.029) and other ED staff in medical resuscitations. Using residents as the team leaders for the simulation improved perceived leadership during resuscitation (p = 0.006). ConclusionsOur study suggests that in situ simulation within the ED leads to improved team dynamics and defined roles while emphasizing the resident as a resuscitation leader.

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Short 2-H in Situ Trauma Team Simulation Training Effectively Improves Non-Technical Skills of Hospital Trauma Teams

Cited by 23 publications

References 16 publications

Efficacy and efficiency of indoor nighttime human external cargo mission simulation in a high-fidelity training Centre

Efficacy and efficiency of indoor nighttime human external cargo mission simulation in a high-fidelity training Centre

Impact of a shared decision-making mHealth tool on caregivers’ team situational awareness, communication effectiveness, and performance during pediatric cardiopulmonary resuscitation: study protocol of a cluster randomized controlled trial

In Situ Simulation to Promote Residents as Resuscitation Leaders

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