Simulation-based team training improves outcomes during real peri-operative emergencies

Martínez, N. Pascual; Motuk, Gregory; Kolb, Gretchen; Luba, Josef; Dumon, Kristoffel R.; Resnick, Andrew S.

doi:10.1016/j.jamcollsurg.2012.06.295

Cited by 1 publication

(3 citation statements)

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“…Most studies used either a simulated OT or point‐of‐care set‐up to provide simulated training. Twelve of 23 programmes were conducted in simulated OTs, which contained similar equipment to a fully functioning procedural theatre. Six programmes were defined as point‐of‐care or in situ where simulations were conducted on actual inpatient care units (OT or intensive care unit) involving local health care teams .…”

Section: Resultsmentioning

confidence: 99%

“…Crisis situations were described by 19 of 23 programmes . The crisis were a medical or surgical situation, such as cardiac arrhythmia, arrest or ischaemia, haemorrhage, malignant hyperthermia, pneumothorax, anaphylaxis, respiratory distress, perforation of gall bladder or an external problem, such as failure with laparoscopic equipment and missing instruments . Undre et al .…”

Section: Resultsmentioning

confidence: 99%

“…reported improvement in participants’ knowledge, measured by a procedural based pre‐ and post‐intervention questionnaire, and in team performance. This author conducted two simulation sessions of a repeated scenario and observed participants improvement in the number of mitigating steps necessary for the procedure, including identifying a team leader . Furthermore, the authors describe improvement in team preparedness, role and procedural awareness and clinical outcomes during actual OT emergencies based on a participants self‐reported survey delivered up to 20 months post‐training …”

Section: Resultsmentioning

confidence: 99%

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Multidisciplinary team simulation for the operating theatre: a review of the literature

Tan

Pena

Altree

et al. 2013

ANZ Journal of Surgery

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Introduction: Analyses of adverse events inside the operating theatre has demonstrated that many errors are caused by failure in non-technical skills and teamwork. While simulation has been used successfully for teaching and improving technical skills, more recently, multidisciplinary simulation has been used for training team skills. We hypothesized that this type of training is feasible and improves team skills in the operating theatre. Methods: A systematic search of the literature for studies describing true multidisciplinary operating theatre team simulation was conducted in November and December 2012. We looked at the characteristics and outcomes of the team simulation programmes. Results: 1636 articles were initially retrieved. Utilizing a stepwise evaluation process, 26 articles were included in the review. The studies reveal that multidisciplinary operating theatre simulation has been used to provide training in technical and nontechnical skills, to help implement new techniques and technologies, and to identify latent weaknesses within a health system. Most of the studies included are descriptions of training programmes with a low level of evidence. No randomized control trial was identified. Participants' reactions to the training programme were positive in all studies; however, none of them could objectively demonstrate that skills acquired from simulation are transferred to the operating theatre or show a demonstrable benefit in patient outcomes. Conclusion: Multidisciplinary operating room team simulation is feasible and widely accepted by participants. More studies are required to assess the impact of this type of training on operative performance and patient safety.

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Section: Resultsmentioning

confidence: 99%