Simulation-based team training in time-critical clinical presentations in emergency medicine and critical care: a review of the literature

Weile, Jesper; Nebsbjerg, Mette Amalie; Ovesen, Stig Holm; Paltved, Charlotte; Ingeman, Mads Lind

doi:10.1186/s41077-021-00154-4

Cited by 20 publications

(15 citation statements)

References 33 publications

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“…A recent systematic review concluded that simulated-based team training in emergency medicine is beneficial to teams' knowledge and attitude toward nontechnical skills. 28 Our group has used this model to test readiness as our institution transitioned to an independent pediatric trauma center. A total of 49 LST were identified, of which 9 were prioritized.…”

Section: Discussionmentioning

confidence: 99%

Evaluating the response of medical emergency teams to operating room code events in a children’s hospital

Williams¹,

Bludevich²,

Fitzpatrick³

et al. 2022

J Surg Simul

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Introduction: Medical emergency response teams (MET), also known as code teams, consist of health care providers who respond to life-threatening clinical changes in hospitalized patients. The study objective was to determine whether the utilization of simulation-based clinical systems testing (SbCST) and failure mode and effects analysis (FMEA) would sufficiently assess operating room (OR) MET response systems. Methods: A multidisciplinary team of participants and observers collaborated in the SbCST to evaluate OR MET response to a simulated intraoperative code event, followed by FMEA. The primary outcomes were latent safety threats (LSTs), with mitigation strategies resulting from pre-/post-SbCST participant surveys, and debriefing. Risk priority numbers were calculated for each LST to denote priority; resultant scores of 8-16 were deemed significant on a scale of 1-16. Results: Participants and observers identified 19 LSTs, 14 of which were high priority. The FMEA further subcategorized LSTs into resource, systems, facility, and clinical performance issues. Pre-/post-survey responses were not significantly different. Participants reported that the SbCST provided a realistic and immersive experience, and effectively tested current OR MET responses. Conclusion: SbCST adequately recreated and tested an OR code situation; a significant but infrequent medical event. The use of FMEA highlighted potential LSTs that, in turn, could be rectified to enhance performance. All 19 study LSTs were addressed via training and systems improvements. These results demonstrate that clinical systems can be evaluated and ameliorated via the use of SbCST and FMEA.

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Section: Discussionmentioning

confidence: 99%

Evaluating the response of medical emergency teams to operating room code events in a children’s hospital

Williams¹,

Bludevich²,

Fitzpatrick³

et al. 2022

J Surg Simul

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“…Significantly, simulation is increasingly used in scoping, preparation and ongoing development of teams and leadership skills – the latter being seen as an integral part of that development process (Weile et al , 2021). The patient safety movement (Lark et al , 2019) has become a major user of simulation as a driver for changes in how clinical practitioners – doctors, nurses, paramedics, allied health and support staff – are educated and can gain practice in dealing with clinical challenges requiring teamwork and leadership.…”

Section: Using Simulators and Simulation In Clinical Health Carementioning

confidence: 99%

Enhancing leadership training in health services – an evidence-based practice-oriented approach

Davies¹,

Shepherd

Leigh³

2022

LHS

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Purpose Globally, private and public organisations invest ever increasing amounts of money, time and effort to develop leadership capabilities in current and future leaders. Whilst such investment results in benefits for some, the full value of developmental strategies on offer is not always realised. Challenges inhibiting achievement of full value include struggling to identify learning programs that best fit with the organisational structure, culture, mission and vision and difficulties in maximising engagement of personnel at multiple levels of the management structure. Design/methodology/approach The purpose of this study is to introduce a pathway for health services to develop and embed simulation-based educational strategies that provide targeted learning for leaders and teams. Aligning this approach to leadership development through presentation of case studies in which the model has been applied illustrates the pathway for application in the health-care sector. Findings The findings of the approach to leadership development are presented through the presentation of a case study illustrating application of the ADELIS model to simulation-based learning. Practical implications The ADELIS model, outlined in this study, provides a guide for creating customised and flexible learning designs that apply simulation-based learning, enabling organisations to develop and provide leadership training for individuals, units and teams that is appropriately fit for purpose. Originality/value The key contribution to health-care leadership development offered in this study is the rationale for using simulation-based learning accompanied by a model and pathway for creating such a pedagogical approach, which embraces the reality of workplace circumstances.

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“…SBT has been found to refine qualified healthcare teams’ TS, self-efficacy and confidence [ 24 , 27 ]. Existing studies of qualified healthcare teams’ HFS focus on developing curricula, specific settings or situations or testing new evaluation or rating instruments [ 28 – 32 ]. Buljac-Samardzic et al [ 33 ] explored interventions that improved team effectiveness and concluded that SBT enhances teamwork, though interventions studies were limited to specific situations, settings and outcomes.…”

Section: Introductionmentioning

confidence: 99%

The effectiveness of improving healthcare teams’ human factor skills using simulation-based training: a systematic review

et al. 2022

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Background Simulation-based training used to train healthcare teams’ skills and improve clinical practice has evolved in recent decades. While it is evident that technical skills training is beneficial, the potential of human factor training has not been described to the same extent. Research on human factor training has been limited to marginal and acute care scenarios and often to validate instruments. This systematic review aimed to investigate the effectiveness of simulation-based training in improving in-hospital qualified healthcare teams’ human factor skills. Method A review protocol outlining the study was registered in PROSPERO. Using the PRISMA guidelines, the systematic search was conducted on September 28th, 2021, in eight major scientific databases. Three independent reviewers assessed title and abstract screening; full texts were evaluated by one reviewer. Content analysis was used to evaluate the evidence from the included studies. Results The search yielded 19,767 studies, of which 72 were included. The included studies were published between 2004 and 2021 and covered research from seven different in-hospital medical specialisms. Studies applied a wide range of assessment tools, which made it challenging to compare the effectiveness of human factor skills training across studies. The content analysis identified evidence for the effectiveness. Four recurring themes were identified: (1) Training human factor skills in qualified healthcare teams; (2) assessment of human factor skills; (3) combined teaching methods, and (4) retention and transfer of human factor skills. Unfortunately, the human factor skills assessments are variable in the literature, affecting the power of the result. Conclusion Simulation-based training is a successful learning tool to improve qualified healthcare teams’ human factor skills. Human factor skills are not innate and appear to be trainable similar to technical skills, based on the findings of this review. Moreover, research on retention and transfer is insufficient. Further, research on the retention and transfer of human factor skills from simulation-based training to clinical practice is essential to gain knowledge of the effect on patient safety.

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Simulation-based team training in time-critical clinical presentations in emergency medicine and critical care: a review of the literature

Cited by 20 publications

References 33 publications

Evaluating the response of medical emergency teams to operating room code events in a children’s hospital

Evaluating the response of medical emergency teams to operating room code events in a children’s hospital

Enhancing leadership training in health services – an evidence-based practice-oriented approach

The effectiveness of improving healthcare teams’ human factor skills using simulation-based training: a systematic review

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