Six steps from head to hand: A simulator based transfer oriented psychological training to improve patient safety

Müller, Michael; Hänsel, Mike; Stehr, Sebastian; Fichtner, Andreas; Weber, Sören; Hardt, Florian; Bergmann, Bärbel; Koch, Thea

doi:10.1016/j.resuscitation.2006.08.011

Cited by 34 publications

(13 citation statements)

References 10 publications

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“…In Germany, preventable deaths in hospitals are five times more frequent than deadly traffic accidents, and up to 80% of adverse events in anaesthesiology are attributed to human errors, including team performance breakdown 2 . For reliable team performance and to minimise human errors in medicine and other domains such as aviation, non-technical skills (NTS) are essential 3 - 5 …”

Section: Introductionmentioning

confidence: 99%

Does teaching non-technical skills to medical students improve those skills and simulated patient outcome?

et al. 2017

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ObjectivesThe purpose of this study is to evaluate the effects of a tailor-made, non-technical skills seminar on medical student’s behaviour, attitudes, and performance during simulated patient treatment.MethodsSeventy-seven students were randomized to either a non-technical skills seminar (NTS group, n=43) or a medical seminar (control group, n=34). The human patient simulation was used as an evaluation tool. Before the seminars, all students performed the same simulated emergency scenario to provide baseline measurements. After the seminars, all students were exposed to a second scenario, and behavioural markers for evaluating their non-technical skills were rated. Furthermore, teamwork-relevant attitudes were measured before and after the scenarios, and perceived stress was measured following each simulation. All simulations were also evaluated for various medical endpoints.ResultsNon-technical skills concerning situation awareness (p<.01, r=0.5) and teamwork (p<.01, r=0.45) improved from simulation I to II in the NTS group. Decision making improved in both groups (NTS: p<.01, r=0.39; control: p<.01, r=0.46). The attitude ‘handling errors’ improved significantly in the NTS group (p<.05, r=0.34). Perceived stress decreased from simulation I to II in both groups. Medical endpoints and patients´ outcome did not differ significantly between the groups in simulation II.ConclusionsThis study highlights the effectiveness of a single brief seminar on non-technical skills to improve student’s non-technical skills. In a next step, to improve student’s handling of emergencies and patient outcomes, non-technical skills seminars should be accompanied by exercises and more broadly embedded in the medical school curriculum.

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Section: Introductionmentioning

confidence: 99%

Does teaching non-technical skills to medical students improve those skills and simulated patient outcome?

et al. 2017

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“…First, simulator training has previously been demonstrated to improve an individual's confidence in managing specific medical or surgical problems [4,10,11,24]. Although specific evaluation of team member confidence was not directly measured in the current study, participants including residents and faculty routinely provided positive feedback after participation in simulated scenarios.…”

Section: Discussionmentioning

confidence: 99%

Multidisciplinary pediatric trauma team training using high-fidelity trauma simulation

Falcone

Daugherty

Schweer

et al. 2008

Journal of Pediatric Surgery

169

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“…Aufgrund dieser Erkenntnisse wuchs die Bereitschaft, sich wissenschaftlich mit dem Thema "Patentensicherheit" ausein anderzusetzen [6,8,16,27,28]. Dabei ge langten zunehmend Erkenntnisse aus dem Prozess bzw.…”

Section: Patientensicherheit In Der Medizinunclassified

“…8 [2,17,36]. Alle Elemente lassen sich auf die Me dizin übertragen, wie zahlreiche Studien belegen konnten [5,6,7,8,9,15,16,17,21,22,23,24,25,27,28,29,30]. Als Nebeneffekt stellte sich ein "fühl bar" gestärktes Zusammengehörigkeitsge fühl aller teilnehmenden Klinikmitarbei ter ein, das zum großen Teil durch das im Training generierte gemeinsame "mentale Modell" beeinflusst war [36,41].…”

Section: Crew-resource-managementkonzeptunclassified

Verbesserung der Teamkompetenz im OP

Schmidt

Hardt²,

Möller

et al. 2010

Anaesthesist

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Growing attention has been drawn to patient safety during recent months due to media reports of clinical errors. To date only clinical incident reporting systems have been implemented in acute care hospitals as instruments of risk management. However, these systems only have a limited impact on human factors which account for the majority of all errors in medicine. Crew resource management (CRM) starts here. For the commissioning of a new hospital in Minden, training programs were installed in order to maintain patient safety in a new complex environment. The training was planned in three parts: All relevant processes were defined as standard operating procedures (SOP), visualized and then simulated in the new building. In addition, staff members (trainers) in leading positions were trained in CRM in order to train the complete staff. The training programs were analyzed by questionnaires. Selection of topics, relevance for practice and mode of presentation were rated as very good by 73% of the participants. The staff members ranked the topics communication in crisis situations, individual errors and compensating measures as most important followed by case studies and teamwork. Employees improved in compliance to the SOP, team competence and communication. In high technology environments with escalating workloads and interdisciplinary organization, staff members are confronted with increasing demands in knowledge and skills. To reduce errors under such working conditions relevant processes should be standardized and trained for the emergency situation. Human performance can be supported by well-trained interpersonal skills which are evolved in CRM training. In combination these training programs make a significant contribution to maintaining patient safety.

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Six steps from head to hand: A simulator based transfer oriented psychological training to improve patient safety

Cited by 34 publications

References 10 publications

Does teaching non-technical skills to medical students improve those skills and simulated patient outcome?

Does teaching non-technical skills to medical students improve those skills and simulated patient outcome?

Multidisciplinary pediatric trauma team training using high-fidelity trauma simulation

Verbesserung der Teamkompetenz im OP

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