Video Recording Trauma Resuscitations: An Effective Teaching Technique

Hoyt, David B.; Shackford, Steven R.; Fridland, Peggy Hollingsworth; Mackersie, Robert C.; Hansbrough, John F.; Wachtel, Thomas L.; Fortune, John B.

doi:10.1097/00005373-198804000-00003

Cited by 145 publications

(100 citation statements)

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“…Hoyt et al reported, after three and a half years of incorporating videotape into trauma rounds, that the method allowed feedback not only on individual adherence to assigned responsibilities and resuscitation priorities, both of which improved, but also on the relationship among members of the trauma team. 78 Disadvantages noted in the use of videotape include that it can be tedious and time-consuming and miss bits of sound and pieces of the field. 79 As for the question of medicolegal liability, Hoyt et al received the advice that so long as patient anonymity was maintained, use of video was not a problem.…”

Section: Teaching About Errormentioning

confidence: 99%

“…79 As for the question of medicolegal liability, Hoyt et al received the advice that so long as patient anonymity was maintained, use of video was not a problem. 78 Simulation. Simulation can refer to anything from interactive question-and-answer re-creation of a patient encounter to technologically advanced models of operating rooms where lifelike, computer-controlled manikins assume the roles of patients.…”

Section: Teaching About Errormentioning

confidence: 99%

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Promoting Patient Safety and Preventing Medical Error in Emergency Departments

Schenkel

2000

Academic Emergency Medicine

135

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Abstract. An estimated 108,000 people die each year from potentially preventable iatrogenic injury. One in 50 hospitalized patients experiences a preventable adverse event. Up to 3% of these injuries and events take place in emergency departments. With long and detailed training, morbidity and mortality conferences, and an emphasis on practitioner responsibility, medicine has traditionally faced the challenges of medical error and patient safety through an approach focused almost exclusively on individual practitioners. Yet no matter how well trained and how careful health care providers are, individuals will make mistakes because they are human. In general medicine, the study of adverse drug events has led the way to new methods of error detection and error prevention. A combination of chart reviews, incident logs, observation, and peer solicitation has provided a quantitative tool to demonstrate the effectiveness of interventions such as computer order entry and pharmacist order review. In emergency medicine (EM), error detection has focused on subjects of high liability: missed myocardial infarctions, missed appendicitis, and misreading of radiographs. Some system-level efforts in error prevention have focused on teamwork, on strengthening communication between pharmacists and emergency physicians, on automating drug dosing and distribution, and on rationalizing shifts. This article reviews the definitions, detection, and presentation of error in medicine and EM. Based on review of the current literature, recommendations are offered to enhance the likelihood of reduction of error in EM practice.

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Section: Teaching About Errormentioning

confidence: 99%

Section: Teaching About Errormentioning

confidence: 99%

Promoting Patient Safety and Preventing Medical Error in Emergency Departments

Schenkel

2000

Academic Emergency Medicine

135

View full text Add to dashboard Cite

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“…Hoyt et al reported the successful implementation of video recording during trauma resuscitations as a teaching technique, concluding that a mounted camera at the foot of the bed maintained patient anonymity and exerted little interference with resuscitation. 10 Others have used ceiling-mounted cameras to capture footage of trauma resuscitations for use in quality assurance. 11,12 When Cordell et al presented a system for still photography in the ED, they affirmed the patient's right not to be photographed.…”

Section: Discussionmentioning

confidence: 99%

Patient and Provider Attitudes toward Commercial Television Film Crews in the Emergency Department

Rodriguez

Dresden

Young

2001

Academic Emergency Medicine

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Abstract. One of the most successful reality-based television shows is The Learning Channel's ''Trauma -Life in the ER,'' in which patients are filmed prior to being consented and camera crews are intimately intertwined in resuscitations. Objective: To assess provider and patient attitudes regarding privacy and satisfaction during filming. Methods: This was a prospective survey of patients and providers working in an urban, county teaching emergency department (ED). Scores of visual analog scales (VASs) for satisfaction, privacy, and willingness to return to the ED were accessed. Results: Eighty patients, 39 physicians and 39 nurses, were interviewed. On a 10-cm VAS where 0 = no invasion of patient privacy and 10 = extreme privacy invasion, the mean (ϮSD) rating by physicians was 5.4 (Ϯ2.6), by nurses was 4.9 (Ϯ3.1), and by patients was 2.3 (Ϯ3.2). There was no significant difference between physician and nurse ratings (p = 0.69), but patients rated invasion of privacy significantly lower (p < 0.0001). Filmed patients rated significantly higher invasion of privacy (3.8 Ϯ 4.1) than patients not filmed or those unsure whether they had been filmed (1.6 Ϯ 2.5); p < 0.01). On a 10-cm VAS where Ϫ5 = extreme decrease in satisfaction and 5 = extreme increase in satisfaction, the mean rating by physicians was Ϫ0.25 (Ϯ1.6), by nurses was Ϫ0.32 (Ϯ1.3), and by patients was 0.02 (Ϯ1.4). There was no statistical difference between the satisfaction levels of providers and patients (p = 0.19). Conclusions: Providers rated invasion of patient privacy higher than patients rated their own invasion of privacy. Patients who were filmed rated invasion of privacy higher than patients who were not filmed. Filming had no significant effect on the satisfaction of providers or patients.

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“…Feedback gibt Informationen über beobachtete Ereignisse unter Verwendung verschiedener Methoden (Videoaufnahmen, Defibrillatoraufzeichnungen, geübte Beobachter). Debriefing scheint eine effektive Methode zur Verbesserung der CPR und möglicherweise auch des PatientenOutcome zu sein, solange objektivierbare Sachverhalte diskutiert werden [87,89,127,149,195,196,197,198,199,200,201,202,203,204,205]. Dennoch ist die ideale Form des Debriefing noch unklar.…”

Section: Simulation Und Training Der Realistischen Wiederbelebungunclassified