Video Registration of Trauma Team Performance in the Emergency Department: The Results of a 2-Year Analysis in a Level 1 Trauma Center

Lubbert, Pieter H. W.; Kaasschieter, Edgar G.; Hoorntje, Lidewij E.; Leenen, Loek P. H.

doi:10.1097/ta.0b013e31818d0e43

Cited by 65 publications

(67 citation statements)

References 11 publications

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“…Teams with a leader had higher rates of completion of their secondary survey and formulation of a plan than teams without an identified leader 5. In Lubbert et al, a lack of leadership led to more errors and delays in performing expected tasks during the primary and secondary surveys 6. In Capella, strong teamwork led to decreased time to computed tomography (CT), endotracheal intubation, and transfer to the operating room 7.…”

Section: Resultsmentioning

confidence: 99%

Leadership and Teamwork in Trauma and Resuscitation

Ford

Menchine

Burner

et al. 2016

WestJEM

118

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IntroductionLeadership skills are described by the American College of Surgeons’ Advanced Trauma Life Support (ATLS) course as necessary to provide care for patients during resuscitations. However, leadership is a complex concept, and the tools used to assess the quality of leadership are poorly described, inadequately validated, and infrequently used. Despite its importance, dedicated leadership education is rarely part of physician training programs. The goals of this investigation were the following: 1. Describe how leadership and leadership style affect patient care; 2. Describe how effective leadership is measured; and 3. Describe how to train future physician leaders.MethodsWe searched the PubMed database using the keywords “leadership” and then either “trauma” or “resuscitation” as title search terms, and an expert in emergency medicine and trauma then identified prospective observational and randomized controlled studies measuring leadership and teamwork quality. Study results were categorized as follows: 1) how leadership affects patient care; 2) which tools are available to measure leadership; and 3) methods to train physicians to become better leaders.ResultsWe included 16 relevant studies in this review. Overall, these studies showed that strong leadership improves processes of care in trauma resuscitation including speed and completion of the primary and secondary surveys. The optimal style and structure of leadership are influenced by patient characteristics and team composition. Directive leadership is most effective when Injury Severity Score (ISS) is high or teams are inexperienced, while empowering leadership is most effective when ISS is low or teams more experienced. Many scales were employed to measure leadership. The Leader Behavior Description Questionnaire (LBDQ) was the only scale used in more than one study. Seven studies described methods for training leaders. Leadership training programs included didactic teaching followed by simulations. Although programs differed in length, intensity, and training level of participants, all programs demonstrated improved team performance.ConclusionDespite the relative paucity of literature on leadership in resuscitations, this review found leadership improves processes of care in trauma and can be enhanced through dedicated training. Future research is needed to validate leadership assessment scales, develop optimal training mechanisms, and demonstrate leadership’s effect on patient-level outcome.

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Section: Resultsmentioning

confidence: 99%

Leadership and Teamwork in Trauma and Resuscitation

Ford

Menchine

Burner

et al. 2016

WestJEM

118

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“…11 In the emergency medicine speciality, it has been used to audit resuscitation, [12][13][14][15] including neonatal, 16,17 paediatric 18,19 and trauma resuscitation. 20,21 These studies continually highlight the clear educational and clinical benefits of such systems. They predominantly report the degree to which their clinical practice rates have improved, but there is often little-to-no explanation of system set-up.…”

Section: Introductionmentioning

confidence: 99%

How to implement live video recording in the clinical environment: A practical guide for clinical services

et al. 2017

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“…6 When compared with traditionally available methods to detect management errors, that is, medical record review, video recording has been shown to be more effective. 5 Systematic video reviews have the potential of improving trauma care, 7 and various "video audit" approaches have been recommended.…”

Section: Discussionmentioning

confidence: 99%

Surgical Videos for Accident Analysis, Performance Improvement, and Complication Prevention

Gambadauro

Magos

2011

Surg Innov

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Conventional audit of surgical records through review of surgical results provides useful knowledge but hardly helps identify the technical reasons lying behind specific outcomes or complications. Surgical teams not only need to know that a complication might happen but also how and when it is most likely to happen. Functional awareness is therefore needed to prevent complications, know how to deal with them, and improve overall surgical performance. The authors wish to argue that the systematic recording and reviewing of surgical videos, a "surgical black box," might improve surgical care, help prevent complications, and allow accident analysis. A possible strategy to test this hypothesis is presented and discussed. Recording and reviewing surgical interventions, apart from helping us achieve functional awareness and increasing the safety profile of our performance, allows us also to effectively share our experience with colleagues. The authors believe that those potential implications make this hypothesis worth testing.

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Video Registration of Trauma Team Performance in the Emergency Department: The Results of a 2-Year Analysis in a Level 1 Trauma Center

Cited by 65 publications

References 11 publications

Leadership and Teamwork in Trauma and Resuscitation

Leadership and Teamwork in Trauma and Resuscitation

How to implement live video recording in the clinical environment: A practical guide for clinical services

Surgical Videos for Accident Analysis, Performance Improvement, and Complication Prevention

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