Is team training in briefings for surgical teams feasible in simulation?

被引:21
作者
Koutantji M. [1 ]
McCulloch P. [2 ]
Undre S. [1 ]
Gautama S. [3 ]
Cunniffe S. [3 ]
Sevdalis N. [1 ]
Davis R. [1 ]
Thomas P. [1 ]
Vincent C. [1 ]
Darzi A. [1 ]
机构
[1] Department of Bio-Surgery and Surgical Technology, Imperial College London, St. Mary's Hospital, London W2 1NY, Praed Street
[2] Nuffield Department of Surgery, University of Oxford, John Radcliffe Hospital, Headington
[3] Department of Anesthesia, St. Mary's Hospital, QEQM Building, London W2 1NY, Praed Street
关键词
Team Training; Crew Resource Management; Mixed Model ANOVAs; Theatre Team; Crew Resource Management Training;
D O I
10.1007/s10111-007-0089-5
中图分类号
学科分类号
摘要
We developed a module for surgical team training using briefings in simulated crisis scenarios and here we report preliminary findings. Nine surgical teams (34 trainees) participated in a pre-training simulation, followed by an interactive workshop on briefing and checklists, and then a post-training simulation. Both technical and non-technical skills were assessed via observation during simulations by expert trainers who provided feedback on performances at the end of simulation. Trainees also reported their attitudes to briefings and evaluated the training. Pre-training attitudes to briefing were positive, some of which improved post-training and trainees' evaluation of the training was positive. Surgeons' technical skill improved significantly post-training, but their decision-making skill was rated lower than other non-technical skills, compared to other trainees. The training did not appear to greatly improve non-technical skill performance. Training surgical teams in simulation is feasible but much more work is needed on measurement development and training strategy to confirm its efficacy and utility. © 2007 Springer-Verlag London Limited.
引用
收藏
页码:275 / 285
页数:10
相关论文
共 32 条
[1]  
Bann S., Davis L.M., Moorthy K., Munz Y., Hernandez J., Khan M., Et al., The reliability of multiple objective measures of surgery and the role of human performance, Am J Surg, 189, pp. 747-752, (2005)
[2]  
Beaubien J.M., Baker D.P., The use of simulation for training teamwork skills in health care: How low can you go?, Qual Saf Health Care, 13, (2004)
[3]  
Cooper J.B., Taqueti V.R., A brief history of the development of mannequin simulators for clinical education and training (vol 13, pg i11, 2004), Qual Saf Health Care, 14, (2005)
[4]  
Fletcher G., Flin R., McGeorge P., Glavin R., Maran N., Patey R., Anaesthetists' non-technical skills (ANTS): Evaluation of a behavioural marker system, Br J Anaesth, 90, pp. 580-588, (2003)
[5]  
Gaba D.M., The future vision of simulation in health care, Qual Saf Health Care, 13, (2004)
[6]  
Gaba D.M., Howard S.K., Flanagan B., Smith B.E., Fish K.J., Botney R., Assessment of clinical performance during simulated crises using both technical and behavioral ratings, Anesthesiology, 89, pp. 8-18, (1998)
[7]  
Gallagher A.G., Ritter E.M., Champion H., Higgins G., Fried M.P., Moses G., Et al., Virtual reality simulation for the operating room-proficiency-based training as a paradigm shift in surgical skills training, Ann Surg, 241, pp. 364-372, (2005)
[8]  
Grogan E.L., Stiles R.A., France D.J., Speroff T., Morris J.A., Nixon B., Et al., The impact of aviation-based teamwork training on the attitudes of health-care professionals, J Am Coll Surg, 199, pp. 843-848, (2004)
[9]  
Healey A.N., Undre S., Sevdalis N., Koutantji M., Vincent C., The complexity of measuring interprofessional teamwork in the operating theatre, J Interprof Care, 20, pp. 485-495, (2006)
[10]  
Healey A.N., Undre S., Vincent C.A., Developing observational measures of performance in surgical teams, Qual Saf Health Care, 13, (2004)