Multidisciplinary operating room simulation-based team training to reduce treatment errors: a feasibility study in New Zealand hospitals

被引：0

作者：

Weller, Jennifer ^{[1
,2
]}

Cumin, David ^{[3
]}

Torrie, Jane ^{[3
,4
]}

Boyd, Matthew ^{[1
]}

Civil, Ian ^{[5
]}

Madell, Dominic ^{[6
]}

MacCormick, Andrew ^{[7
,8
]}

Gurisinghe, Nishanthi

Garden, Alexander ^{[9
]}

Crossan, Michael ^{[10
]}

Ng, Wai Leap ^{[11
]}

Johnson, Sharee ^{[12
]}

Corter, Arden ^{[13
]}

Lee, Tracey ^{[12
]}

Selander, Ludvig ^{[14
]}

Cokorilo, Martina ^{[14
]}

Merry, Alan Forbes ^{[15
,16
,17
]}

机构：

[1] Univ Auckland, Ctr Med & Hlth Sci Educ, Auckland, New Zealand

[2] Auckland City Hosp, Dept Anaesthesia, Auckland, New Zealand

[3] Univ Auckland, Anaesthesiol, Auckland, New Zealand

[4] Auckland City Hosp, Anaesthesiol, Auckland, New Zealand

[5] Auckland City Hosp, Trauma, Auckland, New Zealand

[6] Counties Manakau Dist Hlth Board, Res Off, Auckland, New Zealand

[7] Middlemore Hosp, Dept Surg, Auckland, New Zealand

[8] Launceston Hosp, Sur, Launceston, Tas, Australia

[9] Capital & Coast Dist Hlth Board, Anaesthesia, Wellington, New Zealand

[10] Univ Auckland, Nursing, Auckland, New Zealand

[11] Counties Manakau Dist Hlth Board, Anaesthesia, Auckland, New Zealand

[12] Auckland City Hosp, Operating Theatres, Auckland, New Zealand

[13] Univ Auckland, Psychgol Med, Auckland, New Zealand

[14] Linkopings Univ, Linkoping, Sweden

[15] Univ Auckland, Dept Anaesthesiol, Auckland, New Zealand

[16] Univ Auckland, Dept Anaesthesiol, Auckland, New Zealand

[17] Auckland City Hosp, Dept Anaesthesiol, Auckland, New Zealand

来源：

NEW ZEALAND MEDICAL JOURNAL | 2015年 / 128卷 / 1418期

关键词：

D O I：

暂无

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

AIMS: Communication failures in healthcare are frequent and linked to adverse events and treatment errors. Simulation-based team training has been proposed to address this. We aimed to explore the feasibility of a simulation-based course for all members of the operating room ( OR) team, and to evaluate its effectiveness. METHODS: Members of experienced OR teams were invited to participate in three simulated clinical events using an integrated surgical and anesthesia model. We collected information on costs, Behavioural Marker of Risk Index (BMRI) (a measure of team information sharing) and participants' educational gains. RESULTS: We successfully recruited 20 full OR teams. Set up costs were NZ$50,000. Running costs per course were NZ$4,000, excluding staff. Most participants rated the course highly. BMRI improved significantly (P = 0.04) and thematic analysis identified educational gains for participants. CONCLUSION: We demonstrated feasibility of multidisciplinary simulation-based training for surgeons, anesthetists, nurses and anaesthetic technicians. The course showed evidence of participant learning and we obtained useful information on cost. There is considerable potential to extend this type of team-based simulation to improve the performance of OR teams and increase safety for surgical patients.

引用

页码：40 / 51

页数：12

共 29 条

[1] Pilot Testing of a Model for Insurer-Driven, Large-Scale Multicenter Simulation Training for Operating Room Teams [J].

Arriaga, Alexander F. ;

Gawande, Atul A. ;

Raemer, Daniel B. ;

Jones, Daniel B. ;

Smink, Douglas S. ;

Weinstock, Peter ;

Dwyer, Kathy ;

Lipsitz, Stuart R. ;

Peyre, Sarah ;

Pawlowski, John B. ;

Muret-Wagstaff, Sharon ;

Gee, Denise ;

Gordon, James A. ;

Cooper, Jeffrey B. ;

Berry, William R. .

ANNALS OF SURGERY, 2014, 259 (03) :403-410

[2] Systematic review and meta-analysis of the effect of the World Health Organization surgical safety checklist on postoperative complications [J].

Bergs, J. ;

Hellings, J. ;

Cleemput, I. ;

Zurel, O. ;

De Troyer, V. ;

Van Hiel, M. ;

Demeere, J. -L. ;

Claeys, D. ;

Vandijck, D. .

BRITISH JOURNAL OF SURGERY, 2014, 101 (03) :150-158

[3]

Braun Virginia, 2006, QUAL RES PSYCHOL, V3, P77, DOI [10.1191/1478088706qp063oa, DOI 10.1191/1478088706QP063OA]

[4] The role of structured observational research in health care [J].

Carthey, J .

QUALITY & SAFETY IN HEALTH CARE, 2003, 12 :II13-II16

[5] Simulators for use in anaesthesia [J].

Cumin, D. ;

Merry, A. F. .

ANAESTHESIA, 2007, 62 (02) :151-162

[6] A Systematic Review of Simulation for Multidisciplinary Team Training in Operating Rooms [J].

Cumin, David ;

Boyd, Matt J. ;

Webster, Craig S. ;

Weller, Jennifer M. .

SIMULATION IN HEALTHCARE-JOURNAL OF THE SOCIETY FOR SIMULATION IN HEALTHCARE, 2013, 8 (03) :171-179

[7] SBAR improves nurse-physician communication and reduces unexpected death: A pre and post intervention study [J].

De Meester, K. ;

Verspuy, M. ;

Monsieurs, K. G. ;

Van Bogaert, P. .

RESUSCITATION, 2013, 84 (09) :1192-1196

[8] The Cognitive Underpinnings of Effective Teamwork: A Meta-Analysis [J].

DeChurch, Leslie A. ;

Mesmer-Magnus, Jessica R. .

JOURNAL OF APPLIED PSYCHOLOGY, 2010, 95 (01) :32-53

[9]

Gers M, 2012, SIMUL HLTH SYDNEY, V8, P198

[10] SBAR: A Shared Mental Model for Improving Communication Between Clinicians [J].

Haig, Kathleen M. ;

Sutton, Staci ;

Whittington, John .

JOINT COMMISSION JOURNAL ON QUALITY AND PATIENT SAFETY, 2006, 32 (03) :167-175

← 1 2 3 →