Jennifer Weller1, David Cumin2, Jane Torrie2, Matthew Boyd3, Ian Civil4, Dominic Madell5, Andrew MacCormick6, Nishanthi Gurisinghe7, Alexander Garden8, Michael Crossan9, Wai Leap Ng10, Sharee Johnson11, Arden Corter12, Tracey Lee11, Ludvig Selander13, Martina Cokorilo13, Alan Forbes Merry14. 1. Centre for Medical and Health Sciences Education, University of Auckland and Department of Anaesthesia Auckland City Hospital. j.weller@auckland.ac.nz. 2. Anaesthesiology, University of Auckland. 3. Centre for Medical and Health Sciences Education, University of Auckland. 4. Trauma, Auckland City Hospital. 5. Research Office, Counties Manakau District Health Board. 6. Department of Surgery, Middlemore Hospital. 7. Surgery, Launceston Hospital. 8. Anaesthesia, Capital and Coast District Health Board. 9. Nursing, University of Auckland. 10. Anaesthesia, Counties Manakau District Health Board. 11. Operating Theatres, Auckland City Hospital. 12. Psychgological Medicine, University of Auckland. 13. Medical Student, Linkopings Universitet. 14. Department of Anaesthesiology, University of Auckland, and Auckland City Hospital.
Abstract
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.
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.
Authors: Haley E Calcagno; Brandon Lucke-Wold; Michele Noles; Dawn Dillman; Mark Baskerville; Donn Spight; Jeremy N Ciporen Journal: Arch Neurol Neuro Disord Date: 2018
Authors: Jennifer Weller; Jennifer Anne Long; Peter Beaver; David Cumin; Chris Frampton; Alexander L Garden; Matthew Moore; Craig S Webster; Alan Merry Journal: BMJ Open Date: 2020-02-19 Impact factor: 2.692
Authors: Tanisha Jowsey; Peter Beaver; Jennifer Long; Ian Civil; A L Garden; Kaylene Henderson; Alan Merry; Carmen Skilton; Jane Torrie; Jennifer Weller Journal: BMJ Open Date: 2019-10-31 Impact factor: 2.692