Jennifer M Weller1, David Cumin2, Ian D Civil3, Jane Torrie4, Alexander Garden5, Andrew D MacCormick6, Nishanthi Gurusinghe7, Matthew J Boyd8, Christopher Frampton9, Martina Cokorilo10, Magnus Tranvik10, Lisa Carlsson10, Tracey Lee11, Wai Leap Ng12, Michael Crossan13, Alan F Merry14. 1. Associate Professor and Head of Centre for Medical and Health Sciences Education, University of Auckland and Anesthesiologist, Auckland City Hospital, New Zealand. 2. Lecturer, Department of Anesthesiology, University of Auckland, Auckland. 3. Professor of Surgery, University of Auckland, and Trauma and Vascular Surgeon Auckland City Hospital, New Zealand. 4. Senior Lecturer, Department of Anesthesiology, University of Auckland and Anesthesiologist, Auckland City Hospital. 5. Adjunct Professor, Victoria University of Wellington, Anesthesiologist, Capital and Coast Health, Wellington, New Zealand. 6. Department of Surgery, University of Auckland, General Surgeon, Counties Manukau Health, Auckland, New Zealand. 7. Department of Surgery, Launceston Hospital, Tasmania, Australia. 8. National Health Committee, New Zealand Ministry of Health, and Adapt Research Ltd, Wellington. 9. Professor, Psychological Medicine, University of Otago, Christchurch; Ludvig Selander, Medical Student, Linköping University, Linköping, Sweden. 10. Medical Student, Linköping University, Linköping, Sweden. 11. Auckland City Hospital, Auckland. 12. Anesthesiologist, Counties Manukau Health, Auckland, New Zealand. 13. Teaching Fellow, School of Nursing, University of Auckland, Auckland. 14. Professor of Anesthesiology, University of Auckland and Anesthesiologist, Auckland City Hospital, Auckland.
Abstract
AIMS: We ran a Multidisciplinary Operating Room Simulation (MORSim) course for 20 complete general surgical teams from two large metropolitan hospitals. Our goal was to improve teamwork and communication in the operating room (OR). We hypothesised that scores for teamwork and communication in the OR would improve back in the workplace following MORSim. We used an extended Behavioural Marker Risk Index (BMRI) to measure teamwork and communication, because a relationship has previously been documented between BMRI scores and surgical patient outcomes. METHODS: Trained observers scored general surgical teams in the OR at the two study hospitals before and after MORSim, using the BMRI. RESULTS: Analysis of BMRI scores for the 224 general surgical cases before and 213 cases after MORSim showed BMRI scores improved by more than 20% (0.41 v 0.32, p<0.001). Previous research suggests that this improved teamwork score would translate into a clinically important reduction in complications and mortality in surgical patients. CONCLUSIONS: We demonstrated an improvement in scores for teamwork and communication in general surgical ORs following our intervention. These results support the use of simulation-based multidisciplinary team training for OR staff to promote better teamwork and communication, and potentially improve outcomes for general surgical patients.
AIMS: We ran a Multidisciplinary Operating Room Simulation (MORSim) course for 20 complete general surgical teams from two large metropolitan hospitals. Our goal was to improve teamwork and communication in the operating room (OR). We hypothesised that scores for teamwork and communication in the OR would improve back in the workplace following MORSim. We used an extended Behavioural Marker Risk Index (BMRI) to measure teamwork and communication, because a relationship has previously been documented between BMRI scores and surgical patient outcomes. METHODS: Trained observers scored general surgical teams in the OR at the two study hospitals before and after MORSim, using the BMRI. RESULTS: Analysis of BMRI scores for the 224 general surgical cases before and 213 cases after MORSim showed BMRI scores improved by more than 20% (0.41 v 0.32, p<0.001). Previous research suggests that this improved teamwork score would translate into a clinically important reduction in complications and mortality in surgical patients. CONCLUSIONS: We demonstrated an improvement in scores for teamwork and communication in general surgical ORs following our intervention. These results support the use of simulation-based multidisciplinary team training for OR staff to promote better teamwork and communication, and potentially improve outcomes for general surgical patients.
Authors: L Lingard; C Sue-Chue-Lam; G R Tait; J Bates; J Shadd; V Schulz Journal: Adv Health Sci Educ Theory Pract Date: 2017-01-23 Impact factor: 3.853
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