Anesthesiologists' Management of Simulated Critical Incidents

Schwid, Howard A.; O’Donnell, Daniel

doi:10.1097/00000542-199204000-00002

Cited by 157 publications

(58 citation statements)

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“…Anesthesia has led the way, using screen-based simulation to look at the effectiveness of Advanced Cardiac Life Support training in individuals and using full-sized operating suites to examine and train the interpersonal aspects-team composition, attitudes, and intergroup norms, for example -involved in team-based medical care. [81][82][83] The field has generated sufficient interest to establish several high-fidelity anesthesia simulators and at least one company that markets simulators for procedural training in IV catheterization and endoscopy. 84,85 Basic life support courses for both laypersons and professionals have used manikins to teach procedural skills.…”

Section: Teaching About Errormentioning

confidence: 99%

Promoting Patient Safety and Preventing Medical Error in Emergency Departments

Schenkel

2000

Academic Emergency Medicine

131

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Abstract. An estimated 108,000 people die each year from potentially preventable iatrogenic injury. One in 50 hospitalized patients experiences a preventable adverse event. Up to 3% of these injuries and events take place in emergency departments. With long and detailed training, morbidity and mortality conferences, and an emphasis on practitioner responsibility, medicine has traditionally faced the challenges of medical error and patient safety through an approach focused almost exclusively on individual practitioners. Yet no matter how well trained and how careful health care providers are, individuals will make mistakes because they are human. In general medicine, the study of adverse drug events has led the way to new methods of error detection and error prevention. A combination of chart reviews, incident logs, observation, and peer solicitation has provided a quantitative tool to demonstrate the effectiveness of interventions such as computer order entry and pharmacist order review. In emergency medicine (EM), error detection has focused on subjects of high liability: missed myocardial infarctions, missed appendicitis, and misreading of radiographs. Some system-level efforts in error prevention have focused on teamwork, on strengthening communication between pharmacists and emergency physicians, on automating drug dosing and distribution, and on rationalizing shifts. This article reviews the definitions, detection, and presentation of error in medicine and EM. Based on review of the current literature, recommendations are offered to enhance the likelihood of reduction of error in EM practice.

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Section: Teaching About Errormentioning

confidence: 99%

Promoting Patient Safety and Preventing Medical Error in Emergency Departments

Schenkel

2000

Academic Emergency Medicine

131

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“…En el área de postgrado, la simulación también se ha utilizado ampliamente, demostrando mejoras en el desempeño como resultado del entrenamiento basado en simulación en medicina intensiva, medicina de urgencia y pediatría [47][48][49][50] . En anestesiología, hay evidencia de que ha mejorado el desempeño tanto de residentes como especialistas en escenarios de alta complejidad [51][52][53][54][55] . Específicamente en relación a la introducción de protocolos de ACLS (Advanced Cardiac Life Support) ha permitido mejorar el trabajo en equipo y el desempeño clínico en relación al cumplimiento de dichos protocolos 56 .…”

Section: Evidencia De Su Utilidad En Medicinaunclassified

Simulación en educación médica: una sinopsis

et al. 2013

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“…Dabei liegen die Ursachen für deren Entstehung meist nicht in rein medizinisch-fachlichen Defiziten, sondern in Schwierigkeiten bei der praktischen Umsetzung des Wissens unter den Bedingungen der Realität [10,11,12,15,22,25,53,54] ter realen Bedingungen praktisch trainiert werden. Die oft fälschlicherweise als "menschliches Versagen" eingestuften Ursachen finden sich in der Natur des Menschen und der Funktion seines Gehirns begründet.…”

Section: Ursachen Von Fehlern Und Zwischenfällenunclassified