Blindfolded trauma team resuscitation: a strategy for improved leadership and communication

Hughes, Patrick G.; Ahmed, Rami

doi:10.1136/bmjstel-2017-000277

Cited by 5 publications

(5 citation statements)

References 4 publications

(2 reference statements)

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“…The improvement in leadership skills after the three blindfolded simulations corroborates with the findings from previous non-randomized observations (23, 24). This might be explained by an overall enhancement of teamwork skills, in particular for leadership.…”

Section: Discussionsupporting

confidence: 90%

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Effects of Blindfold on Leadership in Pediatric Resuscitation Simulation: A Randomized Trial

et al. 2019

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Background: Pediatric resuscitations are rare events. Simulation-based training improves clinical and non-clinical skills, as well as survival rate. We assessed the effectiveness of using blindfolds to further improve leadership skills in pediatric simulation-based training. Methods: Twelve teams, each composed of 1 pediatric emergency fellow, 1 pediatric resident, and 2 pediatric emergency nurses, were randomly assigned to the blindfold group (BG) or to the control group (CG). All groups participated in one session of five simulation-based resuscitation scenarios. The intervention was using a blindfold for the BG leader for the scenarios B, C, and D. Three evaluators, who were blinded to the allocation, assessed leadership skills on the first and last video-recorded scenarios (A and E). Questionnaires assessed self-reported changes in stress and satisfaction about skills after the first and the last scenarios. Results: Improvement in leadership skills doubled in the BG compared with the CG (11.4 vs. 5.4%, p = 0.04), whereas there was no increase in stress or decrease in satisfaction. Conclusion: Blindfold could be an efficient method for leadership training during pediatric resuscitation simulated scenarios. Future studies should further assess its effect at a follow-up and on clinical outcomes after pediatric resuscitation.

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Section: Discussionsupporting

confidence: 90%

“…To further bolster leadership skills, other techniques have been evaluated. Some authors have evaluated the effect of blindfolding the leader, although not in a randomized controlled trial (23, 24). Our objective is to evaluate the effect of blindfolding the team leader on leadership skills, using a randomized controlled trial design.…”

Section: Introductionmentioning

confidence: 99%

Effects of Blindfold on Leadership in Pediatric Resuscitation Simulation: A Randomized Trial

et al. 2019

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“…16,17 However, the educational interventions used for these studies were time-consuming. Additionally, these and other prior studies involving blindfolding as a teaching technique have mostly relied on participants' self-perceptions regarding CLC skills 11,[17][18][19] and did not objectively measure differences in communication patterns between groups receiving BT compared to those receiving standard training. 20 Incorporating blindfolding into existing educational sessions, such as ACLS, could be a time and cost-effective method of teaching verbal communication skills, and has the potential of being delivered to a larger group of health care providers.…”

Section: Discussionmentioning

confidence: 99%

Blindfolding Improves Communication in Inexperienced Residents Undergoing ACLS Training

Scicchitano

Stark

Koetter

et al. 2021

Journal of Graduate Medical Education

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Background Closed-loop communication (CLC) is associated with decreased medical errors and improved time-to-task completion during resuscitations. Depriving team leaders of sight during training may accelerate the acquisition of favorable communication skills; however, its effect on the frequency of CLC is unclear, especially with trainees. Objective We assessed the effect of depriving interns of sight during advanced cardiovascular life support (ACLS) on verbal communication patterns and resuscitation confidence. Methods All interns undergoing ACLS training in June 2019 at a single center were eligible. Interns were randomized to blindfolded training (BT) or standard training (ST). BT team leaders were blindfolded during practice sessions and permitted to use sight during testing. Testing scenarios were video- and audio-recorded. Recordings were assessed for teams' performance and communication patterns. Participants were surveyed for confidence with resuscitation skills before and after ACLS training. Results All 87 eligible interns participated in the study (100% participation). Eighty-five of 87 (98%) interns were included for analysis; 46 were randomized to BT and 39 to ST. Interns in the BT group were significantly more likely to exhibit CLC (mean: BT 20.3, ST 16.6; P = .003), directed communication (mean: BT 4.3, ST 1.5; P < .001), and follower-initiated communication (mean: BT 12.8, ST 10.2; P = .028). There was no significant difference in clinical performance measures or self-reported confidence with resuscitation between BT and ST groups. Conclusions Blindfolding trainees results in greater instances of CLC, directed communication, and follower-initiated communication during ACLS training.

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“…Simulation has been shown to be an effective CRM training method to improve leadership, communication, and teamwork skills, but there is little description in the literature of advanced simulation techniques to refine communication in particular [ 8 - 9 ]. A pilot study by Hughes et al utilized blindfolding during simulations as an advanced teaching technique to improve CLC [ 10 - 11 ]. It accomplished this by removing the visual cues many practitioners rely on, thereby forcing them to utilize and develop their communication skills throughout the exercise.…”

Section: Introductionmentioning

confidence: 99%

A Blindfolded Pediatric Trauma Simulation and Its Effect on Communication and Crisis Resource Management Skills

Alda¹,

Patel²,

McNinch³

et al. 2021

Cureus

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Background Miscommunication is a common cause of medical errors and patient harm. Simulation is a good tool to improve communication skills, but there is little literature on advanced techniques to improve closed loop communication (CLC) in an effort to minimize medical errors. This study looks to evaluate whether blindfolding simulation participants is an effective tool in improving communication, and whether this advanced teaching technique is useful for critical pediatric scenarios. Methods Participants included Emergency Medicine (EM) residents and Pediatric EM fellows with Advanced Trauma Life Support (ATLS) certification. Participants were randomized into groups and completed a pediatric trauma scenario. Recorded simulations were reviewed by three independent faculty for primary objective measures of total instances of communication and CLC utilization during critical actions in the simulation. The secondary objective was the perceived stress load by participants when utilizing this teaching methodology. Wilcoxon rank sum test (WRS), Fisher’s exact test (FET), and Cochran-Armitage test (CAT) were utilized for statistical analysis. Results Statistically significant differences were noted in total communication between groups. Median and interquartile ranges (IQR) of total instances of communication were 17.0 (14.7-17.1) in non-blindfolded groups versus 21.0 (19.0-22.0) in blindfolded groups (p-value=0.002). Statistically significant increase in CLC was noted during the critical action of monitor placement in the blindfolded group (OR=13.7, 95% CI=1.4-133.8). No differences were noted in crisis resource management (CRM) scores. NASA Task Load Index (NASA-TLX) scores of both groups revealed similar stress levels. Statistical testing based upon the year of training was limited by small sample size and large number of categories. Conclusions Blindfolded simulations increased total instances of communication overall and improved CLC in one critical action without increasing stress levels. The blindfolded trauma simulation exercise is an effective advanced technique to reinforce CLC utilization and communication skills.

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Blindfolded trauma team resuscitation: a strategy for improved leadership and communication

Cited by 5 publications

References 4 publications

Effects of Blindfold on Leadership in Pediatric Resuscitation Simulation: A Randomized Trial

Effects of Blindfold on Leadership in Pediatric Resuscitation Simulation: A Randomized Trial

Blindfolding Improves Communication in Inexperienced Residents Undergoing ACLS Training

A Blindfolded Pediatric Trauma Simulation and Its Effect on Communication and Crisis Resource Management Skills

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