Crew Resource Management in Healthcare

McConaughey, Edie

doi:10.1097/01.jpn.0000319095.59673.6c

Cited by 61 publications

(15 citation statements)

References 39 publications

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“…DCR is a team effort that requires teamwork, communication, and collaboration. The goal is to organize a group of individuals to think and act as a team with a common goal [53,54]. DCR evolved from the damage control surgery paradigm advocated by Stone et al [55] and Rotondo et al [56].…”

Section: Damage Control Resuscitation and The Optimal Ratiosmentioning

confidence: 99%

Transfusion therapy in hemorrhagic shock

Nuñez

Cotton

2009

Current Opinion in Critical Care

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Purpose of review Bleeding and death from hemorrhage remain a leading cause of morbidity and mortality in the trauma population. Early resuscitation of these gravely injured patients has changed significantly over the past several years. The concept of damage control resuscitation has expanded significantly with the experience of the US military in southwest Asia. This review will focus on this resuscitation strategy of transfusing blood products (red cells, plasma, and platelets) early and often in the exsanguinating patient. Recent findings In trauma there are no randomized controlled trials comparing the current damage control hematology concept to more traditional resuscitation methods. But the overwhelming conclusion of the data available support the administration of a high ratio of plasma and platelets to packed red blood cells. Several large retrospective studies have shown ratios close to 1 : 1 will result in higher survival. Summary The current evidence supports that the acute coagulopathy of trauma is present in a high percentage of trauma patients. Patients who will require a massive transfusion will have improved outcomes the earlier that this is identified and the earlier that damage control hematology is instituted. Current evidence does not describe the best ratio but the preponderance of the data suggests it should be greater than 2 : 3 plasma-to-packed red blood cells.

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Section: Damage Control Resuscitation and The Optimal Ratiosmentioning

confidence: 99%

Transfusion therapy in hemorrhagic shock

Nuñez

Cotton

2009

Current Opinion in Critical Care

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“…Studier har vist at oppimot 98.000 amerikanere dør hvert år som følge av systemiske feil og ikke direkte som følge av mangel på individuelle ferdigheter og kompetanse (McConaughey, 2008). I Norge finnes ingen sikre tall på hvor mange som dør i helsevesenet som en konsekvens av uheldige hendelser, men i følge Hjort (2006) kan man, hvis man regner om de internasjonale tallene, anta at rundt 2000 mennesker dør årlig som følge av slike hendelser, og ifølge samme forfatter er det grunn til å tro at tallet kan vaere adskillig høyere.…”

Section: Pasientsikkerhetunclassified

“…fl., 2009;Boulet, Murray, & M. D, 2010;Gaba, 2004;McCaughey & Traynor, 2010;McConaughey, 2008;McGaghie, Issenberg, Petrusa m.fl., 2010;Rothgeb, 2008).…”

Section: Pasientsikkerhetunclassified

“…Simulatortreningens utvikling og legitime plass innenfor utdanning og kompetanseoppdatering kan i noen grad synes avhengig av forskning som bekrefter metodens overføringsverdi til klinisk praksis og betydning for bedret pasientsikkerhet (Bearnson & Wiker, 2005;McConaughey, 2008). Full-skala simulatortrening som metode til å innøve praktiske ferdigheter og trene helsepersonell i samarbeid og kommunikasjon er velprøvd, men det gjenstår fortsatt å finne ut om ervervet kunnskap og kompetanse har overføringsverdi til klinisk virksomhet (McConaughey, 2008).…”

Section: Full-skala Simulatortreningunclassified

“…Full-skala simulatortrening som metode til å innøve praktiske ferdigheter og trene helsepersonell i samarbeid og kommunikasjon er velprøvd, men det gjenstår fortsatt å finne ut om ervervet kunnskap og kompetanse har overføringsverdi til klinisk virksomhet (McConaughey, 2008). Ytterligere forskning innenfor emnet er i følge McGaghie et.…”

Section: Full-skala Simulatortreningunclassified

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Simulatortrening in situ, lek eller læring? - En intervjuundersøkelse av hvilke erfaringer sykepleiere har med debrifingsfasen i full-skala simulatortrening gjennomført ved egen arbeidsplass

Flatgård¹

2016

NSF

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SAMMENDRAGFire kategorier beskriver hvilke erfaringer sykepleiere har med debrifingsfasen og hva de opplever som viktig, nyttig og laererikt. Det å delta i debrifing lokalt ser ut til å gi mer fokus på de enkeltes roller og oppgaver, samspill i team, og at det å etterligne pasientsituasjoner i egne lokaler gir muligheter til å oppklare og avklare ulike fagspørsmål, og foreslå forbedringer av klinisk praksis. Simulering og debrifing oppleves interessant og laererikt, men det er viktig at de utfordringer som blir identifisert tas tak og gjøres noe med. Resultatet kan ha betydning for tilpassing og utvikling av simulering og debrifing ved egen arbeidsplass.

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Teaching Teamwork in Medical Education

Lerner¹,

Magrane²,

Friedman³

2009

Mount Sinai J Medicine

169

108

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Teamwork has become a major focus in healthcare. In part, this is the result of the Institute of Medicine report entitled To Err Is Human: Building a Safer Health System, which details the high rate of preventable medical errors, many of which are the result of dysfunctional or nonexistent teamwork. It has been proposed that a healthcare system that supports effective teamwork can improve the quality of patient care and reduce workload issues that cause burnout among healthcare professionals. Few clear guidelines exist to help guide the implementation of all these recommendations in healthcare settings. In general, training programs designed to improve team skills are a new concept for medicine, particularly for physicians who are trained largely to be self-sufficient and individually responsible for their actions. Outside of healthcare, research has shown that teams working together in high-risk and high-intensity work environments make fewer mistakes than individuals. This evidence originates from commercial aviation, the military, firefighting, and rapid-response police activities. Commercial aviation, an industry in which mistakes can result in unacceptable loss, has been at the forefront of risk reduction through teamwork training. The importance of teamwork has been recognized by some in the healthcare industry who have begun to develop their own specialty-driven programs. The purpose of this review is to discuss the current literature on teaching about teamwork in undergraduate medical education. We describe the science of teams, analyze the work in team training that has been done in other fields, and assess what work has been done in other fields about the importance of team training (ie, aviation, nonmedical education, and business). Additionally, it is vital to assess what work has already been done in medicine to advance the skills required for effective teamwork. Much of this work has been done in fields in which medical professionals deal with crisis situations (ie, anesthesia, trauma, and labor and delivery). We describe the current programs for teaching medical students these essential skills and what recommendations have been made about the best ways to introduce teaching this skill set into the curriculum. Finally, we include a review on assessing teamwork because one cannot teach team training without implementing an assessment to ensure that the skills are being learned.

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Crew Resource Management in Healthcare

Cited by 61 publications

References 39 publications

Transfusion therapy in hemorrhagic shock

Transfusion therapy in hemorrhagic shock

Simulatortrening in situ, lek eller læring? - En intervjuundersøkelse av hvilke erfaringer sykepleiere har med debrifingsfasen i full-skala simulatortrening gjennomført ved egen arbeidsplass

Teaching Teamwork in Medical Education

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