Effects of Nationwide Training of Multiprofessional Trauma Teams in Norwegian Hospitals

Wisborg, Torben; Brattebø, Guttorm; Brinchmann-Hansen, Åse; Uggen, Per Einar; Hansen, Kari Schrøder

doi:10.1097/ta.0b013e31812eed68

Cited by 58 publications

(60 citation statements)

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“…Practical simulation can positively affect knowledge and confidence among trauma team members [10,17]. Trauma team organization has been shown to reduce the time to definitive surgery (18) and to reduce mortality [6,15].…”

Section: Discussionmentioning

confidence: 99%

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Evaluation of Training Program for Surgical Trauma Teams in Botswana

et al. 2014

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Background Trauma represents a challenge to healthcare systems worldwide, particularly in low-and middleincome countries. Positive effects can be achieved by improving trauma care at the scene of the accident and throughout hospitalization and rehabilitation. Therefore, we assessed the long-term effects of national implementation of a training program for multidisciplinary trauma teams in a southern African country. Methods From 2007 to 2009, an educational program for trauma, ''Better and Systematic Team Training,'' (BEST) was implemented at all government hospitals in Botswana. The effects were assessed through interviews, a structured questionnaire, and physical inspections using the World Health Organization's ''Guidelines for Essential Trauma Care.'' Data on human and physical resources, infrastructure, trauma administrative functions, and qualityimprovement activities before and at 2-year follow-up were compared for all 27 government hospitals. Results A majority of hospitals had formed local trauma organizations; half were performing multidisciplinary trauma simulations and some had organized multidisciplinary trauma teams with alarm criteria. A number of hospitals had developed local trauma guidelines and local trauma registries. More equipment for advanced airway management and stiff cervical collars were available after 2 years. There were also improvements in the skills necessary for airway and breathing management. The most changes were seen in the northern region of Botswana. Conclusions Implementation of BEST in Botswana hospitals was associated with several positive changes at 2-year follow-up, particularly for trauma administrative functions and quality-improvement activities. The effects on obtaining technical equipment and skills were moderate and related mostly to airway and breathing management.

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Section: Discussionmentioning

confidence: 99%

“…The BEST program was developed in Norway and is a nonprofit training system that focuses mainly on multidisciplinary trauma team training using simulations [10]. BEST trauma training was conducted at all 27 government hospitals in Botswana from November 2007 until the end of 2009.…”

Section: Settingmentioning

confidence: 99%

Evaluation of Training Program for Surgical Trauma Teams in Botswana

et al. 2014

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“…The more exposure that can be given to these injuries and to the whole team, before deployment, the better. 4,5 …”

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confidence: 98%

Improvised explosive device related pelvi-perineal trauma

Mossadegh

Tai

Midwinter

et al. 2012

Journal of Trauma and Acute Care Surgery

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“…With recent efforts to decrease the use of live animal models for trauma training and limited access to clinical cases, simulation-based training is receiving increased attention. The use of simulation-based training has occupied an increasingly important role in trauma training for civilian programs as well [6][7][8]. The evidence linking simulation-based training to improvements in real-world performance or skill acquisition time, however, is limited.…”

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confidence: 99%

“…In ongoing conflicts, almost one-third of trauma patients arrive in a mass casualty presentation [21]. The majority of simulation-based training to date for trauma management continues to focus on single-patient scenarios [6,[9][10][11][12] more suitable to civilian practice.To address this need, four multi-patient scenarios were created and tested with the C-STARS students (Appendix A). This portion of the work presented several challenges due to the delays in construction of the new STC/C-STARS simulation site.…”

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confidence: 99%

C-STARS Baltimore Simulation Center Military Trauma Training Program: Training for High Performance Trauma Teams

Grissom¹,

Whitehorn²,

Graybill³

et al. 2013

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Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing this collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information , 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ADDRESS. REPORT DATE (DD-MM-YYYY)19 Sep 2013 REPORT TYPE Final Technical Report DATES COVERED (From -To SPONSORING / MONITORING AGENCY NAME(S) AND ADDRESS(ES) 10. SPONSORING/MONITOR'S ACRONYM(S) SPONSOR/MONITOR'S REPORT NUMBER(S) DISTRIBUTION / AVAILABILITY STATEMENTDistribution A: Approved for public release; distribution is unlimited. Case Number: 88ABW-2014-1767, 17 Apr 2014 SUPPLEMENTARY NOTES ABSTRACTDuring periods of peacetime, human patient simulation will provide hands-on training for military medical personnel for wartimespecific requirements. The Center for the Sustainment of Trauma and Readiness Skills (C-STARS), Baltimore and the R Adams Cowley Shock Trauma Center (STC) collaborated to create a jointly funded simulation center to support this need as well as training for civilian trauma programs. A 1200-ft 2 area conveniently located in STC opened in February 2012 equipped with four dedicated trauma bays, course management software, and advanced digital audio-video recording capacities. The center contains additional space for storage, a control room, and adjacent debriefing/conference space to support both the C-STARS and STC training missions. To date, over 500 military trainees and several civilian programs have made use of the new center. Additional work under this program included the development of four military-specific, multi-patient scenarios. These scenarios supplemented the previous C-STARS curriculum to replicate a high-workload setting and support discussion of teamwork and leadership in a high-stress environment. Finally, the completed work included an assessment of debriefing modalities. Twenty-four Air Force medical teams were evaluated for clinical and behavioral performance during recorded, simulated trauma resuscitations to determine whether a structured briefing (plus-delta, PD) influenced subsequent performance as compared to a more reflective style of debriefing (debriefing with good judgment, DGJ). Video review of before-after performance following debriefing showed no change in behavioral or clinical performance related to the debriefing style. Clinical performance did improve slightly, most likely because of practice. R...

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Effects of Nationwide Training of Multiprofessional Trauma Teams in Norwegian Hospitals

Abstract: Practical team training in hospitals improved the participants' perceived knowledge and confidence, which continued to increase for 6 months after training independent of participants' experience level, suggesting that small hospitals may reach levels comparable to major hospitals.

Cited by 58 publications

References 23 publications

Evaluation of Training Program for Surgical Trauma Teams in Botswana

Evaluation of Training Program for Surgical Trauma Teams in Botswana

Improvised explosive device related pelvi-perineal trauma

C-STARS Baltimore Simulation Center Military Trauma Training Program: Training for High Performance Trauma Teams

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