Evaluation of Trauma Team Performance Using an Advanced Human Patient Simulator for Resuscitation Training

Holcomb, John B.; Dumire, Russell; Crommett, John; Stamateris, Connie E.; Fagert, Matthew A.; Cleveland, Jim A.; Dorlac, Gina R.; Dorlac, Warren C.; Bonar, James P.; Hira, Kenji; Aoki, Noriaki; Mattox, Kenneth L.

doi:10.1097/00005373-200206000-00009

Cited by 227 publications

(128 citation statements)

References 19 publications

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“…10 It is now widely used for teaching clinical expertise in domains that are infrequently encountered in the clinical setting [11][12][13] and has proven to be effective in promoting the acquisition of the knowledge, skills, and attitudes necessary to perform effectively as an emergency physician. [13][14][15][16][17][18][19][20][21][22][23][24][25][26] SBE affords residents the opportunity to apply and improve their individual and team crisis resource management (CRM) skills, 27 as well as practice recognition and medical management of rare events. 28 The opportunity to practice in a safe learning environment with dedicated time for debriefing allows the development of competence that is not easily achieved in the clinical environment.…”

Section: Introductionmentioning

confidence: 99%

Determining content for a simulation-based curriculum in pediatric emergency medicine: results from a national Delphi process

Bank

Cheng

McLeod

et al. 2015

CJEM

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Objectives: By the end of residency training, pediatric emergency medicine (PEM) residents are expected to have developed the confidence and abilities required to manage acutely ill children. Acquisition of competence requires exposure and/or supplemental formal education for critical and noncritical medical clinical presentations. Simulation can provide experiential learning and can improve trainees' knowledge, skills, and attitudes. The primary objective of this project was to identify the content for a simulation-based national curriculum for PEM training. Methods: We recruited participants for the Delphi study by contacting current PEM program directors and immediate past program directors as well as simulation experts at all of the Canadian PEM fellowship sites. We determined the appropriate core content for the Delphi study by combining the PEM core content requirements of the Royal College of Physicians and Surgeons of Canada (RCPSC) and the American Board of Pediatrics (ABP). Using the Delphi method, we achieved consensus amongst the national group of PEM and simulation experts. The participants completed a three-round Delphi (using a four-point Likert scale). Results: Response rates for the Delphi were 85% for the first round and 77% for second and third rounds. From the initial 224 topics, 53 were eliminated (scored <2). Eighty-five topics scored between 2 and 3, and 87 scored between 3 and 4. The 48 topics, which were scored between 3.5 and 4.0, were labeled as "key curriculum topics." Conclusion: We have iteratively identified a consensus for the content of a national simulation-based curriculum. RÉSUMÉObjectifs: Les résidents en médecine d'urgence pédiatrique (MUP) sont censés avoir acquis, à la fin de leur formation, la confiance et les compétences nécessaires pour traiter des enfants souffrant d'une maladie aiguë. L'acquisition des compétences exige une exposition à des tableaux cliniques médicaux extrêmement graves ou non, ou encore une formation supplémentaire en la matière. Les simulations peuvent, d'une part, fournir les acquis expérentiels et, d'autre part, améliorer les connaissances, les habiletés et les attitudes des stagiaires. L'étude décrite ici avait pour objectif principal d'établir le contenu d'un programme national, fondé sur la simulation en MUP. Méthode: Afin de trouver des participants à l'étude menée selon la méthode Delphi, les auteurs ont communiqué avec les directeurs actuels de programme en MUP et leurs prédécesseurs immédiats ainsi qu'avec des experts dans le domaine de la simulation, dans tous les établissements offrant une formation postdoctorale en MUP, au Canada. Le contenu de base pertinent en vue de l'étude a été élaboré à l'aide des exigences du Collège royal des médecins et chirurgiens du Canada et de celles de l'American Board of Pediatrics en la matière. Le recours à la méthode Delphi a permis d'établir un consensus au sein du groupe national d'experts en MUP et en simulation, et ce, après 3 tours de consultation (application de l'échelle de Likert à 4 poi...

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Section: Introductionmentioning

confidence: 99%

Determining content for a simulation-based curriculum in pediatric emergency medicine: results from a national Delphi process

Bank

Cheng

McLeod

et al. 2015

CJEM

View full text Add to dashboard Cite

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“…1 2 Human patient simulation has been used for many years for teaching purposes [3][4][5][6][7][8] and was recently reported to be effective in training team response to trauma resuscitation. 9 Although simulation training is in its infancy in the medical field and is most commonly focused on individual skills such as endotracheal intubation, central venous catheter placement, and endoscopy training, its use is likely to increase. Settings that are especially prone to errors are those that are high acuity (risk) or low frequency, and those that require teamwork.…”

mentioning

confidence: 99%

Improving medical emergency team (MET) performance using a novel curriculum and a computerized human patient simulator

DeVita

Schaefer²,

Lutz³

et al. 2005

Quality and Safety in Health Care

236

128

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Problem: Advance cardiac life support (ACLS) training does not address coordination of team resources to improve the ability of teams to deliver needed treatments reliably and rapidly. Our objective was to use a human simulation training educational environment to develop multidisciplinary team skills and improve medical emergency team (MET) performance. We report findings of a crisis team training course that is focused on organization. Setting: Large center for human simulation training at a university affiliated tertiary care hospital. Participants: Ten courses were delivered and 138 clinically experienced individuals were trained (69 critical care nurses, 48 physicians, and 21 respiratory therapists). All participants were ACLS trained and experienced in responding to cardiac arrest situations. Course design: Each course had four components: (1) a web based presentation and pretest before the course; (2) a brief reinforcing didactic session on the day of the course; (3) three of five different simulated scenarios; each followed by (4) debriefing and analysis with the team. Three of five simulator scenarios were used; scenario selection and order was random. Trainees did not repeat any scenario or role during the training. Participants were video recorded to assist debriefing. Debriefing focused on reinforcing organizational aspects of team performance: assuming designated roles independently, completing goals (tasks) assigned to each role, and directed communication. Measures for improvement: Participants graded their performance of specific organizational and treatment tasks within specified time intervals by consensus. Simulator ''survival'' depended on supporting oxygenation, ventilation, circulation within 60 seconds, and delivering the definitive treatment within 3 minutes. Effects of change: Simulated survival (following predetermined criteria for death) increased from 0% to 89%. The initial team task completion rate was 10-45% and rose to 80-95% during the third session. Lessons learnt: Training multidisciplinary teams to organize using simulation technology is feasible. This preliminary report warrants more detailed inquiry.

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“…Study results suggest that VR training has better skills transfer to the operative environment than video training. Both the VR-and videotrained participants improved; however, the VR-trained group improved more on the video trainer posttest than the This study 7 analyzed the use of a human patient simulator in trauma resuscitation training. Results showed that the trauma teams showed improvement in 4 of 5 scored and 6 of 8 timed tasks.…”

Section: Resultsmentioning

confidence: 99%

Review of Influential Articles in Surgical Education: 2002–2012

Wohlauer¹,

George²,

Lawrence³

et al. 2013

Journal of Graduate Medical Education

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Background Exploring the trends in surgical education research offers insight into concerns, developments, and questions researchers are exploring that are relevant to teaching and learning in surgical specialties. Objective We conducted a review of the surgical education literature published between 2002 and 2012. The purpose was 2-fold: to provide an overview of the most frequently cited articles in the field of surgical education during the last decade and to describe the study designs and themes featured in these articles. Methods Articles were identified through Web of Science by using “surgical education” and “English language” as search terms. Using a feature in Web of Science, we tracked the number of citations of any publication. Of the 800 articles produced by the initial search, we initially selected 23 articles with 45 or more citations, and ultimately chose the 20 articles that were most frequently cited for our analysis. Results Analysis of the most frequently cited articles published in US journals between the years 2002–2012 identified 7 research themes and presented them in order of frequency with which they appear: use of simulation, issues in student/resident assessment, specialty choice, patient safety, team training, clinical competence assessment, and teaching the clinical sciences, with surgical simulation being the central theme. Researchers primarily used descriptive methods. Conclusions Popular themes in surgical education research illuminate the information needs of surgical educators as well as topics of high interest to the surgical community.

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Evaluation of Trauma Team Performance Using an Advanced Human Patient Simulator for Resuscitation Training

Cited by 227 publications

References 19 publications

Determining content for a simulation-based curriculum in pediatric emergency medicine: results from a national Delphi process

Determining content for a simulation-based curriculum in pediatric emergency medicine: results from a national Delphi process

Improving medical emergency team (MET) performance using a novel curriculum and a computerized human patient simulator

Review of Influential Articles in Surgical Education: 2002–2012

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