In situ interprofessional operating room simulations: Empowering learners in crisis resource management principles

Gros, Eniola; Shi, Robert; Hasty, Brittany N.; Anderson, Tiffany; Schmiederer, Ingrid S.; Roman-Micek, Teresa; Merrell, Sylvia Bereknyei; Lau, James N.

doi:10.1016/j.surg.2021.02.011

Cited by 10 publications

(21 citation statements)

References 14 publications

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“…Another study that described multidisciplinary operating room teams undergoing crisis management training through in situ simulation of common operating room emergencies such as airway emergency, arrythmia, hemorrhage, and cardiac arrest demonstrated increased communication skills and identified latent conditions that predisposed to medical errors. 11 The results of our survey showed that although hospital-based code response training was prevalent, they infrequently focused on intra-operative code situations. The collective findings of these studies and the results of this survey provide evidence that perioperative team training is an opportunity that may improve outcomes following pediatric intra-operative CA and should be considered part of ongoing quality improvement efforts.…”

Section: Re Sultsmentioning

confidence: 85%

“…Specifically, off hours was associated with a twofold increased risk of mortality following CA. Another study that described multidisciplinary operating room teams undergoing crisis management training through in situ simulation of common operating room emergencies such as airway emergency, arrythmia, hemorrhage, and cardiac arrest demonstrated increased communication skills and identified latent conditions that predisposed to medical errors 11 …”

Section: Discussionmentioning

confidence: 99%

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Pediatric intraoperative cardiopulmonary arrests: A survey to evaluate if Medical Emergency Teams are utilized in pediatric operating rooms

Charles

Williams

Dolan

et al. 2023

Pediatric Anesthesia

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Background Studies have shown that standardized code teams may improve outcomes following cardiac arrests. Pediatric intra‐operative cardiac arrests are rare events and are associated with a mortality rate of 18%. There is limited data available regarding use Medical Emergency Team (MET) response to pediatric intra‐operative cardiac arrest. The purpose of this study was to identify the use of MET in response to pediatric intraoperative cardiac arrest as an exploratory step in establishing evidence‐based standardized practice across the hospital for training and management of this rare event. Methods An anonymous electronic survey was created and sent to two populations: The Pediatric Anesthesia Leadership Council, a section of the Society for Pediatric Anesthesia, and the Pediatric Resuscitation Quality Collaborative, a multinational collaborative group, which works to improve resuscitation care in children. Standard summary and descriptive statistics were used for survey responses. Results The overall response rate was 41%. The majority of respondents worked in a university affiliated, free‐standing children's hospital. Ninety‐five percent of respondents had a dedicated pediatric MET at their hospital. In 60% of responses from Pediatric Resuscitation Quality Collaborative and 18% of Pediatric Anesthesia Leadership Council hospitals, the MET responds to pediatric intra‐operative cardiac arrest; however, the majority of times MET involvement is requested rather than automatic. The MET was found to be activated intraoperatively for situations other than cardiac arrest such as, massive transfusion events, need for extra staff, and for specialty expertise. In 65% of institutions, simulation‐based training for cardiac arrest is supported but lacking pediatric intra‐operative focus. Conclusions This survey revealed heterogeneity in the composition and response of the medical response teams responding to pediatric intra‐operative cardiac arrests. Improved collaboration and cross training among MET, anesthesia, and operating room nursing may improve outcomes of pediatric intra‐operative code events.

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Section: Re Sultsmentioning

confidence: 85%

Section: Discussionmentioning

confidence: 99%

Pediatric intraoperative cardiopulmonary arrests: A survey to evaluate if Medical Emergency Teams are utilized in pediatric operating rooms

Charles

Williams

Dolan

et al. 2023

Pediatric Anesthesia

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“…This has been shown to enhance interprofessional teamwork, patient safety, and decrease adverse clinical incidents. 12 It also boosts operators' confidence. Regular inteprofessional team simulation sessions involving critical OR events are highly recommended.…”

Section: Dynamic Decision-makingmentioning

confidence: 97%

Non-technical skills in the operating room: Crisis resource management principles

Gandotra

2023

IJCA

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“…Optimal training should cover multiple performance domains including information management, technical skills, non‐technical skills and interaction with the broader work system, such that clinicians are equipped with both the knowledge of ‘what to do’ and also ‘how to get it done’ within their specific work environment. Interdisciplinary in‐situ and system‐focused simulation can be useful in this regard [ 85 , 86 ]. Technology‐assisted training modalities, including virtual reality and augmented reality are starting to show promise [ 87 ].…”

Section: Advancements In Maintaining Support and Training For Low Cas...mentioning

confidence: 99%

State‐of‐the‐art management of the acutely unwell child

et al. 2022

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Children make up around one-fifth of all emergency department visits in the USA and UK, with an increasing trend of emergency admissions requiring intensive care. Anaesthetists play a vital role in the management of paediatric emergencies contributing to stabilisation, emergency anaesthesia, transfers and non-technical skills that optimise team performance. From neonates to adolescents, paediatric patients have diverse physiology and present with a range of congenital and acquired pathologies that often differ from the adult population. With increasing centralisation of paediatric services, staff outside these centres have less exposure to caring for children, yet are often the first responders in managing these high stakes situations. Staying abreast of the latest evidence for managing complex low frequency emergencies is a challenge. This review focuses on recent evidence and pertinent clinical updates within the field. The challenges of maintaining skills and training are explored as well as novel advancements in care.

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In situ interprofessional operating room simulations: Empowering learners in crisis resource management principles

Cited by 10 publications

References 14 publications

Pediatric intraoperative cardiopulmonary arrests: A survey to evaluate if Medical Emergency Teams are utilized in pediatric operating rooms

Pediatric intraoperative cardiopulmonary arrests: A survey to evaluate if Medical Emergency Teams are utilized in pediatric operating rooms

Non-technical skills in the operating room: Crisis resource management principles

State‐of‐the‐art management of the acutely unwell child

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