In Situ, Multidisciplinary, Simulation-Based Teamwork Training Improves Early Trauma Care

Steinemann, Susan; Berg, Benjamin W.; Skinner, Alisha; DiTulio, Alexandra; Anzelon, Kathleen; Terada, Kara; Oliver, Catherine; Ho, Hao Chih; Speck, Cora

doi:10.1016/j.jsurg.2011.05.009

Cited by 283 publications

(234 citation statements)

References 18 publications

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“…Poor communication was shown to be the primary root cause of patient harm in 70% of sentinel events [18]. Teamwork and performance monitoring have been demonstrated to influence outcomes in other medical settings [19,20], and their influence in this study confirms the importance of CCATT training prior to deployment.…”

Section: Discussionsupporting

confidence: 62%

Enhanced Critical Care Air Transport Team Training for Mitigation of Task Saturation

Davis¹,

Welch²,

Pritts³

2013

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Section: Discussionsupporting

confidence: 62%

Enhanced Critical Care Air Transport Team Training for Mitigation of Task Saturation

Davis¹,

Welch²,

Pritts³

2013

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“…The program showed significant improvements between baseline and simulation CTS scores with improved communication, role responsibility and role clarity [5] . In-situ training was also used in a similar study by Steinemann (2011) reviewing 100 resuscitations before training and 100 resuscitations after a teamwork training program [6] . Measurements of leadership, communication, decision making, situation awareness, cooperation and resource management, were made with significant improvements in performance [6] .…”

Section: Introductionmentioning

confidence: 99%

“…In-situ training was also used in a similar study by Steinemann (2011) reviewing 100 resuscitations before training and 100 resuscitations after a teamwork training program [6] . Measurements of leadership, communication, decision making, situation awareness, cooperation and resource management, were made with significant improvements in performance [6] . The composition of the resuscitation team, roles and responsibilities were not defined in either of these studies however; both indicate that leadership and non-technical skills can be improved through training [5,7] .…”

Section: Introductionmentioning

confidence: 99%

Emergency Resuscitation team roles: What constitutes a team and who’s looking after the family?

Porter

Cooper

Taylor

2013

JNEP

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Aim of study: This study aimed to investigate the attitudes of personnel working in emergency departments on the constitution of a resuscitation team in particular the perceptions of the family liaison role. Methods:A paper base survey on family presence during resuscitation was distributed to emergency personnel working in 18 public departments in the state of Victoria, Australia.Results: A combination of nurses (n = 282) and doctors (n = 65) working in rural and metropolitan emergency departments, identified seven unique resuscitation team roles. Resuscitation teams were identified as comprising of three doctors, three nurses and one other which could be either. Respondents identified seven unique roles as consisting of a team leader, airway doctor, airway nurse, procedure doctor and procedure nurse, drugs nurse and a scribe. The respondents identified the following components as key to discussions with family members; emergency personnel, reassurance, diagnosis, regular updates, intervention, and prognosis (ER-DRIP). Conclusion:The acronym ER-DRIP can be used as a reminder to emergency staff when speaking with family members during resuscitation events ensuring they receive all the necessary information and support.

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“…The evolution of simulation in medical education has included both the development of high fidelity, in-situ clinical simulations and multidisciplinary scenarios that allow the healthcare team to practice working together to decrease adverse events and improve patient care outcomes [9,10]. Simulation is now implemented at a majority of medical centers and academic institutions [11] and has gained the support of professional organizations [12], payors, and government [13].…”

Section: Introductionmentioning

confidence: 99%

Clinical Cybersecurity Training Through Novel High Fidelity Simulations (Preprint)

Dameff¹,

Selzer²,

Fisher³

et al. 2018

Preprint

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Background: Cybersecurity risks in healthcare systems have traditionally been measured in data breaches of protected health information but compromised medical devices and critical medical infrastructure raises questions about the risks of disrupted patient care. The increasing prevalence of these connected medical devices and systems implies that these risks are growing.Objective: This paper details the development and execution of three novel high fidelity clinical simulations designed to teach clinicians to recognize, treat, and prevent patient harm from vulnerable medical devices. Methods: Clinical simulations were developed which incorporated patient care scenarios with hacked medical devices based on previously researched security vulnerabilities. Results: Clinician participants universally failed to recognize the etiology of their patient's pathology as being the result of a compromised device. Conclusions: Simulation can be a useful tool in educating clinicians in this new, critically important patient safety space. IntroductionThe increasing development of and reliance on technical systems is an inescapable reality for humanity. Inherent cyber vulnerabilities in these systems are ubiquitous spanning all sectors of the global economy. From damaging breaches of private consumer data such as the Equifax hack that exposed half of the US population to the threat of identity theft [1], to active cyber warfare between nation states[2], the potential for harm caused by the exploitation of such vulnerable systems is profound.

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In Situ, Multidisciplinary, Simulation-Based Teamwork Training Improves Early Trauma Care

Cited by 283 publications

References 18 publications

Enhanced Critical Care Air Transport Team Training for Mitigation of Task Saturation

Enhanced Critical Care Air Transport Team Training for Mitigation of Task Saturation

Emergency Resuscitation team roles: What constitutes a team and who’s looking after the family?

Clinical Cybersecurity Training Through Novel High Fidelity Simulations (Preprint)

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