Multidisciplinary simulation-based trauma team training with an emphasis on crisis resource management improves residents’ non-technical skills

Huffman, Elizabeth M.; Anton, Nick E.; Athanasiadis, Dimitrios I.; Ahmed, Rami; Cooper, Dylan; Bacon, Simon L.; Lee, Nicole Kissane

doi:10.1016/j.surg.2021.03.015

Cited by 11 publications

(4 citation statements)

References 10 publications

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“…With respect to feedback content, MSF has been shown to be effective for providing feedback on both clinical and non-clinical skills such as critical resource management and communication skills 13. These skills are required for high-functioning teams such as a trauma team 14 33…”

Section: Discussionmentioning

confidence: 99%

“…This is a skillset that has been shown to be integral to high-quality trauma team function. 14 Before MSF can be broadly recommended in the trauma context, its utility must be evaluated. In 2010, the International Conference on Medical Education outlined seven criteria for good assessment: validity or coherence, reproducibility or consistency, equivalence, feasibility, educational effect, catalytic effect and acceptability.…”

Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

“…Specifically, MSF has been used to provide assessment and feedback on crisis resource management skills (leadership, communication, situational awareness, resource utilisation and problem-solving). This is a skillset that has been shown to be integral to high-quality trauma team function 14…”

Section: Introductionmentioning

confidence: 99%

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Catalytic effect of multisource feedback for trauma team captains: a mixed-methods prospective study

et al. 2023

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ObjectivesTo evaluate the impact and feasibility of multisource feedback compared with traditional feedback for trauma team captains (TTCs).DesignA mixed-methods, non-randomised prospective study.SettingA level one trauma centre in Ontario, Canada.ParticipantsPostgraduate medical residents in emergency medicine and general surgery participating as TTCs. Selection was based on a convenience sampling method.InterventionPostgraduate medical residents participating as TTCs received either multisource feedback or standard feedback following trauma cases.Main outcome measuresTTCs completed questionnaires designed to measure the self-reported intention to change practice (catalytic effect), immediately following a trauma case and 3 weeks later. Secondary outcomes included measures of perceived benefit, acceptability, and feasibility from TTCs and other trauma team members.ResultsData were collected following 24 trauma team activations: TTCs from 12 activations received multisource feedback and 12 received standard feedback. The self-reported intention for practice change was not significantly different between groups initially (4.0 vs 4.0, p=0.57) and at 3 weeks (4.0 vs 3.0, p=0.25). Multisource feedback was perceived to be helpful and superior to the existing feedback process. Feasibility was identified as a challenge.ConclusionsThe self-reported intention for practice change was no different for TTCs who received multisource feedback and those who received standard feedback. Multisource feedback was favourably received by trauma team members, and TTCs perceived multisource feedback as useful for their development.

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Section: Discussionmentioning

confidence: 99%

Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

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Catalytic effect of multisource feedback for trauma team captains: a mixed-methods prospective study

et al. 2023

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“…2 Fortunately, studies have shown that simulation and simulation-based team training (SBTT), involving multidisciplinary operative teams, have been successfully used to train both technical and non-technical skills in operative simulation scenarios. 2,3 Most previously described laparoscopic urology scenarios have included simulated renal vein injuries and inferior vena cava injuries using porcine kidney, silicone gel or threedimensional printed technology. [4][5][6][7] While some of these models have been used in SBTT scenarios 6,8,9 to allow for practice and training of non-technical skills, many have been used solely for technical skill practice.…”

Section: Introductionmentioning

confidence: 99%

Hemorrhaging laparoscopic partial nephrectomy — feasibility of a novel simulation model

Lusty

Bleackley²,

Roberts³

et al. 2021

CUAJ

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Introduction: Intraoperative surgical complications pose significant potential risks to patients. Uncontrolled bleeding during laparoscopic partial nephrectomy is one such event that requires collaboration and communication between surgical team members. We developed and evaluated a multidisciplinary surgical simulation scenario and model of intraoperative hemorrhage during a laparoscopic partial nephrectomy to facilitate the practice of these crucial non-technical skills. Methods: A simulation scenario using a novel, titratable bleeding partial nephrectomy model was developed. The operating room simulation consisted of an intubated mannequin placed in the lateral decubitus position and laparoscopic renal model. The multidisciplinary simulation scenario included anesthesia and urology residents and progressed from bleeding to a pulseless electrical activity arrest. The degree of renal model bleeding was modified based on the progression of the urology resident. After the scenario participants were debriefed and completed a post-simulation survey assessing: 1) their perception of the simulated scenario; and 2) their teaching of non-technical skills in their residency training. Results: The porcine model was successfully reproduced for nine consecutive weeks and functioned well to simulate bleeding from a laparoscopic partial nephrectomy site; the bleeding was able to be titrated based on resident progression and excision of the simulated tumor. All residents stated the scenario was valuable to assess and improve non-technical surgical skills and that their exposure to practice non-technical skills in their existing curriculum could be improved. Conclusions: Simulating an intraoperative bleeding partial nephrectomy, combined with an intraoperative crisis scenario, is a feasible, immersive, and reproducible model and can challenge residents’ non-technical skills.

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Impact of video recordings review with structured debriefings on trauma team performance: a prospective observational cohort study

Aukstakalnis,

Stucinskas,

Dobozinskas

et al. 2024

Eur J Trauma Emerg Surg

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BackgroundMany methods and tools have been suggested to enhance the e ciency of trauma team (TT) work. However, most of these methods necessitate costly simulators and mannequins, which demand signi cant nancial and human resources. ObjectiveWas to determine the impact of structured debrie ngs (SD) with audio/video review of trauma patients' resuscitation events on TT technical and non-technical skills. MethodsSingle center prospective observational cohort study. The study included all ED patients aged 18 years or older who received resuscitation from the trauma team (TT). Virtual meeting was held with the TT using SD to review one trauma patient resuscitation video. Technical skills improvement was based on adherence to the ATLS protocol and non-technical skills based on T-NOTECHS scale.

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Multidisciplinary simulation-based trauma team training with an emphasis on crisis resource management improves residents’ non-technical skills

Cited by 11 publications

References 10 publications

Catalytic effect of multisource feedback for trauma team captains: a mixed-methods prospective study

Catalytic effect of multisource feedback for trauma team captains: a mixed-methods prospective study

Hemorrhaging laparoscopic partial nephrectomy — feasibility of a novel simulation model

Impact of video recordings review with structured debriefings on trauma team performance: a prospective observational cohort study

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