Operating Room In Situ Interprofessional Simulation for Improving Communication and Teamwork

Shi, Robert; Marin-Nevarez, Paloma; Hasty, Brittany N.; Roman-Micek, Teresa; Hirx, Sarah; Anderson, Tiffany; Schmiederer, Ingrid S.; Fanning, Ruth; Goldhaber-Fiebert, Sara N.; Austin, Naola; Lau, James N.

doi:10.1016/j.jss.2020.11.051

Cited by 14 publications

(6 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Simulation-based development requires mediation skills to address stakeholder priorities, particularly during initial technology phases. Isolated single-actor simulations focus on specialty-specific elements while multi-actor sessions with composite teams facilitate interdisciplinary collaboration, communication, testing of cross-discipline tasks [ 78 ] and promote consensus building. Minimizing interruptions to clinical practice and adjusting time investment as needed is crucial.…”

Section: Resultsmentioning

confidence: 99%

Simulation-based development: shaping clinical procedures for extra-uterine life support technology

van Haren,

van der Hout-van der Jagt,

Meijer

et al. 2023

Adv Simul

View full text Add to dashboard Cite

Background Research into Artificial Placenta and Artificial Womb (APAW) technology for extremely premature infants (born < 28 weeks of gestation) is currently being conducted in animal studies and shows promising results. Because of the unprecedented nature of a potential treatment and the high-risk and low incidence of occurrence, translation to the human condition is a complex task. Consequently, the obstetric procedure, the act of transferring the infant from the pregnant woman to the APAW system, has not yet been established for human patients. The use of simulation-based user-centered development allows for a safe environment in which protocols and devices can be conceptualized and tested. Our aim is to use participatory design principles in a simulation context, to gain and integrate the user perspectives in the early design phase of a protocol for this novel procedure. Methods Simulation protocols and prototypes were developed using an iterative participatory design approach; usability testing, including general and task-specific feedback, was obtained from participants with clinical expertise from a range of disciplines. The procedure made use of fetal and maternal manikins and included animations and protocol task cards. Results Physical simulation with the active participation of clinicians led to the diffusion of tacit knowledge and an iteratively formed shared understanding of the requirements and values that needed to be implemented in the procedure. At each sequel, participant input was translated into simulation protocols and design adjustments. Conclusion This work demonstrates that simulation-based participatory design can aid in shaping the future of clinical procedure and product development and rehearsing future implementation with healthcare professionals.

show abstract

Section: Resultsmentioning

confidence: 99%

Simulation-based development: shaping clinical procedures for extra-uterine life support technology

van Haren,

van der Hout-van der Jagt,

Meijer

et al. 2023

Adv Simul

View full text Add to dashboard Cite

show abstract

“…Although the studies above made motivations the focus of their research, an additional 31 studies 41–72 indirectly addressed physicians' motivations to engage or not in simulation-based CPD. Findings were limited mainly to descriptions of the nature of incentives used by study authors to recruit physicians in studies involving simulation-based CPD, such as insurance premium discounts, 44 CME credits, 45 institutional or departmental requirements, 39 financial incentives, 62 financial compensation for missed paid work, 71 work scheduling accommodations, 58 or a combination of incentives 59 were reported.…”

Section: Resultsmentioning

confidence: 99%

Exploring the Study of Simulation as a Continuing Professional Development Strategy for Physicians

Tavares

Piquette²,

Luong³

et al. 2022

J Contin Educ Health Prof

View full text Add to dashboard Cite

Introduction: Practicing physicians have the responsibility to engage in lifelong learning. Although simulation is an effective experiential educational strategy, physicians seldom select it for continuing professional development (CPD) for reasons that are poorly understood. The objective of this study was to explore existing evidence on simulation-based CPD and the factors influencing physicians' engagement in simulation-based CPD. Methods: A scoping review of the literature on simulation-based CPD included MEDLINE, Embase, and CINAHL databases. Studies involving the use of simulation for practicing physicians' CPD were included. Information related to motivations for participating in simulation-based CPD, study objectives, research question(s), rationale(s), reasons for using simulation, and simulation features was abstracted.Results: The search yielded 8609 articles, with 6906 articles undergoing title and abstract screening after duplicate removal. Six hundred sixty-one articles underwent full-text screening. Two hundred twenty-five studies were reviewed for data abstraction. Only four studies explored physicians' motivations directly, while 31 studies described incentives or strategies used to enroll physicians in studies on simulation-based CPD. Most studies focused on leveraging or demonstrating the utility of simulation for CPD. Limited evidence suggests that psychological safety, direct relevance to clinical practice, and familiarity with simulation may promote future engagement. Discussion: Although simulation is an effective experiential educational method, factors explaining its uptake by physicians as a CPD strategy are unclear. Additional evidence of simulation effectiveness may fail to convince physicians to participate in simulation-based CPD unless personal, social, educational, or contextual factors that shape physicians' motivations and choices to engage in simulation-based CPD are explored.

show abstract

“…In addition, in-situ simulations have been successfully used for communication skills in end-of-life discussions. Robert et al showed that in situ interprofessional simulation can improve communication and teamwork among professionals in the operating room [ 33 ].…”

Section: Discussionmentioning

confidence: 99%

Treatment of status epilepticus in pediatrics: curriculum learning combined with in-situ simulations

et al. 2022

View full text Add to dashboard Cite

Background Appropriate and timely treatment of status epilepticus (SE) reduces morbidity and mortality. Therefore, skill-based identification and management are critical for emergency physicians. Purpose To assess whether the ability of training physicians, residents, nurses, and others to respond to SE as a team could be improved by using curriculum learning [Strategies and Tools to Enhance Performance and Patient Safety of Team (TeamSTEPPS) course training] combined with in-situ simulations of emergency department (ED) staff. Approach A pre-training-post-training design was used on SE skills and teamwork skills. Emergency training, residents, and N1 and N2 nurses completed the SE skill and teamwork assessments (pre-training) through in-situ simulation. Next, the participating physicians and nurses attended the SE course [Strategies and Tools to Enhance Performance and Patient Safety of Team (TeamSTEPPS) course training], followed by conscious skill practice, including in-situ simulation drills every 20 days (eight times total) and deliberate practice in the simulator. The participants completed the SE skill and teamwork assessments (post-training) again in an in-situ simulation. Pre-training-post-training simulated SE skills and teamwork performance were assessed. The simulation training evaluation showed that the training process was reasonable, and the training medical staff had different degrees of benefit in increasing subject interest, improving operational skills, theoretical knowledge, and work self-confidence. Findings Sixty doctors and nurses participated in the intervention. When comparing the SE skills of 10 regular training physicians pre-training and post-training, their performance improved from 40% (interquartile range (IQR): 0–1) before training to 100% (IQR: 80.00–100) after training (p < 0.001). The teamwork ability of the 10 teams improved from 2.43 ± 0.09 before training to 3.16 ± 0.08 after training (p < 0.001). Conclusion SE curriculum learning combined with in-situ simulation training provides the learners with SE identification and management knowledge in children and teamwork skills.

show abstract

Operating Room In Situ Interprofessional Simulation for Improving Communication and Teamwork

Cited by 14 publications

References 12 publications

Simulation-based development: shaping clinical procedures for extra-uterine life support technology

Simulation-based development: shaping clinical procedures for extra-uterine life support technology

Exploring the Study of Simulation as a Continuing Professional Development Strategy for Physicians

Treatment of status epilepticus in pediatrics: curriculum learning combined with in-situ simulations

Contact Info

Product

Resources

About