Operating Room Team Training with Simulation: A Systematic Review

Robertson, Jamie; Dias, Roger D.; Yule, Steven; Smink, Douglas S.

doi:10.1089/lap.2017.0043

Cited by 62 publications

(31 citation statements)

References 23 publications

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“…This resulted in 5763 articles. In addition, 262 articles were identified through the systematic reviews published in the last decade [3,4,7,[9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28]. In total, 6025 articles were screened.…”

Section: Search Strategymentioning

confidence: 99%

Interventions to improve team effectiveness within health care: a systematic review of the past decade

2020

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Background: A high variety of team interventions aims to improve team performance outcomes. In 2008, we conducted a systematic review to provide an overview of the scientific studies focused on these interventions. However, over the past decade, the literature on team interventions has rapidly evolved. An updated overview is therefore required, and it will focus on all possible team interventions without restrictions to a type of intervention, setting, or research design. Objectives: To review the literature from the past decade on interventions with the goal of improving team effectiveness within healthcare organizations and identify the "evidence base" levels of the research. Methods: Seven major databases were systematically searched for relevant articles published between 2008 and July 2018. Of the original search yield of 6025 studies, 297 studies met the inclusion criteria according to three independent authors and were subsequently included for analysis. The Grading of Recommendations, Assessment, Development, and Evaluation Scale was used to assess the level of empirical evidence. Results: Three types of interventions were distinguished: (1) Training, which is subdivided into training that is based on predefined principles (i.e. CRM: crew resource management and TeamSTEPPS: Team Strategies and Tools to Enhance Performance and Patient Safety), on a specific method (i.e. simulation), or on general team training. (2) Tools covers tools that structure (i.e. SBAR: Situation, Background, Assessment, and Recommendation, (de)briefing checklists, and rounds), facilitate (through communication technology), or trigger (through monitoring and feedback) teamwork. (3) Organizational (re)design is about (re)designing structures to stimulate team processes and team functioning. (4) A programme is a combination of the previous types. The majority of studies evaluated a training focused on the (acute) hospital care setting. Most of the evaluated interventions focused on improving non-technical skills and provided evidence of improvements. Conclusion: Over the last decade, the number of studies on team interventions has increased exponentially. At the same time, research tends to focus on certain interventions, settings, and/or outcomes. Principle-based training (i.e. CRM and TeamSTEPPS) and simulation-based training seem to provide the greatest opportunities for reaching the improvement goals in team functioning.

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Section: Search Strategymentioning

confidence: 99%

Interventions to improve team effectiveness within health care: a systematic review of the past decade

2020

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“…Team training rather than individual training has been found useful by trainees, particularly for communication skills [25]. Interprofessional team working needs to be addressed to improve patient safety, involving the range of professions that compose an OR team benefits simulations by improving communication and decreasing anxiety between groups [22,26,27]. This effect is most relevant to junior trainees, but seniors should also be aware of the issues faced by the less senior staff in their teams [22].…”

Section: Team Trainingmentioning

confidence: 99%

Non-technical skills: a review of training and evaluation in urology

et al. 2019

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Purpose With non-technical skills (NTS) deficits being recognised as a major cause for error in surgery, there is an increasing interest in their training and evaluation. A growing number of training courses are emerging and some NTS curricula have also been created. Many different training methods are described in the literature but there is still uncertainty with regards to their optimum combination within a curriculum. Methods A literature review of the electronic database Medline was performed. All articles published before December 2018 were screened by abstract and included if deemed relevant by the author. The included articles' reference lists were also screened for further relevant studies. Results Simulation training is accepted as the most effective way to train NTS. Within simulation training, it is shown that the 'igloo' full immersion/distributed simulation environment is appropriate for teaching NTS in urological scenarios where a designated operating room or space is not available. The use of multiple settings, for example wards and clinics as well as the operating room, is advantageous, as is training in an interprofessional team. Classroom teaching also plays a role in NTS training as an adjunct to simulation, with evidence that it improves some parameters of NTS. All levels, including qualified surgeons, benefit from NTS training; however, adaptation to both trainee level and specialty is important. Although less time consuming, training juniors and seniors together mainly benefits juniors, and training NTS at the same time as technical skills detracts from the quality of teaching. Debriefing is an important part of training and should be well structured; there are many debriefing models in existence, allowing for choice of method based on examiner preference and participant demographic. Furthermore, examiners should be well briefed in their task and trained in NTS assessment. Conclusion To move forward, studies should combine tried and tested learning techniques into a curriculum covering all training levels, which should then be validated and followed up long term to ensure a positive impact on patient safety.

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“…Team training can help prevent adverse outcomes in the OR . Clinical simulations create an environment for RNs and other health care providers to make errors without the repercussions of harming a patient.…”

Section: The Simulationmentioning

confidence: 99%

“…Clinical simulations create an environment for RNs and other health care providers to make errors without the repercussions of harming a patient. Team training in the OR that includes simulation promotes teamwork, enhances communication, and provides a space for health care providers to build on technical skills . These technical skills (eg, aseptic technique, gowning, gloving) are universal and can be useful in any operative setting.…”

Section: The Simulationmentioning

confidence: 99%

Preparing Perinatal Nurses for Obstetric OR Emergencies by Using Simulations

Stokes¹,

Koslan²

2019

AORN Journal

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A cesarean hysterectomy (CH) is an emergency procedure that can save a woman's life in the event of postpartum hemorrhaging. If the CH is anticipated, it can take place in the general OR; however, more complex patients with multiple comorbidities are undergoing cesarean deliveries, resulting in unanticipated CHs and emergent procedures occurring in the obstetric OR. Many perinatal nurses believe they are not properly trained to provide the level of perioperative care required during a CH. Perinatal nurse leaders implemented a perinatal perioperative simulation program to address this knowledge gap. Feedback from perinatal nurses after completing the simulation revealed they gained a comprehensive understanding of the flow of the procedure and the instrumentation needed to perform it. The simulation also improved communication and leadership skills in the obstetric OR. Simulations may help perinatal nurses provide safer, higher quality care when a delivery develops into a high-risk operative procedure.

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Operating Room Team Training with Simulation: A Systematic Review

Cited by 62 publications

References 23 publications

Interventions to improve team effectiveness within health care: a systematic review of the past decade

Interventions to improve team effectiveness within health care: a systematic review of the past decade

Non-technical skills: a review of training and evaluation in urology

Preparing Perinatal Nurses for Obstetric OR Emergencies by Using Simulations

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