Introduction: Good staff procedure skills in a management group during incidents and disasters are believed to be a prerequisite for good management of the situation. However, this has not been demonstrated scientifically. Templates for evaluation results from performance indicators during simulation exercises have previously been tested. The aim of this study was to demonstrate the possibility that these indicators can be used as a tool for studying the relationship between good management skills and good staff procedure skills. Hypothesis: Good and structured work (staff procedure skills) in a hospital management group during simulation exercises in disaster medicine is related to good and timely decisions (good management skills). Methods: Results from 29 consecutive simulation exercises in which staff procedure skills and management skills were evaluated using quantitative measurements were included. The statistical analysis method used was simple linear regression with staff procedure skills as the response variable and management skills as the predictor variable. Results: An overall significant relationship was identified between staff procedure skills and management skills (p ≤0.05). Conclusions: This study suggests that there is a relationship between staff procedure skills and management skills in the educational setting used. Future studies are needed to demonstrate if this also can be observed during real incidents.
Improved Staff Procedure Skills Lead to Improved Management Skills: An Observational Study in an Educational SettingAnders Rüter, MD, PhD; Tore Vikstrom, MD, PhD Introduction A prerequisite for good performance in a management group is that the work is performed in a structured way. In emergency management, as well as in military training, it often is mandatory for persons in decision-making positions to participate in training on how to work in a staff, and training in staff procedure skills. [1][2][3] It is believed that good and systematic procedures in staff work will lead to better decisions. However, the relationship between management skills and staff procedure skills has not, to our knowledge, been demonstrated in a scientific way. Management skills are defined as the ability to make correct and timely decisions. Staff procedure skills mean the ability for a staff to work in a structural and instrumental way.In order to make it possible to study relationships using quantitative measurements, there must be educational models in which results can be expressed in numbers. There are models using self-assessment as an indicator of the quality of performance, but in order to make results more objective, there is a need for evaluation of performance based on observations by a trained instructor. 4 An educational model using measurable performance indicators has been developed in which the results from training in disaster management at different levels can be expressed in numbers. The staff procedure skills were evaluated using the same technique. 5,6 The aim of this study was t...