The emergency surgical airway: Bridging the gap from quality outcome to performance improvement through a novel simulation based curriculum

Veenstra, Benjamin R.; Wojtowicz, Aleksandra; Walsh, Nathan; Velasco, Josè M.

doi:10.1016/j.amjsurg.2018.09.026

Cited by 11 publications

(16 citation statements)

References 9 publications

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“…The traditional approach has been challenged by increasing financial restraints, regulation, concern for patient safety, the need for efficiency, the requirement of attending surgeons in the OR, the implementation of an 80-h work week, and a push for further subspecialization, among others. 2,4,5 Table 1 e Residents' experience and confidence in ability to perform various pediatric surgery procedures. Confidence based on Likert-scaled survey, 1) I have no confidence independently performing the procedure, 3) I have moderate confidence but would require assistance, 5) I feel like I can do the procedure independently.…”

Section: Discussionmentioning

confidence: 99%

“…There is greater emphasis on patient outcomes and safety, case efficiency, and increased attending surgeon involvement in the operating room than ever before. 4,5 Residents are limited to an 80-h work week while demand for subspecialization has increased. 2 SBT has become a popular platform to teach surgical residents and fill this gap, improving resident confidence and performance.…”

Section: Introductionmentioning

confidence: 99%

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Pediatric Surgery Simulation-Based Training for the General Surgery Resident

Skertich

Schimpke

Lee

et al. 2021

Journal of Surgical Research

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Pediatric Surgery Simulation-Based Training for the General Surgery Resident

Skertich

Schimpke

Lee

et al. 2021

Journal of Surgical Research

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“…For the error avoidance checklist creation, a literature review using search terms “error AND checklist”, “cricothyrotomy AND checklist”, “cricothyrotomy AND simulation” (using both “cricothyrotomy” and “cricothyroidotomy”) and searching in PubMed in 2019, found several checklists 22,25–27 designed for novice learners. No error‐based checklists for cricothyrotomy were identified, and no documentation of the frequency or nature of errors in cricothyrotomy was found.…”

Section: Methodsmentioning

confidence: 99%

“…In cricothyrotomy specifically, attempts to establish superiority for one of multiple techniques have yielded mixed results, and justify the existence of multiple approaches 19‐27 …”

Section: Introductionmentioning

confidence: 99%

Novel cricothyrotomy assessment tool for attending physicians: A multicenter study of an error avoidance checklist

Hock

Martin

Stanfield

et al. 2021

AEM Education and Training

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Background This study used existing literature and expert feedback to develop and pilot a novel error‐avoidance checklist tool for cricothyrotomy in attending physicians. Prior literature has not focused on expert cricothyrotomy performance. While published checklists teach a specific procedural method, ideal for novice learners, this may hinder expert learners. Objectives We endeavored to create a succinct error‐avoidance checklist for cricothyrotomy. We hypothesized that such a checklist would prove feasible and acceptable to attending physicians. Methods This is a multicenter prospective checklist creation, evaluation, and feasibility study. Multiple experts pursued an iterative process to reach consensus on a 7‐item error‐avoidance checklist. The checklist was trialed for feasibility in pilot sessions at two sites by 45 attending emergency physicians who used the checklist for peer performance assessment and provided feedback. Results During the pilot implementation, 94% of respondents completed the procedure within the allotted 120 s. Greater than 85% of respondents agreed that four of the five procedural errors on the checklist were very or somewhat critical to avoid, including cutting >2 cm from midline, creating a false passage, failing to continuously maintain an object in the trachea, and injuring oneself during the procedure. Only 66% of participants felt severing the cricoid cartilage was critical. Successful breath administration and time under 120 s were critical for 100% and 95% of participants, respectively. The checklist was rated “easy” or “very easy” to use by 93% of participants, and 95% found this checklist reasonable for evaluating attending physicians. Conclusions We present the multicenter development and implementation of a novel error‐avoidance checklist tool for use in expert cricothyrotomy performance. Attending emergency medicine (EM) physicians rated our tool easy to use and agreed that most of the proposed errors were critical. Participants overwhelmingly agreed this tool would be reasonable for evaluation of cricothyrotomy performance among attending EM physicians.

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“…Needs of developing a simulator for medical professionals to practice this “low frequency but high impact procedure” have been identified in military and hospital. However, the knowledge gap in choosing or validating simulators was large, not to mention how it affects training effectiveness nor how it brings positive impact on organization management [ 14 , 15 , 16 ].…”

Section: Introductionmentioning

confidence: 99%