Use of Human Patient Simulation and the Situation Awareness Global Assessment Technique in Practical Trauma Skills Assessment

Abstract

SAGAT is a valid, reliable assessment tool for trauma trainees in the dynamic clinical environment created by human patient simulation. Information provided by SAGAT could provide specific feedback, direct individualized teaching, and support curriculum change. Introduction of SAGAT could improve the current assessment model for practical trauma education.

Multidisciplinary pediatric trauma team training using high-fidelity trauma simulation

“…Previous reports of simulation training have demonstrated improvements of individuals, teams of surgeons only, and previously established military teams [18][19][20][21]23]. In most trauma centers however, resuscitations are managed by a complex team made up of trauma surgeons, emergency medicine physicians, residents, nurses, respiratory therapists, and possibly others throughout the hospital.…”

“…As a consequence of improving technology, high-fidelity human patient simulators are playing an increasing role in training health care professionals [15][16][17]. Training health care providers to manage trauma resuscitations using simulation has been demonstrated to be feasible for individuals as well as for evaluating specific teams before and after a training period [18][19][20][21][22][23].…”

Simulation in Plastic Surgery Training: Past, Present and Future

“…Mica Endsley developed the Situation Awareness Global Assessment Technique (SAGAT) to fill this void (Endsley, 2000). Situational awareness, defined by Hogan et al as "the perception of elements in the environment…the comprehension of their meaning, and the projections of their status in the near future," is a crucial dimension of performance (Hogan et al, 2006). Using SAGAT, educators can "freeze" simulated actions in the middle of procedures to assess, debrief, and ask participants about their perceptions and comprehension.…”

“…This method of assessment is more direct than traditional checklists, which can only infer data from participants' actions or secondary measures. This technique has been applied to many fields of medicine, from trauma life support (Hogan et al, 2006) to otolaryngology (Volk et al, 2011).…”

Thinking like an expert: surgical decision making as a cyclical process of being aware

“…This linear definition of situation awareness and the possibility of translating it into a measurement tool have contributed to the popularity of Endsley's model. [23][24][25][26][27] In relation to our decision-making model (Fig. 1), the premises of Endsley's situation awareness process are captured in the gaining information stage of the Reconciliation Cycle.…”