Pilot One-Hour Multidisciplinary Team Training Simulation Intervention in the Operating Room Improves Team Nontechnical Skills.
Teamwork
interprofessional education
intervention
simulation-based medical education
Journal
The journal of education in perioperative medicine : JEPM
ISSN: 2333-0406
Titre abrégé: J Educ Perioper Med
Pays: United States
ID NLM: 101122652
Informations de publication
Date de publication:
Historique:
entrez:
29
1
2020
pubmed:
29
1
2020
medline:
29
1
2020
Statut:
epublish
Résumé
The primary objective of this study was to determine if a 1-hour simulation-based training with interdisciplinary operating room (OR) teams could improve nontechnical skills of the providers as assessed by the nontechnical skills tool (NOTECHS II). Interprofessional otolaryngology OR teams consisting of surgery faculty and resident, anesthesiology faculty and resident, and OR nurses, scrub technician, and perioperative technician underwent a 1-hour simulation-based intervention in the OR. The teams were rated on their nontechnical skills during the intervention and throughout the clinical day following. They also completed self-reflection surveys (SRS) before the intervention and in 3 intervals after the intervention (immediately following the intervention, at the end of their shift on the day of the intervention, and again 2 weeks later). Four interprofessional teams with a total of 26 unique participants participated in this pilot program. Team nontechnical skills, assessed using NOTECHS II, improved from the first simulation to the second simulation during the intervention. Team NOTECHS II scores remained higher throughout the clinical day. Individual self-reflection scores (SRS) followed the same trend. On-site interprofessional OR team training simulation can take place in a brief time period that is dedicated for education. A brief intervention resulted in improved team nontechnical scores when assessed following intervention. In addition, participants found the intervention to be effective and beneficial to their learning.
Sections du résumé
BACKGROUND
BACKGROUND
The primary objective of this study was to determine if a 1-hour simulation-based training with interdisciplinary operating room (OR) teams could improve nontechnical skills of the providers as assessed by the nontechnical skills tool (NOTECHS II).
METHODS
METHODS
Interprofessional otolaryngology OR teams consisting of surgery faculty and resident, anesthesiology faculty and resident, and OR nurses, scrub technician, and perioperative technician underwent a 1-hour simulation-based intervention in the OR. The teams were rated on their nontechnical skills during the intervention and throughout the clinical day following. They also completed self-reflection surveys (SRS) before the intervention and in 3 intervals after the intervention (immediately following the intervention, at the end of their shift on the day of the intervention, and again 2 weeks later).
RESULTS
RESULTS
Four interprofessional teams with a total of 26 unique participants participated in this pilot program. Team nontechnical skills, assessed using NOTECHS II, improved from the first simulation to the second simulation during the intervention. Team NOTECHS II scores remained higher throughout the clinical day. Individual self-reflection scores (SRS) followed the same trend.
CONCLUSIONS
CONCLUSIONS
On-site interprofessional OR team training simulation can take place in a brief time period that is dedicated for education. A brief intervention resulted in improved team nontechnical scores when assessed following intervention. In addition, participants found the intervention to be effective and beneficial to their learning.
Types de publication
Journal Article
Langues
eng
Pagination
E624Informations de copyright
© 2019 Society for Education in Anesthesia.
Références
AORN J. 2015 Feb;101(2):250-63
pubmed: 25645041
Adv Simul (Lond). 2017 Sep 20;2:15
pubmed: 29450016
J Patient Saf. 2017 Apr 27;:null
pubmed: 28452912
Am J Surg. 2005 Nov;190(5):770-4
pubmed: 16226956
World J Surg. 2007 Sep;31(9):1843-53
pubmed: 17610109
BMJ Qual Saf. 2013 Jun;22(6):507-14
pubmed: 23457361
J Appl Behav Anal. 2012 Winter;45(4):827-32
pubmed: 23322937
PLoS One. 2015 Sep 18;10(9):e0138490
pubmed: 26381643
PLoS One. 2014 Mar 04;9(3):e90320
pubmed: 24594911
Surgery. 2011 Mar;149(3):305-10
pubmed: 20951399
J Nurs Care Qual. 2009 Jan-Mar;24(1):76-82
pubmed: 19092483
Qual Saf Health Care. 2009 Apr;18(2):104-8
pubmed: 19342523
JAMA. 2010 Oct 20;304(15):1693-700
pubmed: 20959579
AORN J. 2008 Apr;87(4):772-9
pubmed: 18395021
Ann Surg. 2017 Jan;265(1):90-96
pubmed: 28009731
JAMA. 2010 Oct 20;304(15):1721-2
pubmed: 20959587
Surg Endosc. 2008 Apr;22(4):885-900
pubmed: 18071813
Anesthesiology. 2005 Aug;103(2):241-8
pubmed: 16052105
ANZ J Surg. 2014 Jul-Aug;84(7-8):515-22
pubmed: 24299531
Med Educ. 2009 Jul;43(7):688-94
pubmed: 19573193
Surgery. 2009 Feb;145(2):138-46
pubmed: 19167968
Anesth Analg. 2017 Sep;125(3):991-998
pubmed: 28632531
Br J Anaesth. 2003 May;90(5):580-8
pubmed: 12697584
A A Case Rep. 2016 Jun 1;6(11):335-42
pubmed: 26934609
World J Surg. 2014 Dec;38(12):3047-52
pubmed: 24989030
Arch Surg. 2009 Feb;144(2):107-12
pubmed: 19221320
Surg Clin North Am. 2015 Aug;95(4):751-66
pubmed: 26210968