Simulation Team Training Proven to Improve Performance & Patient Safety
Our friends at the LSU Health Center, lead by Dr. John T. Paige, have just concluded a study and published a research article that “found that simulation-based operating room team training of medical and nursing students resulted in more effective teamwork by improving attitudes, behaviors, interaction and overall performance leading to potential increased patient safety and better clinical outcomes.”
You may remember Dr. Paige from our Simulab TraumaMan LSU coverage which showcases the medical simulation training his team utilizes.
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The information below was pulled from a PR memo off eurekalert.com:
“Effective teamwork in the operating room is often undermined by the ‘silo mentality’ of the differing professions,” says lead author John T. Paige, MD, Associate Professor of Clinical Surgery and Director of Applied Surgical Simulation at LSU Health Sciences Center New Orleans School of Medicine. “Such thinking is formed early in one’s professional experience and is fostered by undergraduate medical and nursing curricula lacking inter-professional education.”
Sixty-six students (18 undergraduate nursing students, 28 fourth-year medical students, and 20 nurse anesthesia students), divided into ten groups, trained over a one-month period at the Russell Klein Center for Advanced Practice at the LSU Health Sciences Center New Orleans School of Medicine. Each two-hour training session used two standardized, authentic scenarios. The first scenario involved a life-threatening intra-abdominal hemorrhage from a stab wound. The second scenario involved local anesthetic toxicity from a regional upper arm block. The scenarios utilized a software algorithm designed to respond to team actions and decisions. At least three faculty instructors facilitated each session. One operated the human patient simulator, and two served as debriefing facilitators. Trained observers rated student team-based behavior.
Each OR team had two medical students (surgeon and first assistant roles), two undergraduate nursing students (circulating and scrub nurse roles), and two nurse anesthesia students (primary and secondary anesthetist roles). Students switched roles within their discipline (e.g., an undergraduate nurse moving from scrub nurse to circulating nurse) for the second scenario. In cases where more than two students from a particular profession were present, two students would participate in the first scenario and the other two would observe. Students then would switch for the second scenario. A structured debriefing followed each scenario.
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“Frequently, failed communication, ineffective inter-personal skills, inter-professional tension, poor team interaction and divergent inter-professional interpretations of the quality of collaboration combine to impact both patient care processes and outcomes,” notes John T. Paige, MD, who also serves as Director of the American College of Surgeons Comprehensive Accredited Education Institute at LSU Health Sciences Center New Orleans School of Medicine.. “In this study, a single session of high fidelity simulation-based inter-professional OR team training resulted in immediate improvement of students’ team-based attitudes and behaviors.”
Read the entire Press Release here. The study is published online November 1, 2013, in the Journal of the American College of Surgeons. Learn more about LSU Health here.
Watch the LSU surgical team in action utilizing medical simulation training products from Simulab.
Lance Baily, BA, EMT-B, is the Founder & CEO of HealthySimulation.com, which he started while serving as the Director of the Nevada System of Higher Education’s Clinical Simulation Center of Las Vegas back in 2010. Lance is also the Founder and current Chairman of the Board of SimGHOSTS.org, the world’s only non-profit organization dedicated to supporting professionals operating healthcare simulation technologies. His new co-edited Book: “Comprehensive Healthcare Simulation: Operations, Technology, and Innovative Practice” is available now. Lance’s background includes serving as a Simulation Technology Specialist for the LA Community College District, EMS fire fighting, Hollywood movie production, rescue diving, and global travel. He lives with his wife Abigail in Las Vegas, Nevada.
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This is an exciting process and great to see this focus on individual and team communication. Seems very hopeful and a great focus for med sim.
This is the kind of experiential learning (like medical improv) that promotes growth for everyone as well as the team. I’d be curious to know more about the debriefing process and how opportunities for varied learning may have unfolded i.e. did some folks learn to speak up and some to listen?
I’d be interested in publishing stories about the process from students, facilitators, or Dr. Paige at “Confident Voices in Healthcare” blog if any are interested.
Beth
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