Target‐focused medical emergency team training using a human patient simulator: effects on behaviour and attitude

Context  Full‐scale simulation training is an accepted learning method for gaining behavioural skills in team‐centred domains such as aviation, the nuclear power industry and, recently, medicine. In this study we evaluated the effects of a simulator team training method based on targets and known principles in cognitive psychology.

[1]  David Murray,et al.  An acute care skills evaluation for graduating medical students: a pilot study using clinical simulation , 2002, Medical education.

[2]  David M. Musson,et al.  Team Training and Resource Management in Health Care: Current Issues and Future Directions , 2004 .

[3]  R. Flin,et al.  Anaesthetists' Non-Technical Skills (ANTS): evaluation of a behavioural marker system. , 2003, British journal of anaesthesia.

[4]  Dennis K. Leedom,et al.  Improving Team Coordination: A Case for Behavior-Based Training , 1995 .

[5]  Clint A. Bowers,et al.  The Design and Delivery of Crew Resource Management Training: Exploiting Available Resources , 2000, Hum. Factors.

[6]  Robert L. Helmreich,et al.  3 Human factors in the operating room: interpersonal determinants of safety, efficiency and morale , 1996 .

[7]  S. Cooper,et al.  Leadership of resuscitation teams: "Lighthouse Leadership'. , 1999, Resuscitation.

[8]  A. Baddeley.  Is working memory still working? , 2001, The American psychologist.

[9]  C. Marano,et al.  To err is human. Building a safer health system , 2005 .

[10]  B. Abella,et al.  Quality of cardiopulmonary resuscitation during in-hospital cardiac arrest. , 2005, JAMA.

[11]  A. Ziv,et al.  Features and uses of high-fidelity medical simulations that lead to effective learning: a BEME systematic review , 2005, Medical teacher.

[12]  M. Maze,et al.  Evaluation of high fidelity patient simulator in assessment of performance of anaesthetists. , 2003, British journal of anaesthesia.

[13]  P M Reilly,et al.  The importance of the command-physician in trauma resuscitation. , 1997, The Journal of trauma.

[14]  R. Flin,et al.  Identifying and training non-technical skills for teams in acute medicine , 2004, Quality and Safety in Health Care.

[15]  M. Devita,et al.  Improving medical emergency team (MET) performance using a novel curriculum and a computerized human patient simulator , 2005, Quality and Safety in Health Care.

[16]  G. Setnik,et al.  Demonstration of high-fidelity simulation team training for emergency medicine. , 1999, Academic emergency medicine : official journal of the Society for Academic Emergency Medicine.

[17]  D. Gaba,et al.  Anesthesia crisis resource management training: teaching anesthesiologists to handle critical incidents. , 1992, Aviation, space, and environmental medicine.

[18]  Colin F. Mackenzie,et al.  SPECIAL SECTION: Task Complexity in Emergency Medical Care and Its Implications for Team Coordination , 1996, Hum. Factors.

[19]  John C. Morey,et al.  Error reduction and performance improvement in the emergency department through formal teamwork training: evaluation results of the MedTeams project. , 2002, Health services research.

[20]  David M. Gaba,et al.  Assessment of Clinical Performance during Simulated Crises Using Both Technical and Behavioral Ratings , 1998, Anesthesiology.

[21]  D. Gaba,et al.  Assessment of Clinical Performance during Simulated Crises Using Both Technical and Behavioral Ratings , 1998, Anesthesiology.

[22]  Theodore Speroff,et al.  The impact of aviation-based teamwork training on the attitudes of health-care professionals. , 2004, Journal of the American College of Surgeons.

[23]  John C. Morey,et al.  Simulation based teamwork training for emergency department staff: does it improve clinical team performance when added to an existing didactic teamwork curriculum? , 2004, Quality and Safety in Health Care.

[24]  F. Tschan,et al.  Human factors affect the quality of cardiopulmonary resuscitation in simulated cardiac arrests. , 2004, Resuscitation.

[25]  T. Krummel,et al.  Use of a human patient simulator in the development of resident trauma management skills. , 2001, The Journal of trauma.

[26]  D. Gaba,et al.  Emergency medicine crisis resource management (EMCRM): pilot study of a simulation-based crisis management course for emergency medicine. , 2003, Academic emergency medicine : official journal of the Society for Academic Emergency Medicine.

[27]  Clint A. Bowers,et al.  A Methodology for Enhancing Crew Resource Management Training , 1999, Hum. Factors.

[28]  J. Beaubien,et al.  The use of simulation for training teamwork skills in health care: how low can you go? , 2004, Quality and Safety in Health Care.

[29]  Robert L. Helmreich,et al.  Team performance in the operating room. , 1994 .

[30]  Barbara G. Kanki,et al.  Cockpit Resource Management , 1993 .