Journal article
Multidisciplinary simulation-based trauma team training with an emphasis on crisis resource management improves residents' non-technical skills
Surgery, Vol.170(4), pp.1083-1086
10/01/2021
DOI: 10.1016/j.surg.2021.03.015
PMID: 33858682
Abstract
Background: Non-technical skills impact trauma resuscitation time. Crisis resource management teaches non-technical skills required for effective teamwork in a crisis. We developed a simulation-based multidisciplinary trauma team training, with an emphasis on crisis resource management and a goal of improving residents' non-technical skills. Methods: Twenty-five post-graduate year-1 general surgery and emergency medicine residents were divided into multidisciplinary teams with embedded nurse participants. Teams underwent 3 trauma resuscitation scenarios followed by a crisis resource management debrief. Additionally, a Just-In-Time crisis resource management didactic was delivered before 1 scenario. Teams' non-technical skills in each scenario were assessed by expert raters using non-technical skills scale for trauma and scenario scores before and after the Just-In-Time didactic were compared. Multiple linear-regression calculating the impact of clinical scenario, case order, and timing relative to the Just-In-Time didactic on a teams' non-technical skills scale for trauma score was performed. Results: Seventy-four team T-NOTECHS ratings were completed. T-NOTECHS total score was significantly higher on the third training case regardless of clinical scenario or timing relative to the Just-In-Time didactic (pre = 15.58 vs post = 18.11, P = .117). Teams scored an average of 15.44 on the first scenario of the day, 16.63 on the second, and 19.04 on the last (P < .001). Conclusion: Crisis resource management-focused multidisciplinary team training significantly improves residents' non-technical skills in the simulated environment. Case repetition followed by crisis resource management focused debriefings outweighed the effect of a single Just-In-Time crisis resource man-agement didactic. (c) 2021 Elsevier Inc. All rights reserved.
Details
- Title: Subtitle
- Multidisciplinary simulation-based trauma team training with an emphasis on crisis resource management improves residents' non-technical skills
- Creators
- Elizabeth M. Huffman - Indiana University – Purdue University IndianapolisNick E. Anton - Indiana University – Purdue University IndianapolisDimitrios Athanasiadis - Indiana University – Purdue University IndianapolisRami Ahmed - Indiana University School of MedicineDylan Cooper - Indiana University – Purdue University IndianapolisDimitrios Stefanidis - Indiana University School of MedicineNicole Kissane Lee - Indiana University – Purdue University Indianapolis
- Resource Type
- Journal article
- Publication Details
- Surgery, Vol.170(4), pp.1083-1086
- DOI
- 10.1016/j.surg.2021.03.015
- PMID
- 33858682
- ISSN
- 0039-6060
- eISSN
- 1532-7361
- Publisher
- Elsevier
- Number of pages
- 4
- Language
- English
- Date published
- 10/01/2021
- Academic Unit
- Surgery
- Record Identifier
- 9985139321502771
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