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Management of anesthesia equipment failure: a simulation-based resident skill assessment
William B Waldrop1, David J Murray, John R Boulet
1Howard and Joyce Wood Clinical Simulation Center, Washington University School of Medicine, St Louis, Missouri 63110, USA. waldropw@wustl.ed
Anesthesia and Analgesia
|July 18, 2009
Summary
Anesthesia residents
Area of Science:
- Anesthesiology
- Medical Simulation
- Medical Education
Background:
- Intraoperative anesthesia equipment failures contribute to patient harm.
- Developing reliable assessment tools for managing these failures is crucial.
Purpose of the Study:
- Design simulated scenarios to assess anesthesia residents' skills in managing equipment failures.
- Evaluate the reliability and validity of this simulation-based assessment.
Main Methods:
- Eight intraoperative equipment failure scenarios were developed.
- Fifty-six residents (R1-R4) participated in simulation-based assessments.
- Scoring involved checklists of key actions and time to completion.
Main Results:
- Resident performance generally improved with higher training levels (R3/R4 > R1/R2).
- Significant skill variation existed within training years.
- The assessment demonstrated reliable estimation of resident skill.
Conclusions:
- Simulated intraoperative equipment problems provide a reliable method for evaluating anesthesia residents.
- This multiple-scenario assessment effectively measures individual performance.
- Results can inform the success of current instructional methods for skill acquisition.
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