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Multidisciplinary operating room simulation-based team training to reduce treatment errors: a feasibility study in
Jennifer Weller1, David Cumin2, Jane Torrie2
1Centre for Medical and Health Sciences Education, University of Auckland and Department of Anaesthesia Auckland City Hospital. j.weller@auckland.ac.nz.
The New Zealand Medical Journal
|September 15, 2015
Summary
This study found that simulation-based team training is feasible for operating room (OR) teams, improving communication and learning. The training enhanced team information sharing and showed potential for increasing patient safety.
Area of Science:
- Medical Education
- Patient Safety
- Healthcare Simulation
Background:
- Communication failures in healthcare settings are a significant cause of adverse events and medical errors.
- Simulation-based team training is a proposed strategy to mitigate these communication issues.
- Operating room (OR) teams require effective communication for optimal patient care and safety.
Purpose of the Study:
- To assess the feasibility of implementing a simulation-based training course for all members of the OR team.
- To evaluate the effectiveness of this multidisciplinary training program.
- To gather data on the costs associated with the simulation course.
Main Methods:
- Twenty full operating room teams participated in three simulated clinical scenarios.
- The training utilized an integrated surgical and anesthesia model.
- Data collected included course costs, the Behavioural Marker of Risk Index (BMRI) for team information sharing, and participant educational gains.
Main Results:
- The simulation-based training course was successfully implemented with 20 OR teams.
- Significant improvement was observed in the Behavioural Marker of Risk Index (BMRI), indicating enhanced team information sharing (P = 0.04).
- Participants reported high satisfaction, and thematic analysis confirmed educational gains.
Conclusions:
- Multidisciplinary simulation-based training is feasible for OR teams, including surgeons, anesthetists, nurses, and anaesthetic technicians.
- The training demonstrated evidence of participant learning and provided valuable cost information.
- This approach holds significant potential for improving OR team performance and enhancing surgical patient safety.