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Operating Room Team Training with Simulation: A Systematic Review.

Jamie M Robertson1,2, Roger D Dias1, Steven Yule1,3,4

  • 11 STRATUS Center for Medical Simulation , Brigham and Women's Hospital, Boston, Massachusetts.

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
|March 16, 2017
PubMed
Summary
This summary is machine-generated.

Simulation-based training enhances nontechnical skills (NTS) like teamwork and communication in operating room (OR) teams. Future programs should include all OR disciplines and use validated NTS assessment tools.

Keywords:
educationnontechnical skillssimulationteam training

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Area of Science:

  • Medical Education
  • Surgical Safety
  • Human Factors in Medicine

Background:

  • Nontechnical skills (NTS), including teamwork and communication, are crucial for preventing adverse events in the operating room (OR).
  • Simulation-based training offers a controlled environment for OR teams to practice and enhance these essential NTS.
  • A systematic review was conducted to identify existing simulation-based approaches for NTS training among surgical teams.

Purpose of the Study:

  • To systematically review and identify simulation-based training methods for nontechnical skills in operating room teams.
  • To analyze the characteristics of identified training programs and their assessment strategies.

Main Methods:

  • A systematic literature search was performed in PubMed, ERIC, and the Cochrane Database up to September 2016.
  • Keywords and MeSH terms related to simulation-based training and operating room teams were utilized.
  • Data abstracted included simulation design, participant demographics, and NTS assessment methods.

Main Results:

  • Ten studies described simulation-based OR team-training programs focusing on NTS.
  • The primary NTS addressed were communication, teamwork, leadership, and situation awareness.
  • A significant limitation identified was that only four programs utilized validated instruments for NTS assessment.

Conclusions:

  • Simulation-based training effectively provides a platform for NTS development and participant reflection within OR teams.
  • Future simulation programs should aim for broader interprofessional inclusion, encompassing all OR disciplines.
  • Increased utilization of validated assessment tools is recommended to enhance the rigor and impact of NTS training.