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Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
A Data-Driven Approach to Team Training for Nurses in a Level II Trauma Center
Tracy L Litzinger1, Tara N Cohen, Jennifer S Cabrera
1Behavioral Science, Flagler College, St Augustine, Florida (Dr Litzinger); Cedars-Sinai Medical Center, Los Angeles, California (Dr Cohen); Embry-Riddle Aeronautical University, Daytona Beach, Florida (Ms Cabrera and Drs Shappell and Boquet); Emergency Department, Florida Hospital Memorial Medical Center, Daytona Beach, Florida (Mr Captain); Florida State University College of Medicine, Halifax Health Medical Center, Daytona Beach, Florida (Dr Fabian); and Halifax Health Medical Center, Daytona Beach, Florida (Dr Miles).
This study developed team training to improve trauma care by addressing flow disruptions. The training significantly enhanced nurse knowledge in leadership, teamwork, and communication, improving care delivery.
Area of Science:
- Medical Education
- Healthcare Management
- Trauma Surgery
Background:
- Process inefficiencies and flow disruptions (FDs) can compromise optimal trauma care delivery.
- Data-driven interventions are crucial for enhancing patient outcomes in critical care settings.
Purpose of the Study:
- To design and evaluate a targeted, data-driven team training program for trauma care.
- To reduce process inefficiencies and flow disruptions in a Level II trauma center.
Main Methods:
- Prospective investigation involving observation and classification of FDs in 34 trauma cases.
- Development of interventions using the human factors intervention matrix (HFIX) by multidisciplinary teams.
- Implementation of a formal trauma nurse training program focusing on leadership, teamwork, and communication.
Main Results:
- The trauma nurse training program was well-received by participants.
- A statistically significant increase in participant knowledge of course content was observed (t(65) = -13.92, p ≤ .01).
Conclusions:
- Hospital-specific data can effectively drive the development of targeted interventions for trauma care.
- Multidisciplinary team involvement is key to creating effective solutions for identified threats to care delivery.
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