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Using Simulation-Based Education to Improve Team Communication During a Massive Transfusion Protocol in the OR
AORN Journal
|April 3, 2020
Summary
A simulated massive transfusion protocol (MTP) improved surgical team communication and preparedness for hemorrhagic crises. This educational intervention enhanced staff confidence in managing rare, high-risk operative events.
Area of Science:
- Perioperative Medicine
- Surgical Education
- Hemorrhage Management
Background:
- Hemorrhagic crises during surgery pose significant risks to patients.
- Perioperative teams may lack experience in managing these high-risk events.
- Effective massive transfusion protocols (MTPs) and communication are vital.
Purpose of the Study:
- To assess the impact of a simulated massive transfusion protocol (MTP) educational activity on perioperative personnel.
- To improve team communication and preparedness for hemorrhagic crises.
- To address the lack of experiential knowledge in managing uncommon, high-risk surgical scenarios.
Main Methods:
- Development of an educational intervention at a 500-bed hospital.
- Inclusion of a video-recorded simulated MTP scenario.
- Incorporation of learning modules and team debriefing sessions for over 150 employees.
Main Results:
- The educational activity involved pre-education, simulation viewing, and debriefing.
- Post-activity feedback indicated improved team communication among staff.
- Most participants felt better prepared to handle hemorrhagic crises.
Conclusions:
- Simulated massive transfusion protocol training enhances perioperative team communication.
- Educational interventions can effectively prepare staff for managing surgical hemorrhagic crises.
- Experiential learning through simulation is valuable for high-risk, low-frequency events.
