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Developing adaptive performance: A conceptual model to guide simulation-based training design.

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Effective emergency care demands adaptability from healthcare teams. This study introduces a model and training principles to enhance adaptive performance in emergency medicine, improving patient outcomes.

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Area of Science:

  • Healthcare Team Performance
  • Medical Education
  • Emergency Medicine

Background:

  • Effective emergency department (ED) care necessitates constant adaptation to dynamic patient conditions, team dynamics, environmental factors, and system-level challenges.
  • Adaptability is a crucial skill for emergency medicine physicians, yet conceptual models of adaptive performance and training strategies are underdeveloped in healthcare settings.

Purpose of the Study:

  • To translate conceptual models of adaptive performance for healthcare settings.
  • To identify and develop training design strategies that foster adaptability in healthcare teams.
  • To create a model for team adaptive performance in emergency medicine.

Main Methods:

  • A comprehensive review of team science and healthcare literature was conducted.
  • Key concepts related to adaptive performance, healthcare team performance, and diagnostic decision-making were identified.
  • An expert consensus process was used to integrate findings and develop the Team Adaptive Performance (TAP) model.

Main Results:

  • The study identified nine core training principles derived from the TAP model and adaptive learning systems.
  • Recommendations and implementation mechanisms for integrating these principles into emergency medicine simulation-based education were detailed.
  • The TAP model provides a framework for understanding and enhancing team adaptability in the ED.

Conclusions:

  • Training interventions can be specifically designed to cultivate and enhance the adaptive performance processes crucial for effective emergency care.
  • The developed training principles offer a practical approach for educators to improve team adaptability in high-stakes medical environments.
  • Enhancing adaptive performance is key to optimizing emergency department care delivery.