Effect of Interprofessional Crisis Simulation Training in a Non-Operating Room Anesthesia Setting on Team...

Area of Science:

• Medical Education
• Patient Safety
• Healthcare Management

Background:

• Crisis resource management in non-operating room anesthesia (NORA) settings presents unique challenges.
• Interprofessional crisis simulation training (ICST) offers a potential solution to enhance team coordination in these environments.

Purpose of the Study:

• To evaluate the impact of a one-time ICST on team coordination within diagnostic and interventional magnetic resonance imaging (MRI) locations.
• To assess changes in relational coordination, role perceptions, and task confidence following ICST.

Main Methods:

• A mixed-methods study involving 87 participants from anesthesia, radiology, and perioperative services.
• Utilized the relational coordination index (RCI) and questionnaires for quantitative assessment at baseline, immediately post-training, and at three months.
• Conducted thematic analysis of interviews with a subset of participants before and after training.

Main Results:

• While overall RCI scores did not significantly change, specific domains like mutual respect and shared knowledge showed improvement at three months post-training.
• Thematic analysis revealed increased familiarity with roles and crisis procedures, along with enhanced communication among interprofessional teams.
• Response rates for the RCI decreased over time, with 71.3% at baseline and 36.8% at three months.

Conclusions:

• A single ICST session in NORA settings can positively influence specific aspects of team coordination, including role clarity, task confidence, trust, and communication.
• ICST may be a valuable tool for improving team dynamics and preparedness in challenging NORA environments.