改善手术气道紧急情况的团队响应:一种基于模拟的多学科方法来提高质量
Jimmie Knight1, Jessica Richelieu2, Jose M Velasco3
1Department of Surgery, Rush University Medical Center, Chicago, Illinois.
Journal of surgical education
|May 16, 2025
概括
模拟培训显著提高了ICU提供者的信心,以管理罕见的气管切除术紧急情况. 这种多学科的方法提高了关键气道事件的团队技能,提高了患者的安全.
科学领域:
- 医学教育 医学教育
- 患者安全 患者安全
- 关键护理医学 关键护理医学
背景情况:
- 外科呼吸道并发症,如气管切除术的脱落,阻塞和出血,存在重大风险.
- 这些事件的稀有性限制了提供者培训机会.
- 基于模拟的多学科培训可以改善罕见紧急情况的护理.
研究的目的:
- 设计和实施模拟体验,以实践手术呼吸道紧急情况的团队管理.
- 评估模拟培训对学员信心和团队功能的影响.
主要方法:
- 模拟课程是为气管切除术紧急情况 (移位,阻塞,出血) 开发的.
- 多学科团队 (手术/麻醉专科医生,ICU护士,呼吸治疗学生) 参与了长达60分钟的高保真模拟.
- 在模拟前和之后调查了学员的信心;使用标准化检查清单评估了团队功能.
主要成果:
- 在管理呼吸困难和气管切除紧急情况方面,观察到受训人员信心的统计学上显著增加 (p < 0.05).
- 在训练场景中,团队功能平均提高了52%.
- 所有参与者都表示对培训的满意度很高.
结论:
- 密切护理培训生往往缺乏对管理气管切除术相关紧急情况的信心.
- 在高真实性环境中的多学科模拟培训提高了学员的信心和对气道紧急情况的团队管理.
- 需要进一步的研究来确认这种干预措施是否提高了患者的安全性.
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