Simulation in healthcare : journal of the Society for Simulation in Healthcare
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Surgery of the spine is associated with the possible complication of permanent nerve injury. Neurophysiological monitoring is widely used during spine surgery to decrease the incidence and severity of neurologic injury. A profound understanding of physiological and pharmacological factors influencing evoked potentials is expected from the anesthesia provider. ⋯ Flash animation integration into a patient simulation program for SSEP monitoring appears to be an effective method for anesthesia resident education in neurophysiological monitoring.
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Randomized Controlled Trial
Comparison of checklist and anchored global rating instruments for performance rating of simulated pediatric emergencies.
To compare the psychometric performance of two rating instruments used to assess trainee performance in three clinical scenarios. ⋯ We demonstrate that our checklist and anchored global rating instrument performed in a psychometrically similar fashion with high reliability. As long as proper attention is given to instrument design and testing and rater training, checklists and anchored assessment scales can produce reproducible data for a given population of subjects. The validity of the data arising for either instrument type must be assessed rigorously and with a focus, when practicable, on patient care outcomes.
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We describe our adaptation of the team strategies and tools to enhance performance and patient safety (TeamSTEPPS) for use as an educational intervention for medical and nursing students. We hypothesized that participation in a team training program using the modified TeamSTEPPS program would positively affect knowledge and attitudes toward teamwork skills and their ability to recognize the presence and quality of team skills. ⋯ We successfully adapted TeamSTEPPS for use with our medical and nursing students, educated facilitators, and implemented the course. Our students improved their knowledge of vital team and communication skills, attitudes toward working as teams, and were able to identify effective team skills.
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Randomized Controlled Trial Comparative Study
A randomized controlled trial of the impact of simulation-based training on resident performance during a simulated obstetric anesthesia emergency.
The percentage of patients having cesarean delivery (CD) under general anesthesia has decreased, which may have implications for residency training in anesthesiology. We undertook this study to assess the effect of focused simulation-based training on resident performance during a simulated general anesthetic for emergency CD. ⋯ Anesthesiology residents who underwent focused training on a simulator that included performance of a general anesthetic for emergency CD exhibited improved performance during a subsequent simulated anesthetic scenario compared with trainees who did not undergo such instruction.