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Title: Multidisciplinary operating room simulation-based team training to reduce treatment errors: a feasibility study in New Zealand hospitals.
Authors: Weller, J 
Cumin, D
Torrie, J 
Boyd, M
Civil, I
Madell, D
MacCormick, A
Gurisinghe, N
Garden, A
Crossan, M
Ng, WL 
Johnson, S
Corter, A
Lee, T
Selander, L
Cokorilo, M
Merry, AF 
Keywords: Communication*
Cost-Benefit Analysis
Feasibility Studies
Models, Anatomic
New Zealand
Operating Rooms/organization & administration*
Patient Care Team/organization & administration*
Pilot Projects
Program Evaluation
Simulation Training/organization & administration*
Issue Date: 2015
Source: 128(1418):40-51
Journal Title: The New Zealand Medical Journal
Abstract: AIMS: Communication failures in healthcare are frequent and linked to adverse events and treatment errors. Simulation-based team training has been proposed to address this. We aimed to explore the feasibility of a simulation-based course for all members of the operating room (OR) team, and to evaluate its effectiveness. METHODS: Members of experienced OR teams were invited to participate in three simulated clinical events using an integrated surgical and anesthesia model. We collected information on costs, Behavioural Marker of Risk Index (BMRI) (a measure of team information sharing) and participants' educational gains. RESULTS: We successfully recruited 20 full OR teams. Set up costs were NZ$50,000. Running costs per course were NZ$4,000, excluding staff. Most participants rated the course highly. BMRI improved significantly (P = 0.04) and thematic analysis identified educational gains for participants. CONCLUSION: We demonstrated feasibility of multidisciplinary simulation-based training for surgeons, anesthetists, nurses and anaesthetic technicians. The course showed evidence of participant learning and we obtained useful information on cost. There is considerable potential to extend this type of team-based simulation to improve the performance of OR teams and increase safety for surgical patients.
PubMed URL:
Type: Journal Article
Affiliates: Centre for Medical and Health Sciences Education, University of Auckland and Department of Anaesthesia Auckland City Hospital
Anaesthesiology, University of Auckland
Centre for Medical and Health Sciences Education, University of Auckland
Trauma, Auckland City Hospital
Research Office, Counties Manakau District Health Board
Department of Surgery, Middlemore Hospital
Surgery, Launceston Hospital
Anaesthesia, Capital and Coast District Health Board
Nursing, University of Auckland
Anaesthesia, Counties Manakau District Health Board
Operating Theatres, Auckland City Hospital
Psychgological Medicine, University of Auckland
Linkopings Universitet
Department of Anaesthesiology, University of Auckland, and Auckland City Hospital
Study/Trial: Case Control Studies
Appears in Collections:Scholarly and Clinical

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