Clinical efficiency in a simulated emergency and relationship to team behaviours: A multisite cross-sectional study

BJOG: An International Journal of Obstetrics and Gynaecology

Volumn 118, Issue 5, 2011, Pages 596-607

  Siassakos, D ^a,b   Bristowe, K ^c   Draycott, T J ^a,b   Angouri, J ^c   Hambly, H ^d   Winter, C ^a   Crofts, J F ^b   Hunt, L P ^b   Fox, R ^e  

^a SOUTHMEAD HOSPITAL   (United Kingdom)

^b UNIVERSITY OF BRISTOL   (United Kingdom)

^c UNIVERSITY OF THE WEST OF ENGLAND   (United Kingdom)

^d FRENCHAY HOSPITAL   (United Kingdom)

^e TAUNTON AND SOMERSET HOSPITAL   (United Kingdom)

Author keywords

Closed loop; Communication; Eclampsia; Education; Emergencies; Handoff; Handover; Leadership; Magnesium sulfate; Mnemonics; Obstetric labour complications; Patient care team; Pre eclampsia; SBAR; Simulation; Teaching; Teamwork; Training

Indexed keywords

MAGNESIUM SULFATE;

ARTICLE; CLINICAL COMPETENCE; CROSS-SECTIONAL STUDY; ECLAMPSIA; HUMAN; HUMAN EXPERIMENT; INTERPERSONAL COMMUNICATION; LEADERSHIP; NORMAL HUMAN; OBSTETRIC EMERGENCY; PRIORITY JOURNAL; SIMULATION; TEAMWORK;

CALCIUM CHANNEL BLOCKERS; CLINICAL COMPETENCE; COMMUNICATION; CROSS-SECTIONAL STUDIES; DECISION MAKING; EMERGENCIES; EMERGENCY TREATMENT; FEMALE; HUMANS; INTERPROFESSIONAL RELATIONS; MAGNESIUM SULFATE; PATIENT CARE TEAM; PRE-ECLAMPSIA; PREGNANCY; PREGNANCY OUTCOME; PRENATAL CARE; TIME FACTORS;

EID: 79952676364     PISSN: 14700328     EISSN: 14710528     Source Type: Journal    
DOI: 10.1111/j.1471-0528.2010.02843.x     Document Type: Article

References (72)

1. Hanscom R. Medical Simulation from an Insurer's Perspective. Acad Emerg Med 2008;15:984-7.
2. Neale G. Clinical analysis of 100 medicolegal cases. BMJ 1993;307:1483-7. (Pubitemid 23351444)
3. White AA, Pichert JW, Bledsoe SH, Irwin C, Entman SS. Cause and effect analysis of closed claims in obstetrics and gynecology. Obstet Gynecol 2005;105:1031-8.
4. King's Fund. Safe Births: Everybody's Business An Independent Enquiry into the Safety of Maternity Services in England. London: King's Fund, 2008.
5. Sentinel event alert issue 30-July 21, 2004. Preventing infant death and injury during delivery. Adv Neonatal Care 2004;4:180-1.
6. Bates DW, Larizgoitia I, Prasopa-Plaizier N, Jha AK, on behalf of the Research Priority Setting Working Group of the W. H. O. World Alliance for Patient Safety. Global priorities for patient safety research. BMJ 2009;338:1242-3.
7. Merien AE, van de Ven J, Mol BW, Houterman S, Oei SG. Multidisciplinary team training in a simulation setting for acute obstetric emergencies: a systematic review. Obstet Gynecol 2010;115: 1021-31.
8. Chakraborti C, Boonyasai RT, Wright SM, Kern DE. A systematic review of teamwork training interventions in medical student and resident education. J Gen Intern Med 2008;23:846-53.
9. Knight M. Eclampsia in the United Kingdom 2005. BJOG 2007; 114:1072-8.
10. Lewis G. The Confidential Enquiry into Maternal and Child Health (CEMACH). Saving Mothers' Lives: Reviewing maternal deaths to make motherhood safer - 2003-2005. The Seventh Report of the Confidential Enquiries into Maternal Deaths in the United Kingdom. London: CEMACH, 2007.
11. Royal College of Obstetricians and Gynaecologists. The Management of Severe Pre-Eclampsia/Eclampsia. Guideline No. 10(A). London: RCOG Press, 2006 March.
12. ACOG practice bulletin. Diagnosis and management of preeclampsia and eclampsia. Number 33, January 2002. Obstet Gynecol 2002;99:159-67.
13. Duley L, Henderson-Smart DJ, Chou D. Magnesium sulphate versus phenytoin for eclampsia. Cochrane Database Syst Rev 2010; Issue 6: CD000128.
14. Siassakos D, Draycott T, Crofts J, Hunt L, Winter C, Fox R. More to teamwork than knowledge, skill and attitude. BJOG 2010;117: 1262-9.
15. Siassakos D, Draycott T, Crofts J, Hunt L, Winter C, Fox R. The management of a simulated emergency: better teamwork, better performance. Resuscitation 2010; DOI: 10.1016/j.resuscitation.2010.10. 029. Dec 6. [Epub ahead of print].
16. Strachan B, Crofts J, James M, Akande V, Hunt L, Ellis D, et al. Proof of principle study of the effect of individual and team drill on the ability of labour ward staff to manage acute obstetric emergencies. Edgbaston, Birmingham: PSRP, Department of Health, Public Health, Epidemiology & Biostatistics, University of Birmingham, 2008.
17. Ellis D, Crofts JF, Hunt LP, Read M, Fox R, James M. Hospital, simulation center, and teamwork training for eclampsia management: a randomized controlled trial. Obstet Gynecol 2008;111:723-31. (Pubitemid 351654079)
18. Altman D, Carroli G, Duley L, Farrell B, Moodley J, Neilson J, et al. Do women with pre-eclampsia, and their babies, benefit from magnesium sulphate? The Magpie Trial: a randomised placebo-controlled trial. Lancet 2002;359:1877-90. (Pubitemid 34615765)
19. Weller JM, Bloch M, Young S, Maze M, Oyesola S, Wyner J, et al. Evaluation of high fidelity patient simulator in assessment of performance of anaesthetists. Br J Anaesth 2003;90:43-7. (Pubitemid 36113621)
20. Rosen MA, Salas E, Wu TS, Silvestri S, Lazzara EH, Lyons R, et al. Promoting teamwork: an event-based approach to simulation-based teamwork training for emergency medicine residents. Acad Emerg Med 2008;15:1190-8.
21. Beaubien JM, Baker DP. The use of simulation for training teamwork skills in health care: how low can you go? Qual Saf Health Care 2004;13:I51-6.
22. Seale C, Butler CC, Hutchby I, Kinnersley P, Rollnick S. Negotiating frame ambiguity: a study of simulated encounters in medical education. Commun Med 2007;4:177-87. (Pubitemid 350223108)
23. Weller JM, Robinson BJ, Jolly B, Watterson LM, Joseph M, Bajenov S, et al. Psychometric characteristics of simulation-based assessment in anaesthesia and accuracy of self-assessed scores. Anaesthesia 2005;60:245-50. (Pubitemid 40310205)
24. Shapiro MJ, Gardner R, Godwin SA, Jay GD, Lindquist DG, Salisbury ML, et al. Defining team performance for simulation-based training: methodology, metrics, and opportunities for emergency medicine. Acad Emerg Med 2008;15:1088-97.
25. Paige JT, Aaron DL, Yang T, Howell DS, Hilton CW, Cohn I. Jr, et al. Implementation of a preoperative briefing protocol improves accuracy of teamwork assessment in the operating room. Am Surg 2008;74:817-23.
26. Moorthy K, Munz Y, Adams S, Pandey V, Darzi A, Hospital ICSM. Self-assessment of performance among surgical trainees during simulated procedures in a simulated operating theater. Am J Surg 2006;192:114-8. (Pubitemid 43849619)
27. Morgan PJ, Pittini R, Regehr G, Marrs C, Haley MF. Evaluating teamwork in a simulated obstetric environment. Anesthesiology 2007;106:907-15. (Pubitemid 46684056)
28. Brown C, Hofer T, Johal A, Thomson R, Nicholl J, Franklin BD, et al. An epistemology of patient safety research: a framework for study design and interpretation. Part 3. End points and measurement. Qual Saf Health Care 2008;17:170-7.
29. Festa MS. Clinical leadership in hospital care: leadership and teamwork skills are as important as clinical management skills. BMJ 2005;331:161-2. (Pubitemid 41003183)
30. Nielsen PE, Goldman MB, Mann S, Shapiro DE, Marcus RG, Pratt SD, et al. Effects of teamwork training on adverse outcomes and process of care in labor and delivery: a randomized controlled trial. Obstet Gynecol 2007;109:48-55. (Pubitemid 46035509)
31. Siassakos D, Crofts JF, Winter C, Weiner CP, Draycott TJ. The active components of effective training in obstetric emergencies. BJOG 2009;116:1028-32.
32. Salas E, Wilson KA, Burke CS, Wightman DC. Does crew resource management training work? An update, an extension, and some critical needs. Hum Factors 2006;48:392-412. (Pubitemid 44061496)
33. Salas E, DiazGranados D, Klein C, Burke CS, Stagl KC, Goodwin GF, et al. Does team training improve team performance? A meta-analysis Hum Factors 2008;50:903-33.
34. Siassakos D, Hasafa Z, Sibanda T, Fox R, Donald F, Winter C, et al. Retrospective cohort study of diagnosis-delivery interval with umbilical cord prolapse: the effect of team training. BJOG 2009;116: 1089-96.
35. Draycott T, Crofts JF, Ash JP, Wilson LV, Yard E, Sibanda T, et al. Improving neonatal outcome through practical shoulder dystocia training. Obstet Gynecol 2008;112:14-20.
36. Draycott T, Sibanda T, Owen L, Akande V, Winter C, Reading S, et al. Does training in obstetric emergencies improve neonatal outcome? BJOG 2006;113:177-82.
37. Baker DP, Salas E, King H, Battles J, Barach P. The role of teamwork in the professional education of physicians: current status and assessment recommendations. Jt Comm J Qual Patient Saf 2005;31: 185-202.
38. Clay-Williams R, Braithwaite J. Determination of health-care teamwork training competencies: a Delphi study. Int J Qual Health Care 2009;21:433-40.
39. Risser DT, Rice MM, Salisbury ML, Simon R, Jay GD, Berns SD. The potential for improved teamwork to reduce medical errors in the emergency department. The MedTeams Research Consortium. Ann Emerg Med 1999;34:373-83. (Pubitemid 29416031)
40. Riesenberg LA, Leitzsch J, Little BW. Systematic review of handoff mnemonics literature. Am J Med Qual 2009;24:196-204.
41. Institute for Health Improvement. Perinatal SBAR Tools. 2010. [cited 2010 June]; Available from: www.ihi.org/IHI/Topics/PerinatalCare/ PerinatalCareGeneral/EmergingContent/PerinatalSBARTools.htm.
42. Salas E, Wilson KA, Murphy CE, King H, Salisbury M. Communicating, coordinating, and cooperating when lives depend on it: tips for teamwork. Jt Comm J Qual Patient Saf 2008;34:333-41.
43. Mann S, Pratt SD. Team approach to care in labor and delivery. Clin Obstet Gynecol 2008;51:666-79.
44. Siassakos D, Draycott T, Montague I, Harris M. Content analysis of team communication in an obstetric emergency scenario. J Obstet Gynaecol 2009;29:499-503.
45. Yun S, Faraj S, Sims HP Jr. Contingent leadership and effectiveness of trauma resuscitation teams. J Appl Psychol 2005;90:1288-96. (Pubitemid 43011584)
46. Maslovitz SMD, Barkai GMD, Lessing JBMD, Ziv AMD, Many AMD. Recurrent obstetric management mistakes identified by simulation. Obstet Gynecol 2007;109:1295-300.
47. Olsen S, Neale G. Clinical leadership in the provision of hospital care. BMJ 2005;330:1219-20. (Pubitemid 40780468)
48. Thomas EJ, Sexton JB, Neilands TB, Frankel A, Helmreich RL. The effect of executive walk rounds on nurse safety climate attitudes: a randomized trial of clinical units[ISRCTN85147255] [corrected]. BMC Health Serv Res 2005;5:28.
49. Siassakos D, Fox R, Hunt L, Farey J, Laxton C, Winter C, et al. Attitudes toward safety and teamwork in a maternity unit with embedded team training. Am J Med Qual 2010; DOI: 10.1177/1062860610373379. Oct 8. [Epub ahead of print].
50. de Graaf JP, Ravelli AC, Visser GH, Hukkelhoven C, Tong WH, Bonsel GJ, et al. Increased adverse perinatal outcome of hospital delivery at night. BJOG 2010;117:1098-107.
51. Cullinane M, Findlay G, Hargraves C, Lucas S. An acute problem? A report of the National Confidential Enquiry into Patient Outcome and Death. London: NCEPOD, 2005.
52. Pasupathy D, Wood AM, Pell JP, Fleming M, Smith GCS. Time of birth and risk of neonatal death at term: retrospective cohort study. BMJ 2010;341:C3498.
53. Draycott T, Sibanda T, Laxton C, Winter C, Mahmood T, Fox R. Quality improvement demands quality measurement. BJOG 2010;117: 1571-4.
54. Siassakos D, Draycott T, O'Brien K, Kenyon C, Bartlett C, Fox R. Exploratory randomized controlled trial of hybrid obstetric simulation training for undergraduate students. Simul Healthc 2010;5:193-8.
55. Siassakos D, Clark J, Sibanda T, Attilakos G, Jefferys A, Cullen L, et al. A simple tool to measure patient perceptions of operative birth. BJOG 2009;116:1755-61.
56. Daniels K, Lipman S, Harney K, Arafeh J, Druzin M. Use of simulation based team training for obstetric crises in resident education. Simul Healthc 2008;3:154-60.
57. Kimble CE, Seidel SD. Vocal signs of confidence. J Nonverbal Behav 1991;15:99-105.
58. Fletcher G, Flin R, McGeorge P, Glavin R, Maran N, Patey R. Anaesthetists' non-technical skills (ANTS): evaluation of a behavioural marker system. Br J Anaesth 2003;90:580-8. (Pubitemid 36592330)
59. Rothrock L, Cohen A, Yin J, Thiruvengada H, Nahum-Shani I. Analyses of team performance in a dynamic task environment. Appl Ergon 2009;40:699-706.
60. France DJ, Leming-Lee S, Jackson T, Feistritzer NR, Higgins MS. An observational analysis of surgical team compliance with perioperative safety practices after crew resource management training. Am J Surg 2008;195:546-53. (Pubitemid 351417479)
61. Morey JC, Simon R, Jay GD, Wears RL, Salisbury M, Dukes KA, et al. Error reduction and performance improvement in the emergency department through formal teamwork training: evaluation results of the MedTeams project. Health Serv Res 2002;37:1553-81. (Pubitemid 36070254)
62. Catchpole K, Mishra A, Handa A, McCulloch P. Teamwork and error in the operating room: analysis of skills and roles. Ann Surg 2008;247:699-706. (Pubitemid 351440623)
63. DeVita MA, Schaefer J, Lutz J, Wang H, Dongilli T. Improving medical emergency team (MET) performance using a novel curriculum and a computerized human patient simulator. Qual Saf Health Care 2005;14:326-31. (Pubitemid 41495117)
64. Mishra A, Catchpole K, Dale T, McCulloch P. The influence of nontechnical performance on technical outcome in laparoscopic cholecystectomy. EcoHealth 2008;22:68-73.
65. Muller MP, Hansel M, Stehr SN, Fichtner A, Weber S, Hardt F, et al. Six steps from head to hand: a simulator based transfer oriented psychological training to improve patient safety. Resuscitation 2007;73:137-43. (Pubitemid 46341580)
66. Flin R, Yule S, Paterson-Brown S, Maran N, Rowley D, Youngson G. Teaching surgeons about non-technical skills. Surgeon 2007;5:86-9.
67. Undre S, Koutantji M, Sevdalis N, Gautama S, Selvapatt N, Williams S, et al. Multidisciplinary crisis simulations: the way forward for training surgical teams. World J Surg 2007;31:1843-53. (Pubitemid 47283191)
68. Pettker CM, Thung SF, Norwitz ER, Buhimschi CS, Raab CA, Copel JA, et al. Impact of a comprehensive patient safety strategy on obstetric adverse events. Am J Obstet Gynecol 2009;200:492-e1.
69. Velji K, Baker GR, Fancott C, Andreoli A, Boaro N, Tardif G, et al. Effectiveness of an adapted SBAR communication tool for a rehabilitation setting. Healthc Q 2008;11(3 Spec No.):72-9.
70. Cziraki K, Lucas J, Rogers T, Page L, Zimmerman R, Hauer LA, et al. Communication and relationship skills for rapid response teams at hamilton health sciences. Healthc Q 2008;11(3 Spec No.):66-71.
71. Shapiro MJ, Morey JC, Small SD, Langford V, Kaylor CJ, Jagminas L, et al. Simulation based teamwork training for emergency department staff: does it improve clinical team performance when added to an existing didactic teamwork curriculum? Qual Saf Health Care 2004;13:417-21.
72. Fowlkes JE, Salas E, Baker DP, Cannon-Bowers JA, Stout RJ. The utility of event-based knowledge elicitation. Hum Factors 2000;42:24-35. (Pubitemid 30456526)