Emergency manual implementation: Can brief simulation-based OR staff trainings increase familiarity and planned clinical use?

Joint Commission Journal on Quality and Patient Safety

Volumn 41, Issue 5, 2015, Pages 212-220

  Goldhaber Fiebert, Sara N ^a   Lei, Vivian ^b   Nandagopal, Kiruthiga ^a   Bereknyei, Sylvia ^a  

^a STANFORD UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b VANDERBILT UNIVERSITY MEDICAL CENTER   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADOPTION; AWARENESS; EMERGENCY; HUMAN; HUMAN EXPERIMENT; NURSE; OPERATING ROOM PERSONNEL; STAFF TRAINING; SURGERY; BOOK; HEALTH PERSONNEL ATTITUDE; IN SERVICE TRAINING; ORGANIZATION AND MANAGEMENT; PERIOPERATIVE PERIOD; PROCEDURES; RETROSPECTIVE STUDY;

ATTITUDE OF HEALTH PERSONNEL; AWARENESS; EMERGENCIES; HUMANS; INSERVICE TRAINING; MANUALS AS TOPIC; PERIOPERATIVE CARE; RETROSPECTIVE STUDIES; SURGICAL PROCEDURES, OPERATIVE;

EID: 84943357849     PISSN: 15537250     EISSN: None     Source Type: Journal    
DOI: 10.1016/s1553-7250(15)41028-1     Document Type: Article

References (41)

1. Ghaferi AA, Birkmeyer JD, Dimick JB. Variation in hospital mortality associated with inpatient surgery. N Engl J Med. 2009 Oct 1;361(14):1368-1375.
2. Arriaga AF, et al. Simulation-based trial of surgical-crisis checklists. N Engl J Med. 2013 Jan 17;368(3):246-253.
3. Burden AR, et al. Does every code need a "reader"? Improvement of rare event management with a cognitive aid "reader" during a simulated emergency: A pilot study. Simul Healthc. 2012;7(1):1-9.
4. Harrison TK, et al. Use of cognitive aids in a simulated anesthetic crisis. Anesth Analg. 2006;103(3):551-556.
5. Neal JM, et al. ASRA checklist improves trainee performance during a simulated episode of local anesthetic systemic toxicity. Reg Anesth Pain Med. 2012;37(1):8-15.
6. Gaba DM. Perioperative cognitive aids in anesthesia: What, who, how, and why bother? Anesth Analg. 2013;117(5):1033-1036.
7. Stanford Anesthesia Cognitive Aid Group (SACAG). Emergency Manual: Cognitive Aids for Perioperative Critical Events, ver. 2.4. Jan 2015. Accessed Mar 31, 2015. http://emergencymanual.stanford.edu.
8. Emergency Manuals Implementation Collaborative (EMIC). Home page. Accessed Mar 31, 2015. http://www.emergencymanuals.org.
9. Bourne LE, Yaroush RA. Stress and cognition: A cognitive psychological perspective (unpublished manuscript). NASA grant NAG2-1561. 2003.
10. Driskell JE, Salas E, Johnston J. Does stress lead to a loss of team perspective? Group Dynamics. 1999;3(4):291-302.
11. Goldhaber-Fiebert SN, Howard SK. Implementing emergency manuals: Can cognitive aids help translate best practices for patient care during acute events? Anesth Analg. 2013;117(5):1149-1161.
12. Gaba DM, et al. Crisis Management in Anesthesiology, 2nd ed. Philadelphia: Elsevier/Saunders, 2015.
13. Gaba DM, Pierce EC Jr. Patient Safety Memorial Lecture: Competence and teamwork are not enough: The value of cognitive aids. American Society of Anesthesiologists Annual Meeting, New Orleans, Oct 11, 2014.
14. Cooper JB, et al. Anesthesia Patient Safety Foundation Workshop: Competence and teamwork are not enough: Implementing emergency manuals and checklists. American Society of Anesthesiologists Annual Meeting, New Orleans, Oct 11, 2014.
15. Mills PD, et al. A cognitive aid for cardiac arrest: You can't use it if you don't know about it. Jt Comm J Qual Patient Saf. 2004;30(9):488-496.
16. Neily J, et al. Awareness and use of a cognitive aid for anesthesiology. Jt Comm J Qual Patient Saf. 2007;33(8):502-511.
17. Damschroder LJ, et al. Fostering implementation of health services research findings into practice: A consolidated framework for advancing implementation science. Implement Sci. 2009 Aug 7;4:50.
18. Safesurg.org. The Checklist Effect. Accessed Mar 31, 2015. http://www.safesurg.org/checklist-effect.html.
19. Hales BM, Pronovost PJ. The checklist - A tool for error management and performance improvement. J Crit Care. 2006;21(3):231-235.
20. Hales B, et al. Development of medical checklists for improved quality of patient care. Int J Qual Health Care. 2008;20(1):22-30.
21. Haynes AB, et al. A surgical safety checklist to reduce morbidity and mortality in a global population. N Engl J Med. 2009 Jan 29;360(5):491-499.
22. de Vries EN, et al. Effect of a comprehensive surgical safety system on patient outcomes. N Engl J Med. 2010 Nov 11;363(20):1928-1937.
23. Neily J, et al. Association between implementation of a medical team training program and surgical mortality. JAMA. 2010 Oct 20;304(15):1693-1700.
24. Urbach DR, et al. Introduction of surgical safety checklists in Ontario, Canada. N Engl J Med. 2014 Mar 13;370(11):1029-1038.
25. Leape LL. The checklist conundrum. N Engl J Med. 2014 Mar 13;370(11):1063-1064.
26. Birkmeyer JD. Strategies for improving surgical quality: Checklists and beyond. N Engl J Med. 2010 Nov 11;363(20):1963-1965.
27. Goldhaber-Fiebert SN, et al. Simulation-Based Team Training: Crisis Resource Management and the Use of Emergency Manuals in the OR. MedEdPORTAL Publications. Dec 22, 2014. Accessed Apr 6, 2015. https://www.mededportal.org/publication/9992.
28. Gaba DM. The future vision of simulation in health care. Qual Saf Health Care. 2004;13 Suppl 1:i2-10.
29. Hamstra SJ, et al. Reconsidering fidelity in simulation-based training. Acad Med. 2014;89(3):387-392.
30. Dieckmann P, Gaba D, Rall M. Deepening the theoretical foundations of patient simulation as social practice. Simul Healthc. 2007;2(3):183-193.
31. Weinstock PH, et al. Simulation at the point of care: Reduced-cost, in situ training via a mobile cart. Pediatr Crit Care Med. 2009;10(2):176-181.
32. Stewart J, et al. Identifying appropriate tasks for the preregistration year: Modified Delphi technique. BMJ. 1999 Jul 24;319(7204):224-229.
33. Skeff KM, Stratos GA, Bergen MR. Evaluation of a medical faculty development program: A comparison of traditional pre/post and retrospective pre/ post self-assessment ratings. Eval Health Prof. 1992;15(3):350-366.
34. Bhanji F, et al. The retrospective pre-post: A practical method to evaluate learning from an educational program. Acad Emerg Med. 2012;19(2):189-194.
35. Goldhaber-Fiebert SN, et al. Perioperative Emergency Manuals in Clinical Clerkships: Curricula on "Why, How, and When to Use" for Teaching Medical Students. MedEdPORTAL Publications. Mar 18, 2015. Accessed Apr 6, 2015. https:// www.mededportal.org/publication/10056.
36. Pollock J, et al. Emergency manual implementation: Cultural changes, perceptions, and clinical use. Paper presented at the American Society of Anesthesiologists Annual Meeting, New Orleans, Oct 14, 2014.
37. Moitra VK, et al. Anesthesia advanced circulatory life support. Can J Anaesth. 2012;59(6):586-603.
38. Ramirez M, Grantham C. Crisis checklists for the operating room, not with a simulator. J Am Coll Surg. 2012;215(2):302-303.
39. Ranganathan P, et al. The use of cognitive aid checklist leading to successful treatment of malignant hyperthermia in an infant undergoing cranioplasty. Anesth Analg. 2014;118(6):1387.
40. Cooper JB, et al. |Preventable anesthesia mishaps: a study of human factors. Anesthesiology. 1978;49(6):399-406.
41. Woolsey LK. The critical incident technique: An innovative qualitative method of research. Canadian Journal of Counselling. 1986;20(4):242-254.