Multidisciplinary Crisis Simulations: The Way Forward for Training Surgical Teams

摘要: High-reliability organizations have stressed the importance of nontechnical skills for safety and regularly providing such training to their teams. Recently has been applied in practice medicine. In this study, we developed piloted a module using multidisciplinary crisis scenarios simulated operating theatre train entire surgical Twenty teams participated (n = 80); each consisted trainee surgeon, anesthetist, department practitioner (ODP), scrub nurse. Crisis as difficult intubation, hemorrhage, or cardiac arrest were simulated. Technical (leadership, communication, team skills, decision making, vigilance), assessed by clinical experts two psychologists relevant technical human factors rating scales. Participants received feedback, whole feedback on teamwork. Trainees favorably. For there no differences between trainees’ assessment scores trainers. However, nurses overrated skill. Regarding leadership making scored lower than other three (communication, vigilance). Surgeons communication teamwork skills. anesthetists leadership. Multidisciplinary simulation-based is feasible well Nontechnical can be alongside performance indicate where need further training. Future work should focus developing measures development evaluation systematic enhance surgery.