High-fidelity, simulation-based, interdisciplinary operating room team training at the point of care
High-fidelity, simulation-based, interdisciplinary operating room team training at the point of care
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DOI：
10.1016/j.surg.2008.09.010
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发表时间：
2009-02-01
期刊：
影响因子：
3.8
通讯作者：
Chauvin, Sheila W.
中科院分区：
文献类型：
--
作者：
Paige, John T.;Kozmenko, Valeriy;Chauvin, Sheila W.
背景资料。手术室(OR)是一个动态、高风险的环境，需要有效的团队合作才能安全地提供护理。现代社会中的团队合作。然而，09并不是很理想。高保真模拟是训练关键团队合作能力的一种有吸引力的方法。我们已经开发了一个便携式模拟平台，移动模拟或(MMOR)，它允许将团队训练带到远距离的护理地点。我们检验了这种创新的、基于模拟的跨学科手术室团队培训模式对参与者的有效性。所有在学术附属医疗中心的普通外科或团队成员都接受了基于情景的培训，使用移动模拟或。对15个利克特型项目在团队合作能力中的自我效能感进行t检验，计算会议前后的平均分并进行分析。38名参与者在发布前的项目得分平均增加了0.4个单位，在6分的利克特量表上。在4个项目上表现出显著意义：角色清晰度(Delta=0.6个单位，P=0.02)，预期反应(Delta=0.6个单位，P=0.1)，交叉监控(Delta=0。6个单位，P<；.01)，以及团队凝聚力和互动(Delta=0。7单位，P<；.01)。在看护点进行的高忠诚度、基于模拟的OR团队培训对日常实践中有效团队合作表现的自我效能感有积极的影响。(外科手术2009；145：138-46。)
Background. The operating room (OR) is a dynamic, high risk setting requiring effective teamwork for the safe delivery of care. Teamwork in the modern. 09 however, is Less than ideal. High fidelity simulation is an attractive approach to training key teamwork competencies. We have developed a portable simulation platform, the mobile mock OR (MMOR) that permits bringing team training over long distances to the point Of care. We examined the effectiveness of this innovative, simulation-based interdisciplinary operating room (OR) team training model on its participants.Methods. All general surgical OR team members at an academic affiliated medical center underwent scenario-based training using a mobile mock OR. Pre- and post session mean scores were calculated and analyzed for 15 Likert-type items measuring self-efficacy in teamwork competencies using t test.Results. The mean gain in pre-post item scores for 38 participants averaged 0.4 units on a 6-point Likert scale. The significance was demonstrated in 4 of the items: role clarity (Delta = 0.6 units, P =.02), anticipatory response (Delta = 0.6 units, P = .0.1), cross monitoring (Delta = 0. 6 units, P < .01), and team cohesion and interaction (Delta = 0. 7 units, P < .01).Conclusion. High-fidelity, simulation-based OR team training at the point of care positively impacts self-efficacy for effective teamwork performance in everyday practice. (Surgery 2009;145:138-46.)