Translating simulation-based team leadership training into patient-level outcomes

将基于模拟的团队领导力培训转化为患者层面的结果

• 批准号: 8739938
• 负责人: ELIZABETH D ROSENMAN
• 金额: $ 74.77万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-08-01 至 2018-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8739938
• 关键词: Translating; simulation; based; team; leadership

DESCRIPTION (provided by applicant): Background: Interdisciplinary trauma teams perform critical patient resuscitations under highly dynamic, time- pressured situations. As a result, they are particularly susceptible to safety threats resulting from poor teamwork. Several studies demonstrate that trauma team leaders perform a pivotal role and therefore may be an important leverage point for improving patient safety. Simulation-based training has been proposed as an effective method to improve team leadership; however, no studies have systematically assessed the effectiveness of simulation-based leadership training at the patient level. Objective: The overall objective of the proposed project is to evaluate the impact of simulation-based team leadership training on patient care during trauma resuscitations. The work is organized into three aims: (1) develop and assess the content validity of comprehensive trauma team leadership measures, (2) assess the impact of simulation-based team leadership training on leadership, teamwork, and patient care during trauma resuscitations, and (3) determine the feasibility of assessing the effect of simulation-based leadership training on patient outcomes. Methods: This project uses a randomized controlled design to evaluate the impact of simulation-based leadership training on patient care during trauma resuscitations. Briefly, 70 second- and third-year resident trauma team leaders will be randomized to either training (intervention) or no training (control) conditions. Those in the intervention group will receive a 6-hour team simulation-based leadership curriculum. Primary outcomes for training effectiveness will be (a) team leadership behavior, (b) teamwork behaviors, and (c) patient care during actual trauma resuscitations. Secondary outcomes include the feasibility of assessing patient outcomes (e.g., mortality, adverse events, length of stay). Multivariate linear regression analysis will be used to examine the effects of training on primary outcomes. Implications and Impact: This study will advance the patient safety mission of AHRQ by systematically evaluating simulation-based training outcomes at the individual (leader), team, and patient levels. The proposed project brings together experts in team and simulation science, resuscitation outcomes, and patient safety. The findings will be widely applicable to healthcare teams from multiple disciplines and will fill an important gap in simulation-based research.

描述（由申请人提供）：背景：跨学科创伤团队在高度动态、时间紧迫的情况下对危重患者进行复苏。结果，他们

项目成果

Simopoly: improving simulation center operations through a tabletop simulation exercise.

Simopoly：通过桌面模拟练习改善模拟中心的运营。

• DOI: 10.1097/sih.0000000000000051
• 发表时间: 2014
• 期刊: Simulation in healthcare : journal of the Society for Simulation in Healthcare
• 作者: Sherman,Megan;Leland,Farrah;Ross,Brian;Fernandez,Rosemarie
• 通讯作者: Fernandez,Rosemarie

Assessing Team Leadership in Emergency Medicine: The Milestones and Beyond.

• DOI: 10.4300/jgme-d-15-00400.1
• 发表时间: 2016-07-01
• 期刊: Journal of graduate medical education
• 作者: Rosenman, Elizabeth D;Branzetti, Jeremy B;Fernandez, Rosemarie
• 通讯作者: Fernandez, Rosemarie