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CRM training

Marta Penna, Roel Hompes, Steve Arnold, Greg Wynn, Ralph Austin, Janindra Warusavitarne, Brendan Moran, George B Hanna, Neil J Mortensen, Paris P Tekkis
OBJECTIVE: This study aims to report short-term clinical and oncological outcomes from the international transanal Total Mesorectal Excision (taTME) registry for benign and malignant rectal pathology. BACKGROUND: TaTME is the latest minimally invasive transanal technique pioneered to facilitate difficult pelvic dissections. Outcomes have been published from small cohorts, but larger series can further assess the safety and efficacy of taTME in the wider surgical population...
October 4, 2016: Annals of Surgery
A F Fransen, J van de Ven, E Schuit, Aac van Tetering, B W Mol, S G Oei
OBJECTIVE: To investigate whether simulation-based obstetric team training in a simulation centre improves patient outcome. DESIGN: Multicentre, open, cluster randomised controlled trial. SETTING: Obstetric units in the Netherlands. POPULATION: Women with a singleton pregnancy beyond 24 weeks of gestation. METHODS: Random allocation of obstetric units to a 1-day, multi-professional, simulation-based team training focusing on crew resource management (CRM) in a simulation centre or to no such team training...
October 10, 2016: BJOG: An International Journal of Obstetrics and Gynaecology
Waqas Rehan, Stefan Fischer, Maaz Rehan
Wireless sensor networks (WSNs) have become more and more diversified and are today able to also support high data rate applications, such as multimedia. In this case, per-packet channel handshaking/switching may result in inducing additional overheads, such as energy consumption, delays and, therefore, data loss. One of the solutions is to perform stream-based channel allocation where channel handshaking is performed once before transmitting the whole data stream. Deciding stream-based channel allocation is more critical in case of multichannel WSNs where channels of different quality/stability are available and the wish for high performance requires sensor nodes to switch to the best among the available channels...
2016: Sensors
Wei Yang, Saurabh Sinha
MOTIVATION: With the rapid emergence of technologies for locating cis-regulatory modules (CRMs) genome-wide, the next pressing challenge is to assign precise functions to each CRM, i.e. to determine the spatiotemporal domains or cell-types where it drives expression. A popular approach to this task is to model the typical k-mer composition of a set of CRMs known to drive a common expression pattern, and assign that pattern to other CRMs exhibiting a similar k-mer composition. This approach does not rely on prior knowledge of transcription factors relevant to the CRM or their binding motifs, and is thus more widely applicable than motif-based methods for predicting CRM activity, but is also prone to false positive predictions...
September 7, 2016: Bioinformatics
Alexandra Zech, Benedict Gross, Céline Jasper-Birzele, Katharina Jeschke, Thomas Kieber, Jörg Lauterberg, Marc Lazarovici, Stephan Prückner, Marcus Rall, Silke Reddersen, Benedikt Sandmeyer, Christoph Scholz, Eric Stricker, Bert Urban, Astrid Zobel, Ingeborg Singer
INTRODUCTION: A standardized team-training program for healthcare professionals in obstetric units was developed based on an analysis of common causes for adverse events found in claims registries. The interdisciplinary and inter-professional training concept included both technical and non-technical skill training. Evaluation of the program was carried out in hospitals with respect to the immediate personal learning of participants and also regarding changes in safety culture. METHODS: Trainings in n=7 hospitals including n=270 participants was evaluated using questionnaires...
July 27, 2016: Journal of Perinatal Medicine
D Tahtali, F Bohmann, P Rostek, B Misselwitz, A Reihs, F Heringer, K Jahnke, H Steinmetz, W Pfeilschifter
BACKGROUND: Time is of critical importance in acute stroke management. The establishment of thrombectomy now adds to the complexity and interdisciplinarity of the initial phase. In non-medical high-fidelity situations, such as aviation, crew resource management (CRM) has proven to be highly efficient. It has therefore also been implemented in professional cardiovascular life support training. In a setting where every minute counts, CRM and regular training of the high-fidelity stroke team could offer ways to improve treatment of acute stroke patients...
July 18, 2016: Der Nervenarzt
Jennifer L Hefner, Brian Hilligoss, Amy Knupp, Judy Bournique, John Sullivan, Eric Adkins, Susan D Moffatt-Bruce
Crew resource management (CRM) has the potential to improve safety culture and reduce patient safety errors across different hospitals and inherent cultures, but hospital-wide implementations have not been studied. The authors examined the impact of a systematic CRM implementation across 8 departments spanning 3 hospitals and 2 campuses. The Hospital Survey on Patient Safety Culture (HSOPS) was administered electronically to all employees before CRM implementation and about 2 years after; changes in percent positive composite scores were compared in pre-post analyses...
July 15, 2016: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
Marcel Winkelmann, Lars Friedrich, Christian Schröter, Andreas Flemming, Hendrik Eismann, Lion Sieg, Philipp Mommsen, Christian Krettek, Christian Zeckey
OBJECTIVE: Christoph Life is a simulator-based air medical training program and a new and innovative educational concept. Participants pass different scenarios with a fully equipped and movable helicopter simulator. Main focuses of the program are crew resource management (CRM) elements and team training. Information about expectations end effectiveness of the training is sparse. METHODS: During a 2-day training, participants learn CRM basics and complete various emergency medical scenarios...
July 2016: Air Medical Journal
Wan-Ting Wu, Yung-Lung Wu, Shaw-Min Hou, Chun-Mei Kang, Chi-Hung Huang, Yu-Ju Huang, Victoria Yue An Wang, Pa-Chun Wang
This article reports the results from a study that employed an interprofessional crew resource management (CRM) education programme in the emergency and critical care departments. The study aimed to investigate the effectiveness of this intervention of participants' satisfaction and safety attitude changes using a satisfaction questionnaire and the Human Factors Attitude Survey (HFAS). Overall, participants responded positively to the CRM training-93.4% were satisfied, 93.1% agreed that it enhanced patient safety and care quality, 85...
July 2016: Journal of Interprofessional Care
W Bosseau Murray, Jody Henry, Laura Jackson, Charlotte Murray, Roseanne B Lamoreaux
INTRODUCTION: Leadership and teamwork skills must be practiced to gain full value from a leadership course. The leadership role is one of the main points highlighted during a Crisis Resource Management (CRM) session. While a typical CRM session offered in a medical simulation laboratory uses a medical crisis to elicit behaviors for videotaping and debriefing, the CRM principles are generic and applicable to leadership training outside medical practice. METHODS: The Simulation Development and Cognitive Science Laboratory of the Pennsylvania State University College of Medicine offered a CRM course to high school students using a pediatric full human simulator (M...
July 2002: Journal of Education in Perioperative Medicine: JEPM
Anita Lai, Alexis Haligua, M Dylan Bould, Tobias Everett, Mark Gale, Ashlee-Ann Pigford, Sylvain Boet
AIM: Simulation training has been shown to be an effective way to teach crisis resource management (CRM) skills. Deliberate practice theory states that learners need to actively practice so that learning is effective. However, many residency programs have limited opportunities for learners to be "active" participants in simulation exercises. This study compares the effectiveness of learning CRM skills when being an active participant versus being an observer participant in simulation followed by a debriefing...
August 2016: Anaesthesia, Critical Care & Pain Medicine
Fabiana Ortiz Figueroa, Yasmin Moftakhar, Arthur L Dobbins Iv, Ramisha Khan, Rahul Dasgupta, Rachel Blanda, Tiffany Marchand, Rami Ahmed
INTRODUCTION: Interns are often unprepared to effectively communicate in the acute trauma setting. Despite the many strengths of the Advanced Trauma Life Support (ATLS) program, the main shortcoming within the course is the deficiency of teamwork and leadership training. In this study, we describe the creation of an interdisciplinary boot camp in which interns' basic trauma knowledge, level of confidence, and teamwork skills are assessed. METHODS: We designed a one-day, boot camp curriculum for interns of various specialties with the purpose of improving communication and teamwork skills for effective management of acute trauma patients...
2016: Curēus
Yongfeng Liu, Renjie Wang, Ying Ding, Shanshan Tu, Yi Liu, Youcun Qian, Linghui Xu, Tong Tong, Sanjun Cai, Junjie Peng
OBJECTIVE: To develop a predictive nomogram to improve the diagnostic accuracy and interobserver agreement of pre-therapeutic lymph nodes metastases in patients with rectal cancer. MATERIALS AND METHODS: An institutional database of 411 patients with rectal cancer was used to develop a nomogram to predict perirectal lymph nodes metastases. Patients' clinicopathological and MRI-assessed imaging variables were included in the multivariate logistic regression analysis...
March 22, 2016: Oncotarget
Peter F Kemper, Martine de Bruijne, Cathy van Dyck, Ralph L So, Peter Tangkau, Cordula Wagner
INTRODUCTION: There is a growing awareness today that adverse events in the intensive care unit (ICU) are more often caused by problems related to non-technical skills than by a lack of technical, or clinical, expertise. Team training, such as crew resource management (CRM), aims to improve these non-technical skills. The present study evaluated the effectiveness of CRM in the ICU. METHODS: Six ICUs participated in a paired controlled trial, with one pretest and two post-test measurements (after 3 and 12 months)...
August 2016: BMJ Quality & Safety
Lawrence M Gillman, Sandy Widder, Julien Clément, Paul T Engels, John Damian Paton-Gay, Peter G Brindley
The Standardized Trauma and Resuscitation Team Training (S.T.A.R.T.T.) course focuses on training multidisciplinary trauma teams: surgeons/physicians, registered nurses (RNs), respiratory therapists (RTs) and, most recently, prehospital personnel. The S.T.A.R.T.T. curriculum highlights crisis management (CRM) skills: communication, teamwork, leadership, situational awareness and resource utilization. This commentary outlines the modifications made to the course curriculum in order to satisfy the learning needs of a bilingual audience...
April 2016: Canadian Journal of Surgery. Journal Canadien de Chirurgie
Lawrence M Gillman, Doug Martin, Paul T Engels, Peter Brindley, Sandy Widder, Cheryl French
The Simulated Trauma and Resuscitation Team Training (S.T.A.R.T.T.) course is a unique multidisciplinary trauma team training course deliberately designed to address the common crisis resource management (CRM) skills of trauma team members. Moreover, the curriculum has been updated to also target the specific learning needs of individual participating professionals: physicians, nurses and respiratory therapists. This commentary outlines further modifications to the course curriculum in order to address the needs of a relatively undertargeted group: prehospital personnel (i...
February 2016: Canadian Journal of Surgery. Journal Canadien de Chirurgie
Liisa Rovamo, Elisa Nurmi, Minna-Maria Mattila, Pertti Suominen, Minna Silvennoinen
BACKGROUND: Video analyses of real-life newborn resuscitations have shown that Neonatal Resuscitation Program (NRP) guidelines are followed in fewer than 50% of cases. Multidisciplinary simulation is used as a first-rate tool for the improvement of teamwork among health professionals. In the study we evaluated the impact of the crisis resource management (CRM) and anesthesia non-technical skills instruction on teamwork during simulated newborn emergencies. METHODS: Ninety-nine participants of two delivery units (17 pediatricians, 16 anesthesiologists, 14 obstetricians, 31 midwives, and 21 neonatal nurses) were divided to an intervention group (I-group, 9 teams) and a control group (C-group, 6 teams)...
2015: BMC Research Notes
Aline Garcia Pereira, Lizandra Garcia Lupi Vergara, Eugenio Andrés Díaz Merino, Adriano Wagner
OBJECTIVE: The present study was aimed at reviewing the literature to identify solutions for problems observed in radiology services. MATERIALS AND METHODS: Basic, qualitative, exploratory literature review at Scopus and SciELO databases, utilizing the Mendeley and Illustrator CC Adobe softwares. RESULTS: In the databases, 565 papers - 120 out of them, pdf free - were identified. Problems observed in the radiology sector are related to procedures scheduling, humanization, lack of training, poor knowledge and use of management techniques, and interaction with users...
September 2015: Radiologia Brasileira
Susan D Moffatt-Bruce, Jennifer L Hefner, Hagop Mekhjian, John S McAlearney, Tina Latimer, Chris Ellison, Ann Scheck McAlearney
Crew Resource Management (CRM) training has been used successfully within hospital units to improve quality and safety. This article presents a description of a health system-wide implementation of CRM focusing on the return on investment (ROI). The costs included training, programmatic fixed costs, time away from work, and leadership time. Cost savings were calculated based on the reduction in avoidable adverse events and cost estimates from the literature. Between July 2010 and July 2013, roughly 3000 health system employees across 12 areas were trained, costing $3...
September 29, 2015: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
Lauren B Burhans, Carrie A Smith-Bell, Bernard G Schreurs
We have previously characterized a model of posttraumatic stress disorder (PTSD), based on classical conditioning of the rabbit nictitating membrane response (NMR), that focuses on 2 key PTSD-like features: conditioned responses to trauma-associated cues and hyperarousal. In addition to the development of conditioned NMRs (CRs) to a tone conditioned stimulus (CS) associated with a periorbital shock unconditioned stimulus (US), we have observed that rabbits also exhibit a conditioning-specific reflex modification (CRM) of the NMR that manifests as an exaggerated and more complex reflexive NMR to presentations of the US by itself, particularly to intensities that elicited little response prior to conditioning...
October 2015: Behavioral Neuroscience
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