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Anesthesia crisis resource management

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https://www.readbyqxmd.com/read/30095658/improving-nontechnical-skills-of-an-interprofessional-emergency-medical-team-through-a-one-day-crisis-resource-management-training
#1
Teodora Sorana Truta, Cristian Marius Boeriu, Sanda-Maria Copotoiu, Marius Petrisor, Emilia Turucz, Dan Vatau, Marc Lazarovici
Errors are frequent in healthcare, but Emergency Departments are among the highest risk areas due to frequent changes in team composition, complexity and variety of cases, and difficulties encountered in managing multiple patients simultaneously.Crisis resource management (CRM) training has been associated with decreased error rates in the aviation industry as well as in certain areas of acute medical care, such as anesthesia and emergency medicine. In this study, we assessed whether a single day CRM training, combining didactic and simulation sessions, improves nontechnical skills (NTS) of interprofessional emergency medical teams...
August 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/30057932/development-of-a-multiple-choice-test-for-novice-anesthesia-residents-to-evaluate-knowledge-related-to-management-of-general-anesthesia-for-urgent-cesarean-delivery
#2
Allison J Lee, Stephanie R Goodman, Shawn E Banks, Meiko Lin, Ruth Landau
Background: Teaching trainees the knowledge and skills to perform general anesthesia (GA) for cesarean delivery (CD) requires innovative strategies, as they may never manage such cases in training. We used a multistage design process to create a criterion-referenced multiple-choice test as an assessment tool to evaluate CA1's knowledge related to this scenario. Methods: Three faculty created 33 questions, categorized as: (1) physiologic changes of pregnancy (PCP), (2) pharmacology (PHA), (3) anesthetic implications of pregnancy (AIP), and (4) crisis resource management principles (CRM)...
April 2018: Journal of Education in Perioperative Medicine: JEPM
https://www.readbyqxmd.com/read/29680811/does-the-age-of-acute-care-physicians-impact-their-1-crisis-management-performance-and-2-learning-after-simulation-based-education-a-protocol-for-a-multicentre-prospective-cohort-study-in-toronto-and-ottawa-canada
#3
Fahad Alam, Vicki R LeBlanc, Alan Baxter, Jordan Tarshis, Dominique Piquette, Yuqi Gu, Caroline Filipkowska, Ashley Krywenky, Nicole Kester-Greene, Pierre Cardinal, Shelly Au, Sandy Lam, Sylvain Boet, Perioperative Anesthesia Clinical Trials Group
INTRODUCTION: The proportion of older acute care physicians (ACPs) has been steadily increasing. Ageing is associated with physiological changes and prospective research investigating how such age-related physiological changes affect clinical performance, including crisis resource management (CRM) skills, is lacking. There is a gap in the literature on whether physician's age influences baseline CRM performance and also learning from simulation. We aim to investigate whether ageing is associated with baseline CRM skills of ACPs (emergency, critical care and anaesthesia) using simulated crisis scenarios and to assess whether ageing influences learning from simulation-based education...
April 21, 2018: BMJ Open
https://www.readbyqxmd.com/read/29622308/oral-and-maxillofacial-surgery-team-anesthesia-model-and-anesthesia-assistant-training
#4
REVIEW
Stephanie J Drew
The model for oral and maxillofacial surgery (OMFS) delivery of office-based, open airway anesthesia has morphed from the operator-anesthetist to the delivery of team anesthesia, supporting a widespread focus on organizational aspects of the delivery of care. The training, continuing education, and coordination of a diverse anesthesia team provides a system to improve the safety and efficacy of anesthesia delivery. The hallmarks of this system include communication, checks and balances, monitoring, team dynamics, protocols, emergency scenario preparation and rehearsal, and crisis resource management during an emergent situation...
May 2018: Oral and Maxillofacial Surgery Clinics of North America
https://www.readbyqxmd.com/read/29547423/strengthening-the-anesthesia-workforce-in-low-and-middle-income-countries
#5
Søren Kudsk-Iversen, Naomi Shamambo, M Dylan Bould
The majority of the world's population lacks access to safe, timely, and affordable surgical care. Although there is a health workforce crisis across the board in the poorest countries in the world, anesthesia is disproportionally affected. This article explores some of the key issues that must be tackled to strengthen the anesthesia workforce in low- and lower-middle-income countries. First, we need to increase the overall number of safe anesthesia providers to match a huge burden of disease, particularly in the poorest countries in the world and in remote and rural areas...
April 2018: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/29412098/leadership-in-crisis-situations-merging-the-interdisciplinary-silos
#6
Hugo Paquin, Ilana Bank, Meredith Young, Lily H P Nguyen, Rachel Fisher, Peter Nugus
Purpose Complex clinical situations, involving multiple medical specialists, create potential for tension or lack of clarity over leadership roles and may result in miscommunication, errors and poor patient outcomes. Even though copresence has been shown to overcome some differences among team members, the coordination literature provides little guidance on the relationship between coordination and leadership in highly specialized health settings. The purpose of this paper is to determine how different specialties involved in critical medical situations perceive the role of a leader and its contribution to effective crisis management, to better define leadership and improve interdisciplinary leadership and education...
February 5, 2018: Leadership in Health Services
https://www.readbyqxmd.com/read/28441505/error-detection-based-model-to-assess-educational-outcomes-in-crisis-resource-management-training-a-pilot-study
#7
Sarah Bouhabel, Emily Kay-Rivest, Carol Nhan, Ilana Bank, Peter Nugus, Rachel Fisher, Lily Hp Nguyen
Otolaryngology-head and neck surgery (OTL-HNS) residents face a variety of difficult, high-stress situations, which may occur early in their training. Since these events occur infrequently, simulation-based learning has become an important part of residents' training and is already well established in fields such as anesthesia and emergency medicine. In the domain of OTL-HNS, it is gradually gaining in popularity. Crisis Resource Management (CRM), a program adapted from the aviation industry, aims to improve outcomes of crisis situations by attempting to mitigate human errors...
June 2017: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/28210760/-risk-management-in-anesthesia-and-critical-care-medicine
#8
C Eisold, A R Heller
Throughout its history, anesthesia and critical care medicine has experienced vast improvements to increase patient safety. Consequently, anesthesia has never been performed on such a high level as it is being performed today. As a result, we do not always fully perceive the risks involved in our daily activity. A survey performed in Swiss hospitals identified a total of 169 hot spots which endanger patient safety. It turned out that there is a complex variety of possible errors that can only be tackled through consistent implementation of a safety culture...
March 2017: Medizinische Klinik, Intensivmedizin und Notfallmedizin
https://www.readbyqxmd.com/read/27273109/-risk-management-in-anesthesia-and-critical-care-medicine
#9
REVIEW
C Eisold, A R Heller
Throughout its history, anesthesia and critical care medicine has experienced vast improvements to increase patient safety. Consequently, anesthesia has never been performed on such a high level as it is being performed today. As a result, we do not always fully perceive the risks involved in our daily activity. A survey performed in Swiss hospitals identified a total of 169 hot spots which endanger patient safety. It turned out that there is a complex variety of possible errors that can only be tackled through consistent implementation of a safety culture...
June 2016: Der Anaesthesist
https://www.readbyqxmd.com/read/26563963/effect-of-a-simulation-based-workshop-on-multidisplinary-teamwork-of-newborn-emergencies-an-intervention-study
#10
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
https://www.readbyqxmd.com/read/26168530/essentials-of-airway-management-oxygenation-and-ventilation-basic-equipment-and-devices
#11
Daniel E Becker, Morton B Rosenberg, James C Phero
Offices and outpatient dental facilities must be properly equipped with devices for airway management, oxygenation, and ventilation. Optimizing patient safety using crisis resource management involves the entire dental office team being familiar with airway rescue equipment. Basic equipment for oxygenation, ventilation, and airway management is mandated in the majority of U.S. dental offices, per state regulations. The immediate availability of this equipment is especially important during the administration of sedation and anesthesia, as well as the treatment of medical urgencies/emergencies...
2015: Journal of the Massachusetts Dental Society
https://www.readbyqxmd.com/read/25479981/the-collective-construction-of-safety-a-trade-off-between-understanding-and-doing-in-managing-dynamic-situations
#12
L Cuvelier, P Falzon
This exploratory research aims to understand how teams organize themselves and collectively manage risky dynamic situations. The objective is to assess the plausibility of a model of a collective trade-off between "understanding" and "doing". The empirical study, conducted in the pediatric anesthesia service of a French university hospital, was supported by a "high fidelity" simulation with six teams. Data on the teams' behavior and on the verbal communications were collected through video recordings. The results highlight three modes for management of dynamic situations (determined management, cautious management, and overwhelmed management)...
March 2015: Applied Ergonomics
https://www.readbyqxmd.com/read/25385040/-simulation-based-training-in-anesthesia-and-emergency-medicine-preparation-for-the-unexpected-on-the-way-to-new-standards-of-education-in-germany
#13
Malte Issleib, C Zöllner
Medical expertise consists of knowledge, professional skills and individual attitudes. Training and education of this expertise starts in medical school and develops throughout the qualification process of anesthesists and emergency physicians. Medical decisions are not only rational but also intuitive. The combination of these characteristics cannot and should not be trained on patients. The implementation of modern simulation techniques offers the opportunity to train for emergency situations similar to training systems in the energy industry and aviation...
January 2015: Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
https://www.readbyqxmd.com/read/25010785/a-description-of-communication-patterns-during-cpr-in-icu
#14
Katherine L Taylor, Susan Ferri, Tatyana Yavorska, Tobias Everett, Christopher Parshuram
BACKGROUND: Deficiencies in communication in health care are a common source of medical error. Preferred communication patterns are a component of resuscitation teaching. We audio-recorded resuscitations in a mixed paediatric medical and surgical ICU to describe communication. METHODS: In the intensive care unit, resuscitation events were prospectively audio-recorded by two trained observers (using handheld recorders). Recordings were transcribed and anonymised within 24h...
October 2014: Resuscitation
https://www.readbyqxmd.com/read/24932982/essentials-of-airway-management-oxygenation-and-ventilation-part-1-basic-equipment-and-devices
#15
Daniel E Becker, Morton B Rosenberg, James C Phero
Offices and outpatient dental facilities must be properly equipped with devices for airway management, oxygenation, and ventilation. Optimizing patient safety using crisis resource management (CRM) involves the entire dental office team being familiar with airway rescue equipment. Basic equipment for oxygenation, ventilation, and airway management is mandated in the majority of US dental offices per state regulations. The immediate availability of this equipment is especially important during the administration of sedation and anesthesia as well as the treatment of medical urgencies/emergencies...
2014: Anesthesia Progress
https://www.readbyqxmd.com/read/24245386/interprofessional-teamwork-among-students-in-simulated-codes-a-quasi-experimental-study
#16
Deborah D Garbee, John Paige, Kendra Barrier, Valeriy Kozmenko, Lyubov Kozmenko, John Zamjahn, Laura Bonanno, Jean Cefalu
AIM: The purpose of this study was to evaluate the efficacy of using crisis resource management (CRM) principles and high-fidelity human patient simulation (HFHPS) for interprofessional (IP) team training of students from undergraduate nursing, nurse anesthesia, medical, and respiratory therapy. BACKGROUND: IP education using simulation-based training has the potential to transform education by improving teamwork and communication and breaking down silos in education...
September 2013: Nursing Education Perspectives
https://www.readbyqxmd.com/read/23728281/within-team-debriefing-versus-instructor-led-debriefing-for-simulation-based-education-a-randomized-controlled-trial
#17
RANDOMIZED CONTROLLED TRIAL
Sylvain Boet, M Dylan Bould, Bharat Sharma, Scott Revees, Viren N Naik, Emmanuel Triby, Teodor Grantcharov
OBJECTIVE: To compare the effectiveness of an interprofessional within-team debriefing with that of an instructor-led debriefing on team performance during a simulated crisis. BACKGROUND: Although instructor-led simulation debriefing is considered the "gold standard" in team-based simulation education, cost and logistics are limiting factors for its implementation. Within-team debriefing, led by the individuals of the team itself rather than an external instructor, has the potential to address these limitations...
July 2013: Annals of Surgery
https://www.readbyqxmd.com/read/23617894/elearning-among-canadian-anesthesia-residents-a-survey-of-podcast-use-and-content-needs
#18
Clyde T Matava, Derek Rosen, Eric Siu, Dylan M Bould
BACKGROUND: Podcasts are increasingly being used in medical education. In this study, we conducted a survey of Canadian anesthesia residents to better delineate the content needs, format preferences, and usage patterns among anesthesia residents. METHODS: 10/16 Canadian anesthesia program directors, representing 443/659 Canadian anesthesia residents, allowed their residents to be included in the study. 169/659 (24%) residents responded to our survey. A 17-item survey tool developed by the investigators was distributed by email eliciting information on patterns of podcast use, preferred content, preferred format, and podcast adjuncts perceived to increase knowledge retention...
2013: BMC Medical Education
https://www.readbyqxmd.com/read/22890116/unanticipated-difficult-airway-in-obstetric-patients-development-of-a-new-algorithm-for-formative-assessment-in-high-fidelity-simulation
#19
Mrinalini Balki, Mary Ellen Cooke, Susan Dunington, Aliya Salman, Eric Goldszmidt
BACKGROUND: The objective of this study was to develop a consensus-based algorithm for the management of the unanticipated difficult airway in obstetrics, and to use this algorithm for the assessment of anesthesia residents' performance during high-fidelity simulation. METHODS: An algorithm for unanticipated difficult airway in obstetrics, outlining the management of six generic clinical situations of "can and cannot ventilate" possibilities in three clinical contexts: elective cesarean section, emergency cesarean section for fetal distress, and emergency cesarean section for maternal distress, was used to create a critical skills checklist...
October 2012: Anesthesiology
https://www.readbyqxmd.com/read/22569284/speaking-across-the-drapes-communication-strategies-of-anesthesiologists-and-obstetricians-during-a-simulated-maternal-crisis
#20
Rebecca D Minehart, May C M Pian-Smith, Toni B Walzer, Roxane Gardner, Jenny W Rudolph, Robert Simon, Daniel B Raemer
INTRODUCTION: Organizational behavior and management fields have long realized the importance of teamwork and team-building skills, but only recently has health care training focused on these critical elements. Communication styles and strategies are a common focus of team training but have not yet been consistently applied to medicine. We sought to determine whether such communication strategies, specifically "advocacy" and "inquiry," were used de novo by medical professionals in a simulation-based teamwork and crisis resource management course...
June 2012: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
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