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nurse anesthetist non-technical skills

M St Pierre, C Gall, G Breuer, J Schüttler
BACKGROUND: Simulation-based training with a focus on non-technical skills can have a positive influence on safety relevant attitudes of participants. If an organization succeeds in training sufficient staff, it may experience a positive change in the safety climate. As the effects of a single training are of a transient nature, annual training sessions may lead to an incremental improvement of safety relevant attitudes of employees over time. In spring 2012 the Department of Anesthesia at the University Hospital of Erlangen established an annual simulation-based training for staff members (e...
December 2017: Der Anaesthesist
Richard Alynn Henker, Hiroko Henker, Hor Eng, John O'Donnell, Tachawan Jirativanont
INTRODUCTION: A crisis team management (CTM) simulation course was developed by volunteers from Health Volunteers Overseas for physicians and nurses at Angkor Hospital for Children (AHC) in Siem Reap, Cambodia. The framework for the course was adapted from crisis resource management (1, 2), crisis team training (3), and TeamSTEPPs© models (4). The CTM course focused on teaching physicians and nurses on the development of team performance knowledge, skills, and attitudes. Challenges to providing this course at AHC included availability of simulation equipment, cultural differences in learning, and language barriers...
2017: Frontiers in Public Health
Ilana I Logvinov, Franklin Dexter, Bradley J Hindman, Sorin J Brull
STUDY OBJECTIVE: Work habits are non-technical skills that are an important part of job performance. Although non-technical skills are usually evaluated on a relative basis (i.e., "grading on a curve"), validity of evaluation on an absolute basis (i.e., "minimum passing score") needs to be determined. DESIGN: Survey and observational study. PATIENTS: None. INTERVENTIONS: None. MEASUREMENTS: The theme of "work habits" was assessed using a modification of Dannefer et al...
May 2017: Journal of Clinical Anesthesia
Vathsala Jayasuriya-Illesinghe, Sepali Guruge, Bawantha Gamage, Sherry Espin
BACKGROUND: A growing body of research shows links between poor teamwork and preventable surgical errors. Similar work has received little attention in the Global South, and in South Asia, in particular. This paper describes surgeons' perception of teamwork, team members' roles, and the team processes in a teaching hospital in Sri Lanka to highlight the nature of interprofessional teamwork and the factors that influence teamwork in this setting. METHODS: Data gathered from interviews with 15 surgeons were analyzed using a conceptual framework for interprofessional teamwork...
September 5, 2016: BMC Surgery
Helle Teglgaard Lyk-Jensen, Peter Dieckmann, Lars Konge, Rikke Malene H G Jepsen, Lene Spanager, Doris Østergaard
Nontechnical skills are critical for good anesthetic practice but are seldom addressed explicitly in clinical training. The purposes of this study were (1) to evaluate the reliability and validity of the observation-based assessment tool Nurse Anaesthetists' Non-Technical Skills system (N-ANTS) and (2) to evaluate the effect of training nurse anesthetist supervisors in the use of N-ANTS. This system comprises a global rating score, 4 categories, and 15 elements to rate nurse anesthetists' nontechnical skills...
April 2016: AANA Journal
George M Saleh, James R Wawrzynski, Kamran Saha, Phillip Smith, Declan Flanagan, Melanie Hingorani, Clinton John, Paul Sullivan
IMPORTANCE: Human factors training can enhance teamworking and reduce error. It is used regularly in certain medical disciplines, but its use has not been established for ophthalmology to our knowledge. OBJECTIVE: To explore the feasibility of providing immersive simulation human factors training for ophthalmic surgical teams. DESIGN, SETTING, AND PARTICIPANTS: Prospective scenario-based simulation and concept description at University College London Hospital and Moorfields Eye Hospital, London, England, from December 12, 2013, to March 13, 2014...
August 1, 2016: JAMA Ophthalmology
Linda L Wunder
Simulation-based education provides a safe place for student registered nurse anesthetists to practice non-technical skills before entering the clinical arena. An anesthetist's lack of nontechnical skills contributes to adverse patient outcomes. The purpose of this study was to determine whether an educational intervention on nontechnical skills could improve the performance of nontechnical skills during anesthesia crisis simulation with a group of first-year student registered nurse anesthetists. Thirty-two first-year students volunteered for this quasi-experimental study...
February 2016: AANA Journal
T Wisborg, T Manser
No abstract text is available yet for this article.
August 2014: Acta Anaesthesiologica Scandinavica
H T Lyk-Jensen, R M H G Jepsen, L Spanager, P Dieckmann, D Østergaard
BACKGROUND: Incident reporting and fieldwork in operating rooms have shown that some of the errors that arise in anaesthesia relate to inadequate use of non-technical skills. To provide a tool for training and feedback on nurse anaesthetists' non-technical skills, this study aimed to adapt the Anaesthetists' Non-Technical Skills (ANTS) as a behavioural marker system for the formative assessment of nurse anaesthetists' non-technical skills in the operating room. METHODS: A qualitative approach with focus group interviews was used to identify the non-technical skills of nurse anaesthetists in the operating room...
August 2014: Acta Anaesthesiologica Scandinavica
H Trimmel, R Fitzka, J Kreutziger, A von Goedecke
Adverse events are not unusual in a more and more complex anesthesiological environment. The main reasons for this are an increasing workload, economic pressure, growing expectations of patients and deficits in planning and communication. However, these incidents mostly do not refer to medical deficits but to flaws in non-technical skills (team organisation, task orientation, decision making and communication). The introduction of the WHO Safe Surgery Checklist depicted that a structural approach can improve the situation...
January 2013: Der Anaesthesist
J Larsson, I K Holmström
BACKGROUND: Teaching trainees to become competent professionals who can keep the complex system of anaesthesia safe is important. From a safety point of view, non-technical skills such as smooth cooperation and good communication deserve as much attention as theoretical knowledge and practical skills, which by tradition have dominated training programmes in anaesthesiology. This study aimed to describe the way excellent anaesthetists act in the operating theatre, as seen by experienced anaesthesia nurses...
January 2013: British Journal of Anaesthesia
R E Pfister, G L Savoldelli
Neonatal resuscitation is one of the most cost-effective medical interventions, most often an emergency procedure involving a multidisciplinary team in the delivery room: doctors, nurses, midwives, obstetricians, anesthetists and other theatre staff. The success of resuscitation depends not only on individual competence but also on efficient teamwork between healthcare professionals in the delivery room; failure often results from the weakest link. Initiation of basic resuscitation procedures must be rapid and effective...
July 2011: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
Shabnam Undre, Maria Koutantji, Nick Sevdalis, Sanjay Gautama, Nowlan Selvapatt, Samantha Williams, Parvinderpal Sains, Peter McCulloch, Ara Darzi, Charles Vincent
BACKGROUND: High-reliability organizations have stressed the importance of non-technical skills for safety and of regularly providing such training to their teams. Recently safety skills training has been applied in the practice of medicine. In this study, we developed and piloted a module using multidisciplinary crisis scenarios in a simulated operating theatre to train entire surgical teams. METHODS: Twenty teams participated (n = 80); each consisted of a trainee surgeon, anesthetist, operating department practitioner (ODP), and scrub nurse...
September 2007: World Journal of Surgery
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