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0123 Simulated multidisciplinary team training in theatre is an effective tool to develop team working skills
  1. Richard Bamford1,2,
  2. Natasha Chinai2,
  3. Tom Evans2,
  4. Tom Edwards2,
  5. Nicola Campbell2,
  6. Louise Hunt2
  1. 1HESW Severn School of Surgery, Bristol, UK
  2. 2Taunton and Somerset NHS Foundation Trust, Taunton, UK

Abstract

Background Simulation-based team-working training can improve patient safety and quality of care. We aim to demonstrate how a multi-disciplinary approach to theatre team training can result in improved team working skills.

Methods A multidisciplinary team, simulation based theatre team training programme was introduced within an NHS Foundation Trust. Participants included staff across all disciplines involved in surgical patient care. The team worked through a pre-constructed real time simulated scenarios using SimMan and a laparoscopic box trainer followed by a debrief session. Participants were asked to complete a questionnaire to define their experiences and learning from programme.

Results Twelve participants completed the programme. Time working in the NHS ranged from 3 years to >21 years and 4/12 had never been involved in simulation training before.

Ten (10/12 83%) strongly agreed that the programme was a useful for developing team-building skills. 11/12 (92%) agreed (4/12) or strongly agreed (7/12) that the training made them more supportive of their colleagues and listen to others more effectively.83% (10/12) reported better consideration of their colleagues’ roles within the theatre team. All participants strongly agreed (5/12) or agreed (7/12) that the training has allowed them to recognise their reaction to stress.92% (11/12) agree of strongly agree that they can now better recognise stress in others and the impact of adverse clinical events.11/12 (92%) reported an increased confidence in identifying potential risks within the operating room and strongly agree (7/12) or agree (5/12) that they are a more effective member of the theatre team.

There was no significant difference in the outcome of the survey dependant on time working within the NHS (p = 0.89) or previous involvement in simulation (p = 0.92).

Conclusion Participants valued this simulated multidisciplinary training programme a useful team-training tool in developing key team-working skills regardless of previous experience or exposure to simulation.

References

  1. Manser T. Teamwork and patient safety in dynamic domains of healthcare: a review of the literature. Acta Anaesthesiol Scand. 2009;53:143–51

  2. Rabøl LI, Andersen ML, Østergaard D, et al. Descriptions of verbal communication errors between staff. An analysis of 84 root cause analysis-reports from Danish hospitals. BMJ Qual Saf. 2011;20:268–74

  3. Mazzocco K, Petitti DB, Fong KT, et al. Surgical team behaviors and patient outcomes. Am J Surg. 2009;197:678–85

  4. Mardon RE, Khanna K, Sorra J, et al. Exploring relationships between hospital patient safety culture and adverse events. J Patient Saf. 2010;6:226–32

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