Background/context Excellent clinical team performance requires both sound clinical knowledge and non-technical skills. Training in team behaviour improves team performance1. In order to optimise the performance of the cardiac arrest teams at UHB we have developed a cardiac arrest high fidelity multidisciplinary simulation training project.
Methodology This multidisciplinary training involves all members of the cardiac arrest team in our trust including physicians, anaesthetists, nursing staff, resuscitation officers and the porters.
Over the course of a day we use a combination of high fidelity simulation scenarios, debriefing and tutorials. Using the high fidelity scenarios we model both faculty generated scenarios and adverse events that have occurred during cardiac arrests in the trust. In the tutorials we cover a refresher of ALS2 guidelines and introduce the concept of non-technical skills and their importance in improving patient safety3 and improving team performance.
Results and outcomes We are measuring our outcomes by running a pre-and post session simulation and measuring the time taken to achieve key goals in the management of cardiac arrest.
Potential impact So far we have run one session and demonstrated a reduction in time to first pulse check, commencement of CPR, first rhythm analysis and time to first defibrillation.
We collect feedback from the cardiac arrest teams we train and this has generated suggestions for system change within the trust including the introduction of a cardiac arrest team ‘roll call’ morning meeting for members of the team to establish roles clearly in advance of the first cardiac arrest of the day and redesigning the cardiac arrest team member badges design to improve rapid role identification and understanding.
Before ASPiH meets in November we will have run a further 3 training days and will be able to present the cumulative feedback for the project at that stage.
Do team processes really have an effect on clinical performance? A systematic literature review. J Schmutz and T Manser. British Journal of Anaesthesia 2013;110 (4):529–44
www.resus.org.uk. Accessed 3rd June 2014
Implementing human factors in healthcare. www.patientsafetyfirst.nhs.uk. Accessed 3rd June 2014
- Category: Course or curriculum evaluation/innovation/integration
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