Efficacy of high-fidelity simulation debriefing on the performance of practicing anaesthetists in simulated scenarios
British Journal of AnaesthesiaPublished 24 August 2009
Philip J. Morgan, Jordan Tarshis, Vicki R. LeBlanc, Doreen Cleave‐Hogg, S. DeSousa, Michèle Haley
Citations104
SJR quartileQ1
SJR score2.36
SNIP2.85
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
A modest improvement in performance on a DSC in the debriefing group and overall improvement in both control and debriefed groups using a GRS is found, whether this improvement translates into clinical practice has yet to be determined.
Abstract
We found a modest improvement in performance on a DSC in the debriefed group and overall improvement in both control and debriefed groups using a GRS. Whether this improvement translates into clinical practice has yet to be determined.
Keywords
MedicineHealth Professions
National Academies Press eBooksTo Err Is Human
14,096 Citations2000Institute of Medicine
A process for the preparation of prostaglandins which are known pharmaceutically active compounds and then R alpha , R omega -cyclopentenoids is described.
BMJCrossing the Quality Chasm: A New Health System for the 21st Century
10,744 Citations2001Alexi Baker
Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.
Medical TeacherFeatures and uses of high-fidelity medical simulations that lead to effective learning: a BEME systematic review
3,860 Citations2005S. Barry Issenberg, William C. McGaghie +3 more
While research in this field needs improvement in terms of rigor and quality, high-fidelity medical simulations are educationally effective and simulation-based education complements medical education in patient care settings.
Canadian Medical Association JournalThe Canadian Adverse Events Study: the incidence of adverse events among hospital patients in Canada
2,350 Citations2004G. Ross Baker
The overall incidence rate of AEs of 7.5% in this study suggests that, of the almost 2.5 million annual hospital admissions in Canada similar to the type studied, about 185 000 are associated with an AE and close to 70 000 of these are potentially preventable.
Italian Journal of Public HealthTo err is human. Building a safer health system
1,284 Citations2005Cinzia Marano, Lauraq Murianni +1 more
The IOM report “To Err is Human” proposes an approach for reducing medical errors and improving patient safety by designing processes that are able to ensure that patients are safe from accidental injury.
British Journal of AnaesthesiaAnaesthetists’ Non-Technical Skills (ANTS): evaluation of a behavioural marker system † †Declaration of interest: The ANTS system was developed under research funding from the Scottish Council for Postgraduate Medical and Dental Education, now part of NHS Education for Scotland, through grants to the University of Aberdeen from September 1999 to August 2003. The views presented in this paper are those of the authors and should not be taken to represent the position or policy of the funding body.
951 Citations2003Gordon Fletcher, Rhona Flin +4 more
The findings of the evaluation indicated that the ANTS system has a satisfactory level of validity, reliability and usability in an experimental setting, provided users receive adequate training.
AnesthesiologyAn Analysis of Major Errors and Equipment Failures in Anesthesia Management
864 Citations1984Jeffrey B. Cooper, Ronald S. Newbower +1 more
Adaptations of the critical-incident technique were used to gather reports of anesthesia-related human error and equipment failure.
Critical Care MedicineA look into the nature and causes of human errors in the intensive care unit
838 Citations1995Yoel Donchin, Daniel Gopher +6 more
Academic MedicineComparing the psychometric properties of checklists and global rating scales for assessing performance on an OSCE-format examination
721 Citations1998Glenn Regehr, Helen MacRae +2 more
Global rating scales scored by experts showed higher inter-station reliability, better construct validity, and better concurrent validity than did checklists, suggesting that global rating scales administered by experts are a more appropriate summative measure when assessing candidates on performance-based examinations.
PubMedAnesthesia crisis resource management training: teaching anesthesiologists to handle critical incidents.
702 Citations1992Steven K. Howard, David M. Gaba +3 more
CHEST JournalSimulation-Based Education Improves Quality of Care During Cardiac Arrest Team Responses at an Academic Teaching Hospital
675 Citations2007Diane B. Wayne, Aashish Didwania +4 more
Obstetrics and GynecologyImproving Neonatal Outcome Through Practical Shoulder Dystocia Training
513 Citations2008Timothy Draycott, Joanna F. Crofts +5 more
The introduction of shoulder dystocia training for all maternity staff was associated with improved management and neonatal outcomes of births complicated by shoulder dyStocia.
AnesthesiologyValue of Debriefing during Simulated Crisis Management
424 Citations2006Georges L. Savoldelli, Viren N. Naik +4 more
Exposure to a simulated crisis without constructive debriefing by instructors offers little benefit to trainees, and the addition of video review did not offer any advantage over oral feedback alone, which means valuable simulation training can be achieved even when video technology is not available.
Human Factors The Journal of the Human Factors and Ergonomics SocietyTeam Training in the Skies: Does Crew Resource Management (CRM) Training Work?
371 Citations2001Eduardo Salas, C. Shawn Burke +2 more
The aviation community has invested great amounts of money and effort into crew resource management (CRM) training, but it cannot ascertain whether CRM has an effect on an organization's bottom line (i.e., safety), so the impact of CRM cannot be truly determined.
Teaching and Learning in MedicineSimulation-Based Training of Internal Medicine Residents in Advanced Cardiac Life Support Protocols: A Randomized Trial
336 Citations2005Diane B. Wayne, John Butter +6 more
A randomized trial with wait-list controls using a medical simulator to assess baseline proficiency in ACLS and determine the impact of an intervention on skill development, which improved significantly after simulator training.
British Journal of AnaesthesiaDoes training on an anaesthesia simulator lead to improvement in performance?
322 Citations1994V. Chopra, Birthe J. Gesink +4 more
It is concluded that training on an anaesthesia simulator does improve the performance of anaesthetists in dealing with emergencies during anaesthesia.
AnesthesiologyNontechnical Skills in Anesthesia Crisis Management with Repeated Exposure to Simulation-based Education
322 Citations2005Bevan Yee, Viren N. Naik +6 more
A single exposure to anesthesia crises using a high-fidelity patient simulator can improve the nontechnical skills of anesthesia residents, however, an additional simulation session may confer little or no additional benefit.
Medical Entomology and ZoologyCrisis Management in Anesthesiology
309 Citations1993David M. Gaba, Kevin J. Fish +2 more
This book presents fundamental principles of Dynamic Decision Making in Anesthesia, as well as specific principles of Anesthesia Crisis Resource Management, for teachers and students new to the subject.
Annals of SurgerySimulation Improves Resident Performance in Catheter-Based Intervention
267 Citations2006Rabih A. Chaer, Brian G. DeRubertis +8 more
Simulation is a valid tool for instructing surgical residents and fellows in basic endovascular techniques and should be incorporated into surgical training programs.
Anaesthesia and Intensive CareHuman Failure: An Analysis of 2000 Incident Reports
233 Citations1993John Williamson, R. K. Webb +3 more
AIMS has the potential not only to play a vital practical role in the continued enhancement of the quality of anaesthetic practice, but also to provide a valuable resource for research at the increasingly important interface between human behaviour and complex systems.
PubMedAnesthetic mishaps: breaking the chain of accident evolution.
195 Citations1987David M. Gaba, Mary S. Maxwell +1 more
Human Factors The Journal of the Human Factors and Ergonomics SocietyDoes CRM Training Improve Teamwork Skills in the Cockpit?: Two Evaluation Studies
187 Citations1999Eduardo Salas, Jennifer Fowlkes +3 more
Results indicated that highly experienced aviators benefited from the training, which focused on increasing the use of several critical teamwork skills, suggesting that CRM training is a viable strategy for improving teamwork in the cockpit.
AnesthesiologySimulation Technology
166 Citations2002Pamela J. Morgan, Doreen Cleave‐Hogg +2 more
Both simulator and video types of faculty-facilitated education offer a valuable learning experience and future work is needed that addresses the long-term effects of experiential learning in the retention of knowledge and acquired skills.
Canadian Journal of Anesthesia/Journal canadien d anesthésieFatal and non fatal cardiac arrests related to anesthesia
163 Citations2001Philippe Biboulet, P Aubas +4 more
Efforts must be directed towards improving preoperative patient evaluation, and the prediction of difficult tracheal intubation, and if required, the use of awake tracheo-intubation techniques, should remain a priority when performing general anesthesia.
ErgonomicsCognitive failure analysis for aircraft accident investigation
157 Citations1994David O’Hare, Mark W. Wiggins +2 more
Investigation of data obtained from official aircraft accident investigation reports found aircraft accident reports can be a useful source of information about cognitive failures if probed with an information processing approach to human failure in the aircraft cockpit.
British Journal of AnaesthesiaREPORTED SIGNIFICANT OBSERVATIONS DURING ANAESTHESIA: A PROSPECTIVE ANALYSIS OVER AN 18-MONTH PERIOD
128 Citations1992V. Chopra, James G. Bovill +2 more
Of the 549 significant observations reported voluntarily during a period of 18 months, 82% involved occurrences which were considered preventable and 27% could have been fatal if they had not been recognized and corrected.
Teaching and Learning in MedicineScreen-Based Anesthesia Simulation With Debriefing Improves Performance in a Mannequin-Based Anesthesia Simulator
114 Citations2001Howard A. Schwid, G. Alec Rooke +2 more
Residents who managed anesthetic problems using a screen-based anesthesia simulator handled the emergencies in a mannequin- based anesthesia simulator better than residents who were asked to study a handout covering the same problems.
AnesthesiologyAcute Care Skills in Anesthesia Practice
112 Citations2004David J. Murray, John R. Boulet +4 more
Simulation can be used to measure more complex skills expected in specialty training, similar to other studies that assess a broad content domain, multiple encounters are needed to estimate skill effectively and accurately.
Anaesthesia and Intensive CareSystem Failure: An Analysis of 2000 Incident Reports
108 Citations1993W. B. Runciman, R. K. Webb +2 more
AIMS has the potential not only to play a vital practical role in the continued enhancement of the quality of anaesthetic practice, but also to provide a valuable resource for research at the increasingly important interface between human behaviour and complex systems.
Obstetric Anesthesia DigestImproving Neonatal Outcome Through Practical Shoulder Dystocia Training
103 Citations2009Tim Draycott, Joanna F. Crofts +5 more
Anaesthesia and Intensive CareEquipment Failure: An Analysis of 2000 Incident Reports
95 Citations1993R. K. Webb, W. J. Russell +2 more
Meticulous adherence to the equipment checking and monitoring guidelines of the Australian and New Zealand College of Anaesthetists and application of a suitable crisis management algorithm should protect the patient from potentially life-threatening equipment failure in virtually all cases except electric shock, power failure and overheating of warming devices.
Canadian Journal of Anesthesia/Journal canadien d anesthésieSimulation performance checklist generation using the Delphi technique
75 Citations2007Pamela Morgan, Jenny Lam-McCulloch +2 more
The Delphi technique can be very useful to generate consensus based evaluation tools with high content and face validity compared to subjective evaluative tools and these scenarios can be used to determine the effect of educational interventions on performance.
The Journal of UrologyTraining on a Virtual Reality Laparoscopic Simulator Improves Performance of an Unfamiliar Live Laparoscopic Procedure
67 Citations2008Steven Lucas, Ilia S. Zeltser +5 more
Surgical skills acquired as a result of training on a virtual reality laparoscopic simulator are not procedure specific but improve overall surgical skills, thereby translating into superior performance of an unrelated live Lap Mentor urological procedure.
The American Journal of SurgeryExamination stress leads to improvements on fundamental technical skills for surgery
65 Citations2008Vicki R. LeBlanc, Sarah Woodrow +2 more
Residency in-training exams induce moderate stress levels in junior surgery residents and are accompanied by improvements in technical performance as assessed by checklist-based scales, suggesting that residents were better at following the itemized sequence of movements when stressed, but their overall global performance was not altered.
CHEST JournalIncreased Survival With Mechanical Ventilation in Posttuberculosis Patients With the Combination of Respiratory Failure and Chest Wall Deformity
47 Citations2007Linda Jäger, Karl A. Franklin +3 more
Home mechanical ventilation with or without supplementary oxygen as the first choice of treatment for patients with the combination of respiratory failure and chest wall deformity from tuberculosis had a significantly better survival than long-term oxygen therapy alone.
Journal of the Formosan Medical AssociationLearning Gains Derived from a High-fidelity Mannequin-based Simulation in the Pediatric Emergency Department
25 Citations2006Tsuen‐Chiuan Tsai, Peter H. Harasym +2 more
It is suggested that high-fidelity simulation can enhance learning about how to manage critical cases in the pediatric emergency department.
AnesthesiologyHalothane Concentration Does Not Alter the Threshold for Epinephrine-induced Arrhythmias in Dogs
19 Citations1985Samual Metz, Mervyn Maze
The authors' data indicate that, over a clinically appropriate range, halothane concentration does not alter the threshold for the development of epinephrine-induced ventricular arrhythmias.
