Target-focused medical emergency team training using a human patient simulator: effects on behaviour and attitude
- 1 February 2007
- journal article
- Published by Wiley in Medical Education
- Vol. 41 (2), 173-180
- https://doi.org/10.1111/j.1365-2929.2006.02670.x
Abstract
Full-scale simulation training is an accepted learning method for gaining behavioural skills in team-centred domains such as aviation, the nuclear power industry and, recently, medicine. In this study we evaluated the effects of a simulator team training method based on targets and known principles in cognitive psychology. This method was developed and adapted for a medical emergency team. In particular, we created a trauma team course for novices, and allowed 15 students to practise team skills in 5 full-scale scenarios. Students' team behaviour was video-recorded and students' attitude towards safe teamwork was assessed using a questionnaire before and after team practice. Nine of 10 observed team skills improved significantly in response to practice, in parallel with a global rating of team skills. In contrast, no change in attitude toward safe teamwork was registered. The use of team skills in 5 scenarios in a full-scale patient simulator environment implementing a training method based on targets and known principles in cognitive psychology improved individual team skills but had no immediate effect on attitude toward safe patient care.This publication has 23 references indexed in Scilit:
- Improving medical emergency team (MET) performance using a novel curriculum and a computerized human patient simulatorQuality and Safety in Health Care, 2005
- Quality of Cardiopulmonary Resuscitation During In-Hospital Cardiac ArrestPublished by American Medical Association (AMA) ,2005
- Features and uses of high-fidelity medical simulations that lead to effective learning: a BEME systematic reviewMedical Teacher, 2005
- Identifying and training non-technical skills for teams in acute medicineQuality and Safety in Health Care, 2004
- The use of simulation for training teamwork skills in health care: how low can you go?Quality and Safety in Health Care, 2004
- Human factors affect the quality of cardiopulmonary resuscitation in simulated cardiac arrestsResuscitation, 2004
- Emergency Medicine Crisis Resource Management (EMCRM): Pilot Study of a Simulation-based Crisis Management Course for Emergency MedicineAcademic Emergency Medicine, 2003
- Leadership of resuscitation teams: ‘Lighthouse Leadership’Resuscitation, 1999
- A Methodology for Enhancing Crew Resource Management TrainingHuman Factors: The Journal of the Human Factors and Ergonomics Society, 1999
- SPECIAL SECTION: Task Complexity in Emergency Medical Care and Its Implications for Team CoordinationHuman Factors: The Journal of the Human Factors and Ergonomics Society, 1996