The Golden Opportunity: Multidisciplinary Simulation Training Improves Trauma Team Efficiency

ObjectivesThis study investigated the costs of 2-hour multiprofessional in situ hospital trauma team simulation training and its effects on teams’ non-technical skills using the T-NOTECHS instrument.BackgroundSimulation is a feasible and effective teaching and learning method. Calculating the costs of simulated trauma team training in medical emergency situations can yield valuable information for improving its overall cost-effectiveness.DesignA prospective cohort study.SettingTrauma resuscitation room in Central Finland Hospital, Finland.Participants475 medical professionals in 81 consecutive, simulated trauma teams.Primary and secondary outcome measuresTeam simulation training costs in 2017 and 2018 were analysed in the following two phases: (1) start-up costs and (2) costs of education. Primary outcome measures were training costs per participant and training costs per team. Secondary outcome measures were non-technical skills, which were measured on a 5–25-point scale using the T-NOTECHS instrument.ResultsThe annual mean total costs of trauma team simulation training were €58 000 for 40 training sessions and 238 professionals. Mean cost per participant was €203. Mean cost per team was €1220. The annual costs of simulation training markedly decreased when at least 70–80 teams participated in the training. Mean change in T-NOTECHS score after simulation training was +2.86 points (95% CI 1.97 to 3.75;+14.5%).ConclusionsThe greater the number of teams trained per year, the lower the costs per trauma team. In this study, we developed an activity-based costing method to calculate the costs of trauma team simulation training to help stakeholders make decisions about whether to initiate or increase existing trauma team simulation training or to obtain these services elsewhere.

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An ethnographic study on leadership-as-practice in trauma simulation training

Leadership in Health Services ◽

10.1108/lhs-06-2019-0031 ◽

2020 ◽

Vol 33 (2) ◽

pp. 185-200

Author(s):

Hanna Vuojärvi ◽

Saana Korva

Keyword(s):

Simulation Training ◽

Medical Training ◽

Historical Context ◽

Trauma Team ◽

Skills Training ◽

Ethnographic Study ◽

Content Type ◽

Contextual Elements ◽

Cultural Historical Activity

Purpose This study aims to discover how leadership emerges in a hospital’s trauma team in a simulated trauma care situation. Instead of investigating leadership from a leader-centric perspective, or using a metrics-based approach to reach generalizable results, the study aims to draw from post-heroic theories by applying leadership-as-practice and sociomaterial perspectives that emphasize the cultural-historical context and emergent nature of leadership. Design/methodology/approach The study was conducted in a Finnish central hospital through ethnographic observations of 14 in situ trauma simulation trainings over a period of 13 months. The data consist of vignettes developed and written from field notes. The analysis was informed by the cultural-historical activity theory. Findings Leadership in a trauma team during an in situ simulation training emerges from a complex system of agencies taking place simultaneously. Contextual elements contributed to the goal. Clarity of roles and task division, strong execution of leadership at critical points, active communication and maintenance of disciplined communication helped to overcome difficulties. The team developed coordination of the process in conjunction with the care. Originality/value The study considers trauma leadership to be a practical phenomenon emerging from the trauma team’s sociomaterial context. The results can be used to develop non-technical skills training within the field of simulation-based medical training.

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Learning from NAP 4: multidisciplinary simulation training in airway emergencies

European Journal of Anaesthesiology ◽

10.1097/00003643-201306001-00833 ◽

2013 ◽

Vol 30 ◽

pp. 266-266

Author(s):

P. Patel ◽

V. Fox ◽

O. Boomers ◽

I. Sockalingam

Keyword(s):

Simulation Training ◽

Multidisciplinary Simulation

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Short 2-H in Situ Trauma Team Simulation Training Effectively Improves Non-Technical Skills of Hospital Trauma Teams

Scandinavian Journal of Surgery ◽

10.1177/1457496918789006 ◽

2018 ◽

Vol 108 (2) ◽

pp. 117-123 ◽

Cited By ~ 7

Author(s):

E. Rosqvist ◽

S. Lauritsalo ◽

J. Paloneva

Keyword(s):

Decision Making ◽

Situation Awareness ◽

Simulation Training ◽

Trauma Team ◽

Technical Skills ◽

Coping With Stress ◽

Training Course ◽

Resuscitation Guidelines ◽

Trauma Teams

Background and Aims: As conducting the regular trauma team simulation training is expensive and time-consuming, its effects must be explored. The objective was to evaluate the efficacy of a structured 2-h in situ multiprofessional trauma team simulation training course on non-technical skills. Materials and Methods: This prospective study comprised 90 trauma teams with 430 participants. The structured, 2-h course consisted of an introductory lecture and two different simulations with debriefings. Data were collected using a pre–post self-assessment questionnaire. In addition, the expert raters used the T-NOTECHS scale. Results: The following non-technical skills improved significantly among both medical doctors and nurses: knowledge of the trauma resuscitation guidelines, problem identification, decision making, situation awareness/coping with stress, communication and interaction, time management, being under authority, and confidence in one’s role in a team. The teams improved significantly in leadership, cooperation and resource management, communication and interaction, assessment and decision making, and situation awareness/coping with stress. Conclusion: A short, structured 2-h in situ trauma team simulation training course is effective in improving non-technical skills.

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