Non-technical skills in resuscitation training using high fidelity simulation

The training of emergency and intensive care teams in technical and non-technical skills is fundamental. The general aim of this study was to evaluate the training of various professional teams with simulations based on the care of COVID-19 patients using Zone 3 simulations (native emergency medical services and intensive care units-ICU teams) in the Region of Murcia (Spain). A mixed pilot study was designed (qualitative/quantitative) comprised of three phases: Phase 1: detection of needs (focus groups), Phase 2: design of simulation scenarios, and Phase 3: training with high-fidelity simulation and evaluation of competences. The results were used to determine the real training needs of these health professionals, which were used to design four simulation scenarios in line with these needs. The team competences were evaluated before and after the training session, with increases observed after the training sessions, especially in non-technical skills such as communication. Training with zone 3 simulation, with multi-professional native emergency and intensive care teams who provided care to patients with coronavirus was shown to be an effective method, especially for training in non-technical skills. We should consider the training needs of the professionals before the start of any training program to stay one-step ahead of crisis situations.

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Simulation as a Training Method for Electricity Workers’ Safety

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18041591 ◽

2021 ◽

Vol 18 (4) ◽

pp. 1591

Author(s):

Fabrizio Bracco ◽

Michele Masini ◽

Donald Glowinski ◽

Tommaso Piccinno ◽

Simon Schaerlaeken

Keyword(s):

Technical Skills ◽

Training Model ◽

Future Research ◽

Head Orientation ◽

High Fidelity ◽

Electricity Distribution ◽

High Fidelity Simulation ◽

Training Method ◽

Self Reflection ◽

Depth Analysis

Background: Simulation is a useful method to improve learning and increase the safety of work operations, both for technical and non-technical skills. However, the observation, assessment, and feedback about these skills is particularly complex, because the process needs expert observers, and the feedback could be judgmental and ineffective. Therefore, a structured process to develop effective simulation scenarios and tools for the observation and feedback about performance is crucial. To this aim, in the present research, we developed a training model for electricity distribution workers, based on high fidelity simulation. Methods: We designed simulation scenarios based on real cases, developed, and tested a set of observation and rating forms for the non-technical skills behavioral markers, and we tracked behaviors based on non-verbal cues (physiological and head orientation parameters). Results: The training methodology proved to be highly appreciated by the participants and effective in fostering reflexivity. An in-depth analysis of physiological indexes and behaviors compliant to safety procedures revealed that breath rate and heart rate patterns commonly related with mindful and relaxed states were correlated with compliant behaviors, and patterns typical of stress and anxiety were correlated with non-compliant behaviors. Conclusions: a new training method based on high fidelity simulation, addressing both technical and non-technical skills is now available for fostering self-reflection and safety for electricity distribution workers. Future research should assess the long-term effectiveness of high-fidelity simulation for electricity workers, and should investigate non-invasive and real-time methods for tracking physiological parameters.

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Abstract 263: Emergencies and Resuscitation in the Catheter Laboratory: High-Fidelity Simulation as a Training Tool to Improve Multidisciplinary Team Communication and Confidence

Circulation ◽

10.1161/circ.130.suppl_2.263 ◽

2014 ◽

Vol 130 (suppl_2) ◽

Author(s):

Charles J Butcher ◽

Zubair Sarang ◽

Rebecca Green ◽

Oscar Duke ◽

Timothy Knowles ◽

...

Keyword(s):

Primary Angioplasty ◽

Professional Relationships ◽

Lead Extraction ◽

High Fidelity ◽

High Fidelity Simulation ◽

Clinical Knowledge ◽

Training Tool ◽

Resuscitation Training ◽

Catheter Laboratory

Purpose: Multi disciplinary team (MDT) emergency and resuscitation training for acute device related complications in the catheter laboratory commonly takes the form of didactic instruction or post event debriefing. High fidelity simulation offers the opportunity to role-play clinical emergencies in a controlled environment in a dynamic and interactive setting. This technique allows for immersive training whilst protecting patients from unnecessary risk and may enhance performance. Methods: Two sessions, each with two high fidelity in-situ resuscitation scenarios, using a simulation manikin, were run as a pilot (Session 1 - pacing failure during device generator change; tamponade during lead extraction, Session 2 - Primary angioplasty with cardio pulmonary arrest, Primary angioplasty requiring acute temporary pacing). These were viewed by other members of the department on a live video feed. 45 members of the MDT (including Cardiologists, Anesthetists, Radiographers, Nurses and Physiologists of all levels) participated in each the session, attending a formal facilitated debrief after each scenario. The debrief outcome of scenario 1 was designed to influence the behavioral strategy during the conduct of scenario 2. Anonymous pre and post scenario questionnaires measured improvement in confidence, clinical knowledge and inter-professional relationships. Results: We collected 72 pre-course and 67 post-course questionnaires in total. 92% agreed or strongly agreed that the session enhanced inter-professional working relationships and communication skills. 73% felt their clinical knowledge was increased. The number of people who felt ‘confident’ or ‘very confident’ in ‘speaking up about something they disagreed with in a clinical emergency’ increased from 45% to 65% (p<0.05). All respondents would recommend the session to a colleague & attend themselves again. Conclusions: High fidelity in-situ simulation may be a useful tool to actively engage the MDT in improving clinical knowledge and communication in emergency resuscitation situations, whilst enhancing inter-professional relationships. This may have important implications for patient safety in the Catheter Laboratory.

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High-Fidelity Simulation May not be Superior to Traditional Low-Fidelity Methods for Neonatal Resuscitation Training

Paediatrics & Child Health ◽

10.1093/pch/14.suppl_a.40aa ◽

2009 ◽

Vol 14 (suppl_A) ◽

pp. 40A-41A

Author(s):

E Finan ◽

Z Bismilla ◽

HE Whyte ◽

VR LeBlanc ◽

PJ McNamara

Keyword(s):

Neonatal Resuscitation ◽

High Fidelity ◽

High Fidelity Simulation ◽

Resuscitation Training

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Using High-Fidelity Simulation to Teach Ethics Related Non-Technical Skills: Description of an Innovative Model

Advances in Medical Education and Practice ◽

10.2147/amep.s247207 ◽

2020 ◽

Vol Volume 11 ◽

pp. 247-251

Author(s):

Issam Tanoubi ◽

L Mihai Georgescu ◽

Arnaud Robitaille ◽

Pierre Drolet ◽

Roger Perron

Keyword(s):

Technical Skills ◽

High Fidelity ◽

High Fidelity Simulation ◽

Innovative Model

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ABCDE: Directing Student Observation During High-Fidelity Simulation

Medical Science Educator ◽

10.1007/s40670-020-01081-1 ◽

2020 ◽

Vol 30 (4) ◽

pp. 1347-1349

Author(s):

Josephine Seale ◽

Abubakar Khan ◽

Barnaby Hirons ◽

Colin Butchers

Keyword(s):

Medical Student ◽

Active Learning ◽

Learning Environment ◽

Technical Skills ◽

High Fidelity ◽

High Fidelity Simulation ◽

Educational Benefits ◽

Future Work ◽

Student Observation

AbstractTo encourage an active learning environment during the observation stage of high-fidelity simulation, an observation tool was created to help students recognise and record the technical and non-technical skills identified whilst watching their peers. Future work will involve quantifying any educational benefits of the tool across the medical student cohort.

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