Simulation-based optimisation for worker cross-training

2021 ◽  
Vol 16 (3) ◽  
pp. 185
Author(s):  
Johannes Karder ◽  
Andreas Beham ◽  
Viktoria A. Hauder ◽  
Klaus Altendorfer ◽  
Michael Affenzeller
Author(s):  
Johannes Karder ◽  
Andreas Beham ◽  
Viktoria A. Hauder ◽  
Michael Affenzeller ◽  
Klaus Altendorfer

Pharmacy ◽  
2019 ◽  
Vol 7 (1) ◽  
pp. 13 ◽  
Author(s):  
Ashley Hedges ◽  
Heather Johnson ◽  
Lawrence Kobulinsky ◽  
Jamie Estock ◽  
David Eibling ◽  
...  

Previous research in the US Navy demonstrated that cross-training enhances teamwork and interpersonal collaboration. Limited data exists on cross-training effectiveness in medical education. This research aimed to assess whether cross-training would have similar effects on medical teams. A multidisciplinary pair of resident participants—consisting of one physician and one pharmacist—was randomly assigned to cross-training or current training condition. The training experience involved one video-based content module (training a pharmacist’s task of pharmacokinetic dosing and a physician’s task of intubation) and one simulation-based practice scenario (collaborative treatment of an unstable critically ill simulated patient). Interprofessional pairs randomized to cross-training condition participated in both the content module and practice scenario in the alternative professional role whereas pairs randomized to current training condition participated in their own professional role. Pairs also participated in pre- and post- training assessment scenarios in their own professional role. Teamwork and interprofessionalism were measured immediately following assessment scenarios. Knowledge assessments were conducted at the start and end of the scenario sequence. Multidisciplinary pairs experiencing cross-training showed a significant improvement in teamwork (increased by 6.11% vs. 3.24%, p < 0.05). All participants demonstrated significant improvement in knowledge scores (increase of 14% cross-training, p < 0.05, and increase of 13.9% control, p < 0.05). Our project suggests that cross-training can improve teamwork in interprofessional medical teams.


Author(s):  
Jamie C. Gorman ◽  
Nancy J. Cooke ◽  
Polemnia G. Amazeen

Objective: We report an experiment in which three training approaches are compared with the goal of training adaptive teams. Background: Cross-training is an established method in which team members are trained with the goal of building shared knowledge. Perturbation training is a new method in which team interactions are constrained to provide new coordination experiences during task acquisition. These two approaches, and a more traditional procedural approach, are compared. Method: Assigned to three training conditions were 26 teams. Teams flew nine simulated uninhabited air vehicle missions; three were critical tests of the team’s ability to adapt to novel situations. Team performance, response time to novel events, and shared knowledge were measured. Results: Perturbation-trained teams significantly outperformed teams in the other conditions in two out of three critical test missions. Cross-training resulted in significant increases in shared teamwork knowledge and highest mean performance in one critical test. Procedural training led to the least adaptive teams. Conclusion: Perturbation training allows teams to match coordination variability during training to demands for coordination variability during posttraining performance. Although cross-training has adaptive benefits, it is suggested that process-oriented approaches, such as perturbation training, can lead to more adaptive teams. Application: Perturbation training is amenable to simulation-based training, where perturbations provide interaction experiences that teams can transfer to novel, real-world situations.


Author(s):  
Joan H. Johnston ◽  
Stephen M. Fiore ◽  
Rudy McDaniel

We suggest that narrative techniques can be used in conjunction with debriefing tools to aid in the framing of complex distributed team activities. We suggest that modified narrator perspectives (points of view) can be useful in debriefs for individuals and teams to improve interpositional knowledge (IPK) on a post-process level, and can be used in place of, or in conjunction with, more traditional types of pre-task training which occur through techniques such as cross-training. We conclude with an example framework for modified narrative perspective debriefing that is created using the extensible Markup Language.


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