Original CommunicationHigh-fidelity, simulation-based, interdisciplinary operating room team training at the point of care
Section snippets
Training setting
A detailed description of the conceptual framework, format, and fidelity of the MMOR has been published.16 Training occurred within the actual OR of a 157-bed academic affiliated medical center located approximately 80 miles from the School of Medicine and its simulation center. All surgical equipment, including a minimally invasive surgical tower with monitor, light source, and insufflator was provided by the hospital.
Simulation equipment included a portable computer-operated mannequin
Results
Thirty-eight OR personnel representing all OR team disciplines participated in 11 training sessions implemented in March 2007. Table I shows the breakdown of participants by OR team discipline. Ten individuals (5 residents, 1 nurse anesthetist, 3 surgical technologists, and 1 circulating nurse) participated in the training session more than once to ensure complete OR teams in each instance. All participants completed pre- and post-session surveys. The average pre- to post-session gain based on
Discussion
Our STEPS program incorporates high fidelity simulation at the point of care to train interdisciplinary OR teams. In the current study, it resulted in a 0.4 unit mean gain on a 6-point Likert scale in pre- to post-session scores for the 38 participants who were involved. Such an increase is noteworthy because of the relatively large proportional increase (40% of the maximum possible 1.0 unit increase) from the overall mean pre-session score (5.0 units) to the overall mean post-session score
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This project was supported by grant number 1 U18 HS016680 from the Agency for Healthcare Research and Quality, Department of Health and Human Services.
Dr Kozmenko and Dr Hilton report applying for a patent for the software interface with the computerized mannequin simulator. Drs Paige, Yang, Cohn, Paragi Gururaja, and Chauvin report no biomedical financial interests or other potential conflicts of interest.