+ Site Statistics
References:
54,258,434
Abstracts:
29,560,870
PMIDs:
28,072,757
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

A crisis of faith? A review of simulation in teaching team-based, crisis management skills to surgical trainees



A crisis of faith? A review of simulation in teaching team-based, crisis management skills to surgical trainees



Journal of Surgical Education 69(3): 274-281



Team-based training using crisis resource management (CRM) has gained popularity as a strategy to minimize the impact of medical error during critical events. The purpose of this review was to appraise and summarize the design, implementation, and efficacy of peer-reviewed, simulation-based CRM training programs for postgraduate trainees (residents). Two independent reviewers conducted a structured literature review, querying multiple medical and allied health databases from 1950 to May 2010 (MEDLINE, EMBASE, CINAHL, EBM, and PsycINFO). We included articles that (1) were written in English, (2) were published in peer-reviewed journals, (3) included residents, (4) contained a simulation component, and (5) included a team-based component. Peer-reviewed articles describing the implementation of CRM instruction were critically appraised using the Kirkpatrick framework for evaluating training programs. Fifteen studies involving a total of 404 residents met inclusion criteria; most studies reported high resident satisfaction for CRM training. In several CRM domains, residents demonstrated significant improvements after training, which did not decay over time. With regard to design, oral feedback may be equivalent to video feedback and single-day interventions may be as efficacious as multiple-day interventions for residents. No studies demonstrated a link between simulation-based CRM training and performance during real-life critical events. The findings support the utility of CRM programs for residents. A high degree of satisfaction and perceived value reflect robust resident engagement. The iteration of themes from our review provides the basis for the development of best practices in curricula design. A dearth of well-designed, randomized studies preclude the quantification of impact of simulation-based training in the clinical environment.

(PDF emailed within 0-6 h: $19.90)

Accession: 036309934

Download citation: RISBibTeXText

PMID: 22483124

DOI: 10.1016/j.jsurg.2011.11.004


Related references

Crisis management on surgical wards: a simulation-based approach to enhancing technical, teamwork, and patient interaction skills. Annals of Surgery 261(5): 888-893, 2015

Surgical crisis management skills training and assessment: a simulation[corrected]-based approach to enhancing operating room performance. Annals of Surgery 244(1): 139-147, 2006

Leadership and Skills Training Based on Crisis Resource Management Principles Using a Pediatric Full Human Simulator for Non-Medical Trainees. Anesthesiology Abstracts of Scientific Papers Annual Meeting (2001): Abstract No A-1207, 2002

Nontechnical skills in anesthesia crisis management with repeated exposure to simulation-based education. Anesthesiology 103(2): 241-248, 2005

A comparison of screen-based simulation and conventional lectures for undergraduate teaching of crisis management. Anaesthesia and Intensive Care 36(4): 565-569, 2008

Simulation-Based Laparoscopic Surgery Crisis Resource Management Training-Predicting Technical and Nontechnical Skills. Journal of Surgical Education 75(4): 1113-1119, 2017

Acquiring skills in malignant hyperthermia crisis management: comparison of high-fidelity simulation versus computer-based case study. Revista Brasileira de Anestesiologia 68(3): 292-298, 2018

Crisis Resources for Emergency Workers (CREW II): results of a pilot study and simulation-based crisis resource management course for emergency medicine residents. Cjem 14(6): 354-362, 2015

Patient and their relatives' satisfaction regarding a home-based crisis intervention provided by a mobile crisis team. L'Encephale 31(2): 127-141, 2005

Improving nontechnical skills of an interprofessional emergency medical team through a one day crisis resource management training. Medicine 97(32): E11828, 2018

Crisis resource management, simulation training and the medical emergency team. Critical Care and Resuscitation 14(3): 227-235, 2012

Emergency medicine crisis resource management (EMCRM): pilot study of a simulation-based crisis management course for emergency medicine. Academic Emergency Medicine 10(4): 386-389, 2003

The police-based crisis intervention team (CIT) model: I. Effects on officers' knowledge, attitudes, and skills. Psychiatric Services 65(4): 517-522, 2014

Simulation-based crisis team training for multidisciplinary obstetric providers. Simulation in Healthcare 4(2): 77-83, 2009

Simulation-based crisis resource management training for pediatric critical care medicine: a review for instructors. Pediatric Critical Care Medicine 13(2): 197-203, 2012