- 作者：R. Serene Perkins ; MD* ; &dagger ; ; rsperkin@lhs.org" class="auth_mail" title="E-mail the corresponding author ; Kathryn A. Lehner ; CST* ; Randy Armstrong ; CST* ; Stuart K. Gardiner ; PhD&dagger ; ; Riyad C. Karmy-Jones ; MD&Dagger ; ; Seth D. Izenberg ; MD&Dagger ; ; William B. Long III ; MD&Dagger ; ; P. Ashley Wackym ; MD&dagger ; ; § ;
- 关键词：simulation ; team training ; ATOM ; trauma ; ACS-AEI ; communication
- 刊名：Journal of Surgical Education
- 出版年：2015
- 出版时间：November-December 2015
- 年：2015
- 卷：72
- 期：6
- 页码：1200-1208
- 全文大小：775 K
Methods
Between December 2012 and December 2014, 22 surgical technicians and nurses participated in a curriculum complementary to the ATOM course, consisting of 8 individual 8-hour training sessions designed by and conducted at our institution. Didactic and practical sessions included educational content, hands-on instruction, and alternating role play during 5 system-specific injury scenarios in a simulated operating room environment. A pre- and postcourse examination was administered to participants to assess for improvements in team members’ didactic knowledge.
Results
Course participants displayed a significant improvement in didactic knowledge after working in a team setting with trauma surgeons during the ATOM course, with a 9-point improvement on the postcourse examination (83%-92%, p = 0.0008). Most participants (90.5%) completing postcourse surveys reported being “highly satisfied” with course content and quality after working in our simulated team-training setting.
Conclusions
Team training is critical to improving the knowledge base of surgical technicians and nurses in the trauma operative setting. Improved communication, efficiency, appropriate equipment use, and staff awareness are the desired outcomes when shifting the paradigm from individual to surgical team training so that improved patient outcomes, decreased risk, and cost savings can be achieved.
Objective
Determine whether a pilot curriculum for surgical technicians and nurses, based on the American College of Surgeons’ ATOM course, improves staff knowledge if conducted in a team-training environment.
Design
Surgical technicians and nurses participated in a curriculum complementary to the ATOM course. In all, 8 individual 8-hour training sessions were conducted at our institution and contained both didactic and practical content, as well as alternating role play during 5 system-specific injury scenarios. A pre- and postcourse examination was administered to assess for improvements in didactic knowledge.
Setting
The course was conducted in a simulated team-training setting at the Legacy Institute for Surgical Education and Innovation (Portland, OR), an American College of Surgeons Accredited Educational Institute.
Participants
In all, 22 surgical technicians and operating room nurses participated in 8 separate ATOM(s) courses and had at least 1 year of surgical scrubbing experience in general surgery with little or no exposure to Level I trauma surgical care. Of these participants, 16 completed the postcourse examination.
Results
Participants displayed a significant improvement in didactic knowledge (83%-92%, p = 0.0008) after the ATOM(s) course. Of the 14 participants who completed postcourse surveys, 90.5% were “highly satisfied” with the course content and quality.
Conclusions
Team training is critical to improving the knowledge base of surgical technicians and nurses in the trauma operative setting and may contribute to improved patient outcomes, decreased risk, and hospital cost savings.