Communication Decontextualized simulation Game-based learning Health education Interprofessional relations Leadership Non-technical skills Patient safety Perioperative care Simulation training Teamwork
Abstract :
[en] To the Editor, Perioperative quality and safety encompass a range of processes, protocols, and guidelines implemented before, during, and after surgical procedures. These measures are designed to mitigate risks, minimize occurrence of complications, and enhance patient outcomes. The frequent occurrence of unanticipated events remains challenging for healthcare teams to perform safe and reliable actions in a dynamic and stressful environment. To ensure the optimal management of critical situations in healthcare, a team of experts needs to master both technical and non-technical skills (NTS) to deliver the highest quality of care in the safest environment [1,2]. NTS encompass a wide variety of individual and collective skills such as situation awareness, effective communication, stress management, appropriate clinical reasoning, leadership, and teamwork [3]. The undergraduate and postgraduate medical education often include extensive training focused on technical skills. Conversely, fewer
Disciplines :
Anesthesia & intensive care
Author, co-author :
Abraham, Paul; Department of Anesthesiology, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland ; Centre Lyonnais d'Enseignement par la Simulation en Santé (CLESS), Lyon, France
Dubois, Nadège ; Université de Liège - ULiège > Département des sciences de la santé publique > Simulation médicale en situation critique
Rimmelé, Thomas; Centre Lyonnais d'Enseignement par la Simulation en Santé (CLESS), Lyon, France ; PI3 (Pathophysiology of Injury-Induced Immunosuppression), Lyon, France
Lilot, Marc; Centre Lyonnais d'Enseignement par la Simulation en Santé (CLESS), Lyon, France ; Unit of Pediatric and Congenital Cardio-thoracic Anesthesia and Intensive Care, Medical-Surgical Department of Congenital Cardiology of the Foetus, Child and Adult. Louis Pradel Hospital, Lyon, France ; Research on Healthcare Performance (RESHAPE), Claude Bernard University Lyon 1, Lyon, France
Balança, Baptiste; Centre Lyonnais d'Enseignement par la Simulation en Santé (CLESS), Lyon, France ; Neurologic Intensive care and Anesthesiology, Hospices Civils de Lyon, Pierre Wertheimer Hospital, Claude Bernard University, Lyon, France
Language :
English
Title :
Enhancing perioperative care through decontextualized simulation: A game-changer for non-technical skills training
Glavin, R.J., Excellence in anesthesiology: the role of nontechnical skills. Anesthesiology [Internet] 110 (2009), 201–203 Jan [cited 2016 Feb 14];PAP. Available from: http://anesthesiology.pubs.asahq.org/Article.aspx?doi=10.1097/ALN.0b013e3181942866.
Hull, L., Arora, S., Aggarwal, R., Darzi, A., Vincent, C., Sevdalis, N., The impact of nontechnical skills on technical performance in surgery: a systematic review. J Am Coll Surg 214:2 (2012 Feb), 214–230.
Flin, R., Maran, N., Basic concepts for crew resource management and non-technical skills. Best Pract Res Clin Anaesthesiol 29:1 (2015 Mar), 27–39.
Robertson, E., Morgan, L., New, S., Pickering, S., Hadi, M., Collins, G., et al. Quality improvement in surgery combining lean improvement methods with teamwork training: a controlled before-after study. PloS One, 10(9), 2015, e0138490.
Cambridge, M.A., CRICO Strategies [Internet]. Malpractice Risks in Communication Failures 2015.pdf, 2016 [cited 2023 Apr 22]. Available from: https://www.rmf.harvard.edu/clinician-resources/newsletter-and-publication/2016/sps-the-malpractice-risks-of-health-care-communication-failures.
Neily, J., Mills, P.D., Young-Xu, Y., Carney, B.T., West, P., Berger, D.H., et al. Association between implementation of a medical team training program and surgical mortality. JAMA. 304:15 (2010 Oct 20), 1693–1700.
Bloom, B.S., Krathwohl, D.R., Taxonomy of educational objectives: The classification of educational goals. Handbook 1, cognitive domain. 1956, Longman, New York, NY.
Wijnen-Meijer, M., Brandhuber, T., Schneider, A., Berberat, P.O., Implementing Kolb's experiential learning cycle by linking real experience, case-based discussion and simulation. J Med Educ Curric Dev, 9, 2022 23821205221091511.
Fewster-Thuente, L., Batteson, T.J., Kolb's experiential learning theory as a theoretical underpinning for Interprofessional education. J Allied Health 47:1 (2018), 3–8.
King, H.B., Battles, J., Baker, D.P., Alonso, A., Salas, E., Webster, J., et al. TeamSTEPPSTM: Team Strategies and Tools to Enhance Performance and Patient Safety. Henriksen, K., Battles, J.B., Keyes, M.A., Grady, M.L., (eds.) Advances in Patient Safety: New Directions and Alternative Approaches (Vol 3: Performance and Tools) [Internet], 2008, Agency for Healthcare Research and Quality (US), Rockville (MD) [cited 2023 Jun 15]. (Advances in Patient Safety). Available from: http://www.ncbi.nlm.nih.gov/books/NBK43686/.
Motola, I., Devine, L.A., Chung, H.S., Sullivan, J.E., Issenberg, S.B., Simulation in healthcare education: a best evidence practical guide. AMEE guide no. 82. Med Teach 35:10 (2013 Oct), e1511–e1530.
Rivière, E., Jaffrelot, M., Jouquan, J., Chiniara, G., Debriefing for the transfer of learning: the importance of context. Acad Med J Assoc Am Med Coll 94:6 (2019 Jun), 796–803.
Drummond, D., Hadchouel, A., Tesnière, A., Serious games for health: three steps forwards. Adv Simul, 4(2), 2017 Feb, 3.
Kober, S.E., Wood, G., Kiili, K., Moeller, K., Ninaus, M., Game-based learning environments affect frontal brain activity. PloS One, 15(11), 2020 Nov 19, e0242573.
Clancy, C.M., TeamSTEPPS: optimizing teamwork in the perioperative setting. AORN J 86:1 (2007 Jul), 18–22.
Lioce, L., (eds.) Healthcare Simulation Dictionary [Internet], 2020, Second. Agency for Healthcare Research and Quality [cited 2023 May 13]. Available from: https://www.ahrq.gov/patient-safety/resources/simulation/terms.html.
Kerfoot, B.P., Kissane, N., The use of gamification to boost residents’ engagement in simulation training. JAMA Surg 149:11 (2014 Nov), 1208–1209.
Lisk, Timothy C., Kaplancali, Ugur T., Riggio, Ronald E., Leadership in Multiplayer Online Gaming Environments. [Internet]. [cited 2023 May 13]. Available from: https://journals.sagepub.com/doi/10.1177/1046878110391975, 2012.
Fauquet-Alekhine, P., Competencies, Activity analysis and occupational training: an innovative approach with full-scale simulators in high risk industries [internet]. London Sch Econom Polit Sci, 2017 Available from: https://books.google.ch/books?id=P-MnwAEACAAJ Fauquet-Alekhine__competencies-activity--redacted.pdf (lse.ac.uk).
Taylor, M.J., McNicholas, C., Nicolay, C., Darzi, A., Bell, D., Reed, J.E., Systematic review of the application of the plan–do–study–act method to improve quality in healthcare. BMJ Qual Saf 23:4 (2014 Apr), 290–298.
Mavre, O., Simulation or serious games?. [Internet]. Paris, 2011, 39–42 [cited 2024 Jan 12]. (LARSEN Science 2011 - Laboratoire de Recherche pour les Sciences de l'Energie ISBN 978–2–9541430-0-2). Available from: http://ja.games.free.fr/ludoscience/PDF/Proceedings%20SGS%20Wkshp%202011%20ind%2004.pdf.
Fauquet-Alekhine, P., Boucherand, A., Decontextualization effect in simulation training for transverse professional practices. J Educ Soc Behav Sci 27 (2016 Jan), 1–17.
Institute of Medicine (US) Committee on the Health Professions Education Summit, Greiner, A.C., Knebel, E., (eds.) Health Professions Education: A Bridge to Quality [Internet], 2003, National Academies Press (US), Washington (DC) [cited 2023 Oct 26]. Available from: http://www.ncbi.nlm.nih.gov/books/NBK221528/.
Marc, L., Captain Sonar Impact on Trauma Patient Management [Internet]. clinicaltrials.gov. [cited 2024 Jan 1]. Report No.: NCT05628519. Available from: https://clinicaltrials.gov/study/NCT05628519, 2022 Nov.