TY - JOUR
T1 - Hyper-realistic, team-centered fleet surgical team training provides sustained improvements in performance
AU - Hoang, Tuan N.
AU - Kang, Jeff
AU - Siriratsivawong, Kris
AU - LaPorta, Anthony
AU - Heck, Amber
AU - Ferraro, Jessica
AU - Robinson, Douglas
AU - Walsh, Jonathan
N1 - Funding Information:
This work was supported by Fleet Surgical Teams 3 and 5.
Publisher Copyright:
© 2016 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.
PY - 2016/7/1
Y1 - 2016/7/1
N2 - Objective The high-stress, fast-paced environment of combat casualty care relies on effective teamwork and communication which translates into quality patient care. A training course was developed for U.S. Navy Fleet Surgical Teams to address these aspects of patient care by emphasizing efficiency and appropriate patient care. An effective training course provides knowledge and skills to pass the course evaluation and sustain the knowledge and skills acquired over time. Design The course included classroom didactic hours, and hands-on simulation sessions. A pretest was administered before the course, a posttest upon completion, and a sustainment test 5 months following course completion. The evaluation process measured changes in patient time to disposition and critical errors made during patient care. Setting Naval Base San Diego, with resuscitation and surgical simulations carried out within the shipboard medical spaces. Participants United States Navy medical personnel including physicians of various specialties, corpsmen, nurses, and nurse anesthetists deploying aboard ships. Results Time to disposition improved significantly, 11 ± 3 minutes, from pretest to posttest, and critical errors improved by 4 ± 1 errors per encounter. From posttest to sustainment test, time to disposition increased by 3 ± 1, and critical errors decreased by 1 ± 1. Conclusions This course showed value in improving teamwork and communication skills of participants, immediately upon completion of the course, and after 5 months had passed. Therefore, with ongoing sustainment activities within 6 months, this course can substantially improve trauma care provided by shipboard deployed Navy medical personnel to wounded service members.
AB - Objective The high-stress, fast-paced environment of combat casualty care relies on effective teamwork and communication which translates into quality patient care. A training course was developed for U.S. Navy Fleet Surgical Teams to address these aspects of patient care by emphasizing efficiency and appropriate patient care. An effective training course provides knowledge and skills to pass the course evaluation and sustain the knowledge and skills acquired over time. Design The course included classroom didactic hours, and hands-on simulation sessions. A pretest was administered before the course, a posttest upon completion, and a sustainment test 5 months following course completion. The evaluation process measured changes in patient time to disposition and critical errors made during patient care. Setting Naval Base San Diego, with resuscitation and surgical simulations carried out within the shipboard medical spaces. Participants United States Navy medical personnel including physicians of various specialties, corpsmen, nurses, and nurse anesthetists deploying aboard ships. Results Time to disposition improved significantly, 11 ± 3 minutes, from pretest to posttest, and critical errors improved by 4 ± 1 errors per encounter. From posttest to sustainment test, time to disposition increased by 3 ± 1, and critical errors decreased by 1 ± 1. Conclusions This course showed value in improving teamwork and communication skills of participants, immediately upon completion of the course, and after 5 months had passed. Therefore, with ongoing sustainment activities within 6 months, this course can substantially improve trauma care provided by shipboard deployed Navy medical personnel to wounded service members.
KW - combat casualty care
KW - Fleet Surgical Team Shipboard Surgical Trauma Training Course
KW - human-worn partial-task surgical simulator
KW - improving teamwork and efficiency in trauma surgery
KW - sustainment training
UR - http://www.scopus.com/inward/record.url?scp=84964329755&partnerID=8YFLogxK
U2 - 10.1016/j.jsurg.2016.03.004
DO - 10.1016/j.jsurg.2016.03.004
M3 - Article
C2 - 27086265
AN - SCOPUS:84964329755
SN - 1931-7204
VL - 73
SP - 668
EP - 674
JO - Journal of Surgical Education
JF - Journal of Surgical Education
IS - 4
ER -