Study protocol for a framework analysis using video review to identify latent safety threats: trauma resuscitation using in situ simulation team training (TRUST)
| Autor: | Patricia Trbovich, Andrew Petrosoniak, Alice Gray, Kari White, Melissa McGowan, Douglas M Campbell, Ana P. S. S. Almeida, Sonia Pinkney, Mark Fan, Christopher Hicks |
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| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Inservice Training
Process (engineering) Resuscitation education Psychological intervention Video Recording TRAUMA MANAGEMENT 03 medical and health sciences Patient safety HUMAN FACTORS 0302 clinical medicine MEDICAL EDUCATION & TRAINING medicine Protocol Humans 030212 general & internal medicine Prospective Studies Simulation Training Protocol (science) Risk Management Medical Errors business.industry Communication 030208 emergency & critical care medicine General Medicine QUALITATIVE RESEARCH medicine.disease Institutional research Emergency Medicine Medical emergency Clinical Competence Patient Safety Trauma resuscitation business Team training Qualitative research |
| Zdroj: | BMJ Open |
| ISSN: | 2044-6055 |
| Popis: | Introduction Errors in trauma resuscitation are common and have been attributed to breakdowns in the coordination of system elements (eg, tools/technology, physical environment and layout, individual skills/knowledge, team interaction). These breakdowns are triggered by unique circumstances and may go unrecognised by trauma team members or hospital administrators; they can be described as latent safety threats (LSTs). Retrospective approaches to identifying LSTs (ie, after they occur) are likely to be incomplete and prone to bias. To date, prospective studies have not used video review as the primary mechanism to identify any and all LSTs in trauma resuscitation. Methods and analysis A series of 12 unannounced in situ simulations (ISS) will be conducted to prospectively identify LSTs at a level 1 Canadian trauma centre (over 800 dedicated trauma team activations annually). 4 scenarios have already been designed as part of this protocol based on 5 recurring themes found in the hospital9s mortality and morbidity process. The actual trauma team will be activated to participate in the study. Each simulation will be audio/video recorded from 4 different camera angles and transcribed to conduct a framework analysis. Video reviewers will code the videos deductively based on a priori themes of LSTs identified from the literature, and/or inductively based on the events occurring in the simulation. LSTs will be prioritised to target interventions in future work. Ethics and dissemination Institutional research ethics approval has been acquired (SMH REB #15-046). Results will be published in peer-reviewed journals and presented at relevant conferences. Findings will also be presented to key institutional stakeholders to inform mitigation strategies for improved patient safety. |
| Databáze: | OpenAIRE |
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