Exploring the use of high and low demand simulation for human performance assessment during multiorgan retrieval with the joint scrub practitioner
| Autor: | Gala Morozova, Ian Currie, Hugh Richards, John Stirling, Amanda Martindale |
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| Rok vydání: | 2020 |
| Předmět: |
Service (systems architecture)
media_common.quotation_subject Applied psychology Health Informatics psychology non technical skills Education Task (project management) 03 medical and health sciences 0302 clinical medicine Perception 030212 general & internal medicine Original Research media_common Teamwork 030208 emergency & critical care medicine Workload Variance (accounting) Transplantation managing performance Modeling and Simulation Donation org. studies Psychology surgical simulation transplantation |
| Zdroj: | Morozova, G, Martindale, A, Richards, H, Stirling, J & Currie, I 2021, ' Exploring the use of high and low demand simulation for human performance assessment during multiorgan retrieval with the joint scrub practitioner ', BMJ Simulation & Technology Enhanced Learning, vol. 7, no. 2, pp. 86-91 . https://doi.org/10.1136/bmjstel-2019-000558 BMJ Simul Technol Enhanc Learn |
| ISSN: | 2056-6697 |
| DOI: | 10.1136/bmjstel-2019-000558 |
| Popis: | Introduction The National Organ Retrieval Service (NORS) 2015 review recommended a Joint Scrub Practitioner for abdominal and cardiac teams during combined organ retrieval. To evaluate the feasibility of this role, and to understand the functional implications, this study explores the use of simulation and provides a novel and comprehensive approach to assess individual and team performance in simulated multiorgan retrievals. Methods Two high-fidelity simulations were conducted in an operating theatre with porcine organs, en bloc, placed in a mannequin. For donation after brainstem death (DBD) simulation, an anaesthetic machine provided simulated physiological output. Retrievals following donation after circulatory death (DCD) began with rapid arrival in theatre of the mannequin. Cardiothoracic (lead surgeon) and abdominal (lead and assistant surgeons; joint scrub practitioner, n=9) teams combined for the retrievals. Data collected before, during and after simulations used self-report and expert observers to assess: attitudinal expectations, mental readiness, mental effort, non-technical skills, teamwork, task workload and social validation perceptions. Results Attitudinal changes regarding feasibility of a joint scrub practitioner for DBD and DCD are displayed in the main body. There were no significant differences in mental readiness prior to simulations nor in mental effort indicated afterwards; however, variance was noted between simulations for individual team members. Non-technical skills were slightly lower in DCD than in DBD. Global ratings of teamwork were significantly (p Discussion The paper posits that the joint scrub practitioner role in DCD multiorgan retrieval may bring serious and unanticipated challenges. Further work to determine the feasibility of the NORS recommendation is required. Measures of team performance and individual psychological response can inform organ retrieval feasibility considerations nationally and internationally. |
| Databáze: | OpenAIRE |
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