Crisis Resource Management in the Delivery Room: Development of Behavioral Markers for Team Performance in Emergency Simulation
| Autor: | Danilo Celleno, Gabriele De Tonetti, Marcello Passarelli, Fabrizio Bracco, Michele Masini, Francesca Geretto |
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| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Adult
Emergency Medical Services Process management Computer science Health Toxicology and Mutagenesis lcsh:Medicine Article 03 medical and health sciences 0302 clinical medicine Pregnancy Crisis Resource Management Emergency medical services High Fidelity Simulation Humans 030212 general & internal medicine Set (psychology) Patient Care Team 030219 obstetrics & reproductive medicine business.industry non-technical skills obstetric hemorrhage delivery room Debriefing Crew Resource Management Healthcare Delivery Rooms lcsh:R Public Health Environmental and Occupational Health Usability Obstetrics Scale (social sciences) Practice Guidelines as Topic Resource allocation Observational study Female Clinical Competence Uterine Hemorrhage business Team management |
| Zdroj: | International Journal of Environmental Research and Public Health; Volume 15; Issue 3; Pages: 439 International Journal of Environmental Research and Public Health International Journal of Environmental Research and Public Health, Vol 15, Iss 3, p 439 (2018) |
| ISSN: | 1660-4601 |
| DOI: | 10.3390/ijerph15030439 |
| Popis: | Human factors are the most relevant issues contributing to adverse events in obstetrics. Specific training of Crisis Resource Management (CRM) skills (i.e., problem solving and team management, resource allocation, awareness of environment, and dynamic decision-making) is now widespread and is often based on High Fidelity Simulation. In order to be used as a guideline in simulated scenarios, CRM skills need to be mapped to specific and observable behavioral markers. For this purpose, we developed a set of observable behaviors related to the main elements of CRM in the delivery room. The observational tool was then adopted in a two-days seminar on obstetric hemorrhage where teams working in obstetric wards of six Italian hospitals took part in simulations. The tool was used as a guide for the debriefing and as a peer-to-peer feedback. It was then rated for its usefulness in facilitating the reflection upon one’s own behavior, its ease of use, and its usefulness for the peer-to-peer feedback. The ratings were positive, with a median of 4 on a 5-point scale. The CRM observational tool has therefore been well-received and presents a promising level of inter-rater agreement. We believe the tool could have value in facilitating debriefing and in the peer-to-peer feedback. |
| Databáze: | OpenAIRE |
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