Transfer of learning and patient outcome in simulated crisis resource management : a systematic review
| Autor: | Lillia Fung, Scott Reeves, Sylvain Boet, Walter Tavares, Andrea C. Tricco, M. Dylan Bould, Haytham Qosa, Laure Perrier |
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| Jazyk: | angličtina |
| Předmět: |
Knowledge management
Transfer Psychology Review Article/Brief Review Health Personnel education MEDLINE Outcome (game theory) Crisis resource management Medicine Humans In patient Computer Simulation Patient Care Team ComputingMilieux_THECOMPUTINGPROFESSION Health professionals business.industry Communication Health services research health General Medicine Patient Outcome Assessment Anesthesiology and Pain Medicine Anesthesia Clinical Competence Clinical competence business Transfer of learning |
| Zdroj: | Canadian Journal of Anaesthesia |
| ISSN: | 0832-610X |
| Popis: | Purpose Simulation-based learning is increasingly used by healthcare professionals as a safe method to learn and practice non-technical skills, such as communication and leadership, required for effective crisis resource management (CRM). This systematic review was conducted to gain a better understanding of the impact of simulation-based CRM teaching on transfer of learning to the workplace and subsequent changes in patient outcomes. Source Studies on CRM, crisis management, crew resource management, teamwork, and simulation published up to September 2012 were searched in MEDLINE®, EMBASE™, CINAHL, Cochrane Central Register of Controlled Trials, and ERIC. All studies that used simulation-based CRM teaching with outcomes measured at Kirkpatrick Level 3 (transfer of learning to the workplace) or 4 (patient outcome) were included. Studies measuring only learners’ reactions or simple learning (Kirkpatrick Level 1 or 2, respectively) were excluded. Two authors independently reviewed all identified titles and abstracts for eligibility. Principal findings Nine articles were identified as meeting the inclusion criteria. Four studies measured transfer of simulation-based CRM learning into the clinical setting (Kirkpatrick Level 3). In three of these studies, simulation-enhanced CRM training was found significantly more effective than no intervention or didactic teaching. Five studies measured patient outcomes (Kirkpatrick Level 4). Only one of these studies found that simulation-based CRM training made a clearly significant impact on patient mortality. Conclusions Based on a small number of studies, this systematic review found that CRM skills learned at the simulation centre are transferred to clinical settings, and the acquired CRM skills may translate to improved patient outcomes, including a decrease in mortality. Electronic supplementary material The online version of this article (doi:10.1007/s12630-014-0143-8) contains supplementary material, which is available to authorized users. |
| Databáze: | OpenAIRE |
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