Garden Alexander, Robinson Brian, Weller Jennifer, Wilson Leona, Crone Denholm
Department of Anaesthesia, Wellington Hospital.
N Z Med J. 2002 Mar 22;115(1150):133-4.
To describe and evaluate a simulation based course that emphasizes the role of teamwork in the management of both crises and errors.
The course allowed participants to experience and manage simulated crises. Emphasis was placed on important error management strategies such as communication, leadership and delegation of workload. A computerized mannequin that is physiologically and pharmacologically responsive was used to run life-like crisis scenarios. The scenarios were videotaped and reviewed during a debriefing discussion after each crisis. Scenarios were alternated with tutorials that addressed error management, communication and medico-legal issues. Participants evaluated the courses using 5-point Likert scales and free comments.
In 1999 and 2000, 172 participants (34% of New Zealand anaesthetists) attended one of these courses. Evaluation forms were received from 151 participants (88%). The global evaluations had median scores of 4 or 5 and all respondents would recommend the course to others. The responses from 50 participants indicated that the course should be repeated at least every two years.
New Zealand anaesthetists found this an acceptable and useful form of training. Teamwork is an effective strategy in crisis management and error reduction and is worthy of consideration within the broader context of medical education.
描述并评估一门基于模拟的课程，该课程强调团队合作在危机和差错管理中的作用。
该课程让参与者体验并管理模拟危机。重点在于重要的差错管理策略，如沟通、领导能力和工作量分配。使用一个在生理和药理方面有反应的计算机化人体模型来运行逼真的危机场景。这些场景被录像，并在每次危机后的总结讨论中进行回顾。场景与讲解差错管理、沟通和医学法律问题的教程交替进行。参与者使用5分制李克特量表和自由评论来评估课程。
在1999年和2000年，172名参与者（占新西兰麻醉师的34%）参加了其中一门课程。收到了151名参与者（88%）的评估表。总体评估的中位数分数为4分或5分，所有受访者都将向他人推荐该课程。50名参与者的反馈表明该课程至少应每两年重复一次。
新西兰麻醉师认为这是一种可接受且有用的培训形式。团队合作是危机管理和减少差错的有效策略，值得在更广泛的医学教育背景下加以考虑。
