Faculty of Health Sciences, University of Stavanger, Stavanger, Norway.
Department of Research and Development, Norwegian Air Ambulance Foundation, Oslo, Norway.
Scand J Trauma Resusc Emerg Med. 2019 Jan 7;27(1):1. doi: 10.1186/s13049-018-0583-1.
Deficient non-technical skills (NTS) among providers of critical care in helicopter emergency medical services (HEMS) is a threat to patient and operational safety. Skills can be improved through simulation-based training and assessment. A previous study indicated that physicians underwent less frequent training compared to pilots and HEMS crew members (HCM) and that all professional groups in Norwegian HEMS received limited training in how to cope with fatigue. Since then, training initiatives and a fatigue risk management project has been initiated. Our study aimed to explore if the frequency of simulation-based training and assessment of NTS in Norwegian HEMS has changed since 2011 following these measures.
A cross-sectional web-based survey from October through December 2016, of physicians, HCM and pilots from all civilian Norwegian HEMS-bases reporting the overall extent of simulation-based training and assessment of NTS.
Of 214 invited, 109 responses were eligible for analysis. The frequency of simulation-based training and assessment of NTS has increased significantly for all professional groups in Norwegian HEMS, most prominently for the physicians. For all groups, the frequency of assessment is generally lower than the frequency of training.
Physicians in Norwegian HEMS seem to have adjusted to the NTS training culture of the other crew member groups. This might be a consequence of improved NTS training programs. The use of behavioural marker systems systematically in HEMS should be emphasized.
在直升机紧急医疗服务（HEMS）中，关键护理提供者的非技术技能（NTS）不足是对患者和运营安全的威胁。技能可以通过基于模拟的培训和评估来提高。先前的一项研究表明，与飞行员和 HEMS 机组人员（HCM）相比，医生接受的培训频率较低，并且挪威 HEMS 中的所有专业人员群体在如何应对疲劳方面接受的培训都很有限。此后，已经启动了培训计划和疲劳风险管理项目。我们的研究旨在探讨自 2011 年采取这些措施以来，挪威 HEMS 中 NTS 的基于模拟的培训和评估频率是否发生了变化。
2016 年 10 月至 12 月期间，通过网络进行了一项横断面调查，调查对象为报告了所有非技术技能的整体基于模拟的培训和评估程度的来自挪威所有民用 HEMS 基地的医生、HCM 和飞行员。
在 214 名受邀者中，有 109 名符合条件进行分析。挪威 HEMS 中所有专业群体的基于模拟的 NTS 培训和评估的频率都显着增加，医生的频率增加最为明显。对于所有群体，评估的频率通常低于培训的频率。
挪威 HEMS 中的医生似乎已经适应了其他机组人员群体的 NTS 培训文化。这可能是 NTS 培训计划改进的结果。应强调在 HEMS 中系统地使用行为标记系统。
