Beth Israel Deaconess Medical Center Division of Bariatric and Minimally Invasive Surgery, United States.
Carl J. Shapiro Institute for Research and Education, Beth Israel Deaconess Medical Center, United States; Beth Israel Deaconess Medical Center Department of Medicine, United States.
Am J Surg. 2021 Dec;222(6):1146-1153. doi: 10.1016/j.amjsurg.2021.01.044. Epub 2021 Feb 6.
This study sought to determine the long-term impact of multidisciplinary simulated operating room (OR) team training.
Two-wave survey study (immediate post-training survey 2010-2017, follow-up 2018). Differences across time, specialty, and experience with adverse events were assessed using chi-square and t -tests.
Immediately after training, more than 90% of respondents found simulation scenarios realistic and reported team training would provide safer patient care. However, follow-up participants reported less enthusiasm toward training, with 58% stating they would like to take similar training again. A majority of participants (77%) experienced adverse events after training; those reporting adverse events reported more positive long-term evaluations.
Simulated OR team training is initially highly valued by participants and is perceived as contributing to patient safety. Diminution of participant enthusiasm over time suggests that repeat training requirements be reconsidered, and less costly, alternative methods (such as asynchronous learning or virtual reality) should be explored.
本研究旨在确定多学科模拟手术室（OR）团队培训的长期影响。
采用两波调查研究（2010-2017 年即时培训后调查，2018 年随访）。使用卡方检验和 t 检验评估不同时间、专业和不良事件经验的差异。
培训后立即，超过 90%的受访者认为模拟场景逼真，并报告团队培训将提供更安全的患者护理。然而，随访参与者对培训的积极性较低，58%的人表示他们希望再次接受类似的培训。大多数参与者（77%）在培训后经历了不良事件；报告不良事件的人对长期评估更为积极。
模拟 OR 团队培训最初受到参与者的高度重视，并被认为有助于患者安全。随着时间的推移，参与者积极性的降低表明应重新考虑重复培训的要求，并探索成本更低的替代方法（如异步学习或虚拟现实）。
