From the Department of Surgery, Cedars-Sinai Medical Center, Los Angeles.
Department of Urology, University of California San Diego, La Jolla, California.
J Patient Saf. 2022 Sep 1;18(6):570-577. doi: 10.1097/PTS.0000000000001056. Epub 2022 Jul 7.
There is ongoing interest in the development of technical and nontechnical skills in healthcare to improve safety and efficiency; however, barriers to developing and delivering related training programs make them difficult to implement. Unique approaches to training such as "serious games" may offer ways to motivate teams, reinforce skill acquisition, and promote teamwork. Given increased challenges to teamwork in robotic-assisted surgery (RAS), researchers aimed to develop the "RAS Olympics," a game-based educational competition to improve skills needed to successfully perform RAS.
This pilot study was conducted at an academic medical center in Southern California. Robotic-assisted surgery staff were invited to participate in the "RAS Olympics" to develop their skills and identify opportunities to improve processes. Impact of the activity was assessed using surveys and debriefs.
Sixteen operating room team members participated and reacted favorably toward the RAS-Olympics (average score, 4.5/5). They enjoyed the activity, would recommend all staff participate, felt that it was relevant to their work, and believed that they practiced and learned new techniques that would improve their practice. Confidence in skills remained unchanged. Participants preferred the RAS Olympics to traditional training because it provided an interactive learning environment.
The successful implementation of the RAS Olympics provided insight into new opportunities to engage surgical staff members while also training technical and nontechnical skills. Furthermore, this shared experience allowed surgical staff members to gain a greater appreciation for their teammates and an understanding of the current challenges and methods to improve teamwork and communication while promoting safety and efficiency in RAS.
人们对医疗保健领域技术和非技术技能的发展持续关注,以提高安全性和效率;然而,开发和提供相关培训计划的障碍使得这些计划难以实施。独特的培训方法,如“严肃游戏”,可能为激励团队、加强技能获取和促进团队合作提供途径。鉴于机器人辅助手术(RAS)对团队合作的挑战增加,研究人员旨在开发“RAS 奥林匹克”,这是一种基于游戏的教育竞赛,旨在提高成功进行 RAS 所需的技能。
这项试点研究在加利福尼亚州南部的一所学术医疗中心进行。邀请机器人辅助手术人员参加“RAS 奥林匹克”,以发展他们的技能并确定改进流程的机会。使用调查和汇报来评估活动的影响。
16 名手术室团队成员参与了活动,并对 RAS 奥林匹克活动表示满意(平均得分为 4.5/5)。他们喜欢这个活动,会推荐所有员工参加,认为它与他们的工作相关,并认为他们练习并学习了新的技术,可以提高他们的实践水平。技能的信心没有变化。参与者更喜欢 RAS 奥林匹克,而不是传统培训,因为它提供了一个互动的学习环境。
RAS 奥林匹克的成功实施为参与外科工作人员提供了新的机会,同时也培训了技术和非技术技能。此外,这种共同的体验使外科工作人员更加欣赏他们的队友,并了解当前的挑战以及改进团队合作和沟通的方法,同时在 RAS 中促进安全和效率。