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LSUHSC simulation or team training improves performance & patient safety
Date:11/1/2013

New Orleans, LA A study conducted by an inter-professional team of LSU Health Sciences Center New Orleans faculty found that simulation-based operating room team training of medical and nursing students resulted in more effective teamwork by improving attitudes, behaviors, interaction and overall performance leading to potential increased patient safety and better clinical outcomes. The study is published online November 1, 2013, in the Journal of the American College of Surgeons.

"Effective teamwork in the operating room is often undermined by the 'silo mentality' of the differing professions," says lead author John T. Paige, MD, Associate Professor of Clinical Surgery and Director of Applied Surgical Simulation at LSU Health Sciences Center New Orleans School of Medicine. "Such thinking is formed early in one's professional experience and is fostered by undergraduate medical and nursing curricula lacking inter-professional education."

Sixty-six students (18 undergraduate nursing students, 28 fourth-year medical students, and 20 nurse anesthesia students), divided into ten groups, trained over a one-month period at the Russell Klein Center for Advanced Practice at the LSU Health Sciences Center New Orleans School of Medicine. Each two-hour training session used two standardized, authentic scenarios. The first scenario involved a life-threatening intra-abdominal hemorrhage from a stab wound. The second scenario involved local anesthetic toxicity from a regional upper arm block. The scenarios utilized a software algorithm designed to respond to team actions and decisions. At least three faculty instructors facilitated each session. One operated the human patient simulator, and two served as debriefing facilitators. Trained observers rated student team-based behavior.

Each OR team had two medical students (surgeon and first assistant roles), two undergraduate nursing students (circulating and scrub nurse roles), and two nurse anesthes
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Contact: Leslie Capo
lcapo@lsuhsc.edu
504-568-4806
Louisiana State University Health Sciences Center
Source:Eurekalert

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