|
Project Title:
Crisis Resource Management Team Simulation Course
Funding Agency:
Jewish Healthcare Foundation
Total Project Period:Aug 01, 2004 - July 31, 2006
Principal Investigator:
Michael DeVita, MD
Project Summary:
There is now considerable data that trained medical professionals do not perform well in the crisis situation of cardiac arrest. This is because Advanced Cardiac Life Support is directed at teaching diagnosis and treatment of disease states and does not focus on the logistics of how to get the tasks accomplished. To accomplish tasks in a crisis situation requires crisis resource management. When multiple professionals respond to a crisis resource management becomes even more difficult because confusion, rather than assistance can be created as each team member attempts to independently perform the tasks in ACLS. Errors ensue.
Crisis resource management has been successful in teaching professionals in civil aviation, and has now been applied to the medical arena for crises occurring in the operating room (we have such a course at WISER). We have developed a course that has demonstrated that Crisis Team Training is an effective method to train teams of individuals to organize as a group to coordinate and achieve team goals. The basis of the success is an emphasis on organization and communication, two skills rarely taught in health professions schools.
To perform the team training, we used a computer driven human simulator, a didactic written by critical care professionals and viewable via the web, a shared spreadsheet for grading and analyzing performance, and a web-based video recorder. With these tools we can train 20 pupils at a time in our own center. In order to “scale up” to train responders throughout our region (let alone our own institution) we need to develop new tools.
In this project, we propose to develop tools to enable any site, anywhere to deliver a team training program. We will develop programming to run the simulations, an improved web based database for performance analysis (and enabling comparison to standard performance measures), and web video interface enabling the instructors to be either on- or off-site. The site will require a simulator (rented, loaned, or purchased), computers, inexpensive web cameras, and web access. Our program will be flexible in that courses can be run by the institution’s own instructors, or utilizing instructors off-site via web technology. We will demonstrate feasibility by conducting courses at two institutions using both on site and off site instructors.
The program is sustainable because our web approach enables a “turnkey” operation. Subscribers gain access to the web program capabilities. Subscriptions are advantageous to institutions because it obviates the need for each individual site to hire and train personnel and develop programming for running the simulator, recording performances and analyzing data. IN addition, as we improve programs, subscribers can access those improvements, without incurring large development costs.
|
|
