[Simulator-based modular human factor training in anesthesiology. Concept and results of the module "Communication and Team Cooperation"].
BACKGROUND
Human factors (HF) play a major role in crisis development and management and simulator training can help to train HF aspects. We developed a modular training concept with psychological intensive briefing. The aim of the study was to see whether learning and transfer in the treatment group (TG) with the module "communication and team-cooperation" differed from that in the control group (CG) without psychological briefing ("anaesthesia crisis resource management type course").


METHODS
A total of 34 residents (TG: n=20, CG: n=14) managed 1 out of 3 scenarios and communication patterns and management were evaluated using video recordings. A questionnaire was answered at the end of the course and 2 months later participants were asked for lessons learnt and behavioral changes.


RESULTS
Good communication and medical management showed a significant correlation (r=0.57, p=0.001). The TG showed greater initiative ( p=0.001) and came more often in conflict with the surgeon ( p=0.06). The TG also reported more behavioral changes than the CG 2 months later. The reported benefit of the simulation was training for rare events in the CG, whereas in the TG it was issues of communication and cooperation ( p=0.001).


CONCLUSIONS
A training concept with psychological intensive briefing may enhance the transfer of HF aspects more than classical ACRM.
St Pierre
M
M
Klinik für Anästhesiologie, Friedrich-Alexander-Universität, Erlangen. michael.st.pierre@kfa.imed.uni-erlangen.de
Hofinger
G
G
Buerschaper
C
C
Grapengeter
M
M
Harms
H
H
Breuer
G
G
Schüttler
J
J
D000758:Anesthesia; D000776:Anesthesiology / Q000193:education*; D003142:Communication; D003220:Conflict, Psychological; D006801:Humans; D007396:Internship and Residency; D007400:Interprofessional Relations; D016544:Patient Simulation; D011795:Surveys and Questionnaires; D014743:Videotape Recording