Significance of debriefing methods in simulation-based sedation training courses for medical safety improvement in Japan.
Based on the American Society of Anesthesiologists' Practice Guidelines for Sedation and Analgesia by Non-Anesthesiologists (ASA-SED), a sedation training course aimed at improving medical safety was developed by the Japanese Association for Medical Simulation in 2011. This study evaluated the effect of debriefing on participants' perceptions of the essential points of the ASA-SED. A total of 38 novice doctors participated in the sedation training course during the research period. Of these doctors, 18 participated in the debriefing group, and 20 participated in non-debriefing group. Scoring of participants' guideline perceptions was conducted using an evaluation sheet (nine items, 16 points) created based on the ASA-SED. The debriefing group showed a greater perception of the ASA-SED, as reflected in the significantly higher scores on the evaluation sheet (median, 16 points) than the control group (median, 13 points; p < 0.05). No significant differences were identified before or during sedation, but the difference after sedation was significant (p < 0.05). Debriefing after sedation training courses may contribute to better perception of the ASA-SED, and may lead to enhanced attitudes toward medical safety during sedation and analgesia.
Department of Anesthesiology, Osaka Medical College, Daigaku-machi 2-7, Takatsukishi City, Osaka, 569-8686 Japan.
Nobuyasu
N
Komasawa
Department of Dental Anesthesiology, Nagasaki University, Sakamoto 1-7-1, Nagasaki City, Nagasaki, 852-8588 Japan.
Takuro
T
Sanuki
Department of Anesthesiology, Osaka Medical College, Daigaku-machi 2-7, Takatsukishi City, Osaka, 569-8686 Japan.
Shunsuke
S
Fujiwara
Department of Anesthesiology, Wakayama Red Cross Hospital, Komatsubara 4-20, Wakayama City, Wakayama, 640-8558 Japan.
Masanori
M
Haba
Department of Anesthesiology, Hyogo College of Medicine, Mukogawa-cho, Nisinomiya City, Hyogo, 663-8501 Japan.
Ryusuke
R
Ueki
Division of Anesthesiology, Social Insurance Kinan Hospital, Shinjo-cho, Tanabe City, Wakayama, Japan.
Yoshiroh
Y
Kaminoh
Department of Anesthesiology, Osaka Medical College, Daigaku-machi 2-7, Takatsukishi City, Osaka, 569-8686 Japan.
Toshiaki
T
Minami
Debriefing; Medical safety; Sedation and analgesia; Simulation training