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In Intensive Care Medicine, critical incidents are not rare and may result in fatal outcome. High fidelity patient simulators are commonly used in training curricula for healthcare professionals especially in anesthesiology, emergency medicine, and intensive care medicine. Several different course concepts have previously been published. As we know from recently published data, up to 80% of all critical incidents in the field of medicine are caused by human error. The authors of the present study aimed to investigate the effects of two different course concepts (one addressing technical skills in intensive care medicine and on addressing non-technical skills) on stress and performance. Stress and performance are measured in a pre-intervention and a post-intervention testing scenario.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Active Comparator | Classic one-day simulator training for intensivists. |
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| 2 | Experimental | Crew resource management training |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Medical simulator training | Other | Contains seminars on airway management, general anesthesia, peri-arrest arrhythmias, and advanced life support. Furthermore, participants train in simulator scenarios. In the debriefing instructors discuss management of the critical incidents using videotapes of the scenarios. |
| Measure | Description | Time Frame |
|---|---|---|
| Performance in simulated emergencies (medical performance and non-technical skills) |
| Measure | Description | Time Frame |
|---|---|---|
| Stress in simulated emergencies (measured by salivary amylase and cortisol levels) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Michael P Mueller, MD | Director of Simulation Centre, Dept. of Anesthesiology, University Hospital Dresden | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Interdisciplinary Medical Simulation Centre, University Hospital Dresden | Dresden | 01307 | Germany |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 17241735 | Background | Muller MP, Hansel M, Stehr SN, Fichtner A, Weber S, Hardt F, Bergmann B, Koch T. Six steps from head to hand: a simulator based transfer oriented psychological training to improve patient safety. Resuscitation. 2007 Apr;73(1):137-43. doi: 10.1016/j.resuscitation.2006.08.011. Epub 2007 Jan 22. |
| Label | URL |
|---|---|
| Website of Interdisciplinary Medical Simulation Centre | View source |
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| Simulator based crew resource management course | Other | Contains seminars on human error and non-technical skills. Furthermore, participants train in simulator scenarios. In the debriefing instructors discuss usage of non-technical skills as well as behaviour of the participants using videotapes of the scenarios. |
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