A relatively brief four-hour simulation-based curriculum improved clinical performance of multidisciplinary trauma teams, including a 16% reduction in mean overall ED resuscitation time¶

Claim · All claims
Evidence · 1 study · review r3 · q2
Currency · newest study 2014 · not yet checked against its sources · not reviewed by a person

Subclaims¶

q2 i? An uncontrolled before-and-after study found significant improvements in speed (reduction by 16% of mean overall ED resuscitation time, P < 0.05), completeness of resuscitation (76% increase in frequency of near-perfect task completion, P < 0.001), and CRM performance scores (T-NOTECHS 16.7 to 17.7, P < 0.05). → Boet Sylvain 2014

Evidence¶

Boet Sylvain 2014¶

Boet Sylvain, Bould M. Dylan, Fung Lillia, Qosa Haytham, Perrier Laure, Tavares Walter, Reeves Scott, Tricco Andrea C. (2014). Transfer of learning and patient outcome in simulated crisis resource management: a systematic review. Canadian Journal of Anaesthesia. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4028539/

q2 · i? · review · r3

Uncontrolled before-and-after study of 137 trauma team members (staff surgeons, ED physicians, residents, physician assistants, RNs, RTs, technicians) comparing clinical outcome pre and post team training during actual trauma resuscitations. Found "reduction by 16% of mean overall ED resuscitation time, P < 0.05" and a 76% increase in near-perfect task completion frequency (P < 0.001).

"Significant improvements in speed (reduction by 16% of mean overall ED resuscitation time, P < 0.05) and completeness of resuscitation (76% increase in the frequency of near-perfect task completion, P < 0.001)"

Discussion¶

Related Claims¶

• In one included study, simulation-based team training in a trauma bay was followed by a 16 percent reduction in total resuscitation time and faster completion of primary surveys. — possibly the same claim (merge candidate)
• Structured trauma resuscitation team training augmented by simulation improved teamwork domain ratings and reduced time to CT scanner, intubation, and operating room — related
• Evidence that NTS training improves clinical or process outcomes in EDs is limited but generally favourable in single-centre studies, including shorter resuscitation times and improved protocol adherence (low to very low certainty). — a broader claim this one bears on
• NTS training improves observable team behavioural performance in EDs, including more frequent closed-loop communication, clearer role allocation and prioritisation, improved situational awareness, and higher teamwork ratings (moderate certainty). — related