Application of TeamSTEPPS combined with debriefing in simulation teaching of anesthesia crisis management

doi:10.3760/cma.j.cn115259-20230210-00119

Abstract

Abstract: Objective To evaluate the application of team strategies and tools to enhance performance and patient safety(TeamSTEPPS) combined with debriefing in simulation teaching of anesthesia crisis management. Methods Forty residents in the department of anesthesiology from the First Affiliated Hospital of University of Science and Technology of China were randomly divided into experimental group and control group using a random number table. TeamSTEPPS training combined with debriefing for simulation teaching were adopted for the 20 residents in the experimental group, while regular simulation teaching were adopted for the 20 residents in the control group. The performance of residents of the two groups in anesthesia crisis management was scored after the teaching. Then TeamSTEPPS teamwork perception questionnaire(T-TPQ) and TeamSTEPPS teamwork attitudes questionnaire(T-TAQ) were used to rate their perceptions and attitudes towards teamwork of residents, and a teaching satisfaction survey was conducted. Wilcoxon rank sum test,student t test and Fisher's exact probability method were performed to analysis relevant data. Results In the experimental group, the total scores of the residents in the evaluation of anesthesia crisis management simulation teaching were higher than those of the control group[(80.80±4.79) points vs. (72.65±5.54) points], and the difference was statistically significant(t=-4.98,P＜0.001). The T-TPQ scores and T-TAQ scores of residents in the experimental group [162.00(9.50),138.00(15.00)] were higher than those in the control group [150.00(20.25), 125.50 (19.75)], and the differences were statistically significant(all P＜0.05). In the experimental group, the number of residents who are satisfied with teamwork and interest in learning (19 and 20 persons) were higher than those in control group (13 and 15 persons), and the difference were statistically significant (all P＜0.05). Conclusions TeamSTEPPS combined with debriefing can improve the teamwork and learning interest of residents during simulation teaching and therefore enhance the teaching effect of anesthesia crisis management.

Key words: Anesthesiology, Strategies, Debriefing, Crisis interventions, Stimulation education

CLC Number:

Zhu Bingqing, Han Mingming, Wang Song, Kang Fang. Application of TeamSTEPPS combined with debriefing in simulation teaching of anesthesia crisis management[J]. Chinese Journal of Medical Education, 2024, 44(1): 28-32.

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