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Patient Safety and Surgical Education

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Advancing Surgical Education

Part of the book series: Innovation and Change in Professional Education ((ICPE,volume 17))

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Overview

In recent times, simulation has played an increasingly prominent role in the acquisition of surgical skills. The association of patient safety with a surgeon’s optimal technical operative skills is self-evident. However an educational experience in a simulation setting adds more than just skills training to enhance patient safety. Simulation is also valuable for developing the essential non-technical skills required working as part of a multidisciplinary team. Leadership skills, situation awareness and decision-making are all enhanced by simulation, particularly when uncommon, life-threatening events are replicated. Simulation allows the testing of both processes and protocols that leads to a system change. It also allows the duplication of situations from previous clinical events requiring further investigation. A more comprehensive understanding of the events and processes leading to adverse events allows training and redesign for future prevention. Measuring the effects of simulation-based interventions to improve safety can be challenging. Nevertheless, there is a growing evidence base of improved patient outcomes related to this.

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References

  1. Kohn, L. T., Corrigan, J. M., & Donaldson, M. S. (1999). To err is human: Building a safer health care system. Washington, DC: National Academy Press.

    Google Scholar 

  2. Reason, J. T. (2000). Human error: Models and management. BMJ, 320, 768–770.

    Article  Google Scholar 

  3. Haynes, A. B., Weiser, T. G., Berry, W. R., et al. (2009). A surgical safety checklist to reduce morbidity and mortality in a global population. The New England Journal of Medicine, 360, 491–499.

    Article  Google Scholar 

  4. Treadwell, J. R., Lucas, S., & Tsou, A. Y. (2014). Surgical checklists: A systematic review of impacts and implementation. BMJ Quality and Safety, 23, 299–318.

    Article  Google Scholar 

  5. Goldhaber-Fiebert, S. N., & Howard, S. K. (2013). Implementing emergency manuals: Can cognitive aids help translate best practices for patient care during acute events? Anesthesia and Analgesia, 117, 1149–1161.

    Article  Google Scholar 

  6. Marshall, S. D. (2017). Helping experts and expert teams perform under duress: An agenda for cognitive aid research. Anaesthesia, 73, 289–295.

    Article  Google Scholar 

  7. Keane, M., & Marshall, S. D. (2010). Implementation of the WHO surgical safety checklist: Implications for anaesthetists. Anaesthesia and Intensive Care, 38, 397–398.

    Google Scholar 

  8. Nataraja, R. M., Webb, N., & Lopez, P. J. (2018). Simulation in paediatric urology and surgery, part 2: An overview of simulation modalities and their applications. Journal of Pediatric Urology, 14, 125–131.

    Article  Google Scholar 

  9. Ljuhar, D., Alexander, S., Martin, S., & Nataraja, R. M. (2018). The laparoscopic inguinal and diaphragmatic defect (LIDD) model: A validation study of a novel box trainer model. Surgical Endoscopy, 32, 4813–4819.

    Article  Google Scholar 

  10. Fonseca, A. L., Evans, L. V., & Gusberg, R. J. (2013). Open surgical simulation in residency training: A review of its status and a case for its incorporation. Journal of Surgical Education, 70, 129–137.

    Article  Google Scholar 

  11. Hamdorf, J. M., & Hall, J. C. (2000). Acquiring surgical skills. British Journal of Surgery, 87, 28–37.

    Article  Google Scholar 

  12. Hennessey, I. A. M., & Hewett, P. (2013). Construct, concurrent, and content validity of the eoSim laparoscopic simulator. Journal of Laparoendoscopic & Advanced Surgical Techniques Part A, 23, 855–860.

    Article  Google Scholar 

  13. Marshall, S. D., & McKarney, L. (2015). Section 1: A focused review of simulation to improve patient outcomes. In Simulation, patient outcomes and mental health review (pp. 1–9). Melbourne: Victorian State Government, Department of Health and Human Services.

    Google Scholar 

  14. Aggarwal, R., & Darzi, A. (2006). Technical-skills training in the 21st century. The New England Journal of Medicine, 355, 2695–2696.

    Article  Google Scholar 

  15. Nagendran, M., Toon, C. D., Davidson, B. R., & Gurusamy, K. S. (2014). Laparoscopic surgical box model training for surgical trainees with no prior laparoscopic experience. The Cochrane Library (pp. 1–75). Chichester: Wiley.

    Google Scholar 

  16. Okrainec, A., Soper, N. J., Swanstrom, L. L., & Fried, G. M. (2011). Trends and results of the first 5 years of Fundamentals of Laparoscopic Surgery (FLS) certification testing. Surgical Endoscopy, 25, 1192–1198.

    Article  Google Scholar 

  17. Flin, R., O’Conner, P., & Crichton, M. (2008). Safety at the sharp end. Aldershot: Ashgate.

    Google Scholar 

  18. Manser, T., Harrison, T. K., Gaba, D. M., & Howard, S. K. (2009). Coordination patterns related to high clinical performance in a simulated anesthetic crisis. Anesthesia and Analgesia, 108, 1606–1615.

    Article  Google Scholar 

  19. Cadogan, M. P., Franzi, C., Osterweil, D., & Hill, T. (1999). Barriers to effective communication in skilled nursing facilities: Differences in perception between nurses and physicians. Journal of the American Geriatrics Society, 47, 71–75.

    Article  Google Scholar 

  20. Fischer, U., McDonnell, L., & Orasanu, J. (2007). Linguistic correlates of team performance: Toward a tool for monitoring team functioning during space missions. Aviation, Space, and Environmental Medicine, 78, B86–B95.

    Google Scholar 

  21. Entin, E. E., & Serfaty, D. (1999). Adaptive team coordination. Human Factors, 41, 312–325.

    Article  Google Scholar 

  22. Hall, P. (2005). Interprofessional teamwork: Professional cultures as barriers. Journal of Interprofessional Care, 19, 188–196.

    Article  Google Scholar 

  23. Dickinson, T. L., & RM, M. I. (1997). A conceptual framework for teamwork measurement. In M. T. Brannick, E. Salas, & C. Prince (Eds.), Team performance assessment and measurement (pp. 19–43). Mahwah: Lawrence Erlbaum Associates.

    Google Scholar 

  24. Cohen, S. G., & Bailey, D. E. (1997). What makes teams work: Group effectiveness research from the shop floor to the executive suite. Journal of Management, 23, 239–290.

    Article  Google Scholar 

  25. Salas, E., Sims, D. E., & Burke, C. S. (2005). Is there “big five” in teamwork? Small Group Research, 36, 555–599.

    Article  Google Scholar 

  26. Kuhlmann, S., Piel, M., & Wolf, O. T. (2005). Impaired memory retrieval after psychosocial stress in healthy young men. Journal of Neuroscience, 25, 2977–2982.

    Article  Google Scholar 

  27. deLeval, M. R., Carthey, J., Wright, D. J., Farewell, V. T., & Reason, J. T. (2000). Human factors and cardiac surgery: A multicenter study. Journal of Thoracic and Cardiovascular Surgery, 119, 661–672.

    Article  Google Scholar 

  28. Endsley, M. R. (1995). Measurement of situation awareness in dynamic systems. Human Factors, 37, 65–84.

    Article  Google Scholar 

  29. Fioratou, E., Flin, R., & Glavin, R. (2010). No simple fix for fixation errors: Cognitive processes and their clinical applications. Anaesthesia, 65, 61–69.

    Article  Google Scholar 

  30. Cox, T. (1987). Stress, coping and problem solving. Work and Stress, 1, 5–14.

    Article  Google Scholar 

  31. Serfaty, D., Entin, E. E., & Volpe, C. E. (1993). Adaptation to stress in team decision-making and coordination. Human Factors and Ergnomics Society 37th annual meeting (pp. 1228–1232). Santa Monica: Human Factors and Ergonomics Society.

    Google Scholar 

  32. Greenberg, C. C., Regenbogen, S. E., Studdert, D. M., et al. (2007). Patterns of communication breakdowns resulting in injury to surgical patients. Journal of the American College of Surgeons, 204, 533–540.

    Article  Google Scholar 

  33. Mishra, A., Catchpole, K., Dale, T., & McCilloch, P. (2008). The influence of non-technical performance on technical outcome in laparoscopic cholecystectomy. Surgical Endoscopy, 22, 68–73.

    Article  Google Scholar 

  34. Andreatta, P. (2009). A typology for healthcare teams. SimTect Health. Melbourne: SIAA.

    Google Scholar 

  35. Crosskerry, P., Singhal, G., & Mamede, S. (2013). Cognitive debiasing 2: Impediments to and strategies for change. BMJ Quality and Safety, 22, ii65–ii72.

    Article  Google Scholar 

  36. Klein, G. (1999). Sources of power: How people make decisions. Cambridge, MA: MIT Press.

    Google Scholar 

  37. Tversky, A., & Kahneman, D. (1974). Judgement under uncertainty: Heuristics and biases. Science, 185, 1124–1130.

    Article  Google Scholar 

  38. Lingard, L., Espin, S., Whyte, S., et al. (2004). Communication failures in the operating room: An observational classification of recurrent types and effects. Quality and Safety in Health Care, 13, 330–334.

    Article  Google Scholar 

  39. Yule, S., Flin, R., Paterson-Brown, S., Maran, N., & Rowley, D. (2006). Development of a rating system for surgeons’ non-technical skills. Medical Education, 40, 1098–1104.

    Article  Google Scholar 

  40. Undre, S., Healey, A. N., Darzi, A., & Vincent, C. A. (2006). Observational assessment of surgical teamwork: A feasibility study. World Journal of Surgery, 30, 1774–1783.

    Article  Google Scholar 

  41. Marshall, S. D., & Flanagan, B. (2010). Simulation-based education for building clinical teams. Journal of Emergencies, Trauma and Shock, 3, 360–368.

    Article  Google Scholar 

  42. Weller, J., Nestel, D., Marshall, S. D., Brooks, P. M., & Conn, J. J. (2012). Simulation in clinical teaching and learning. MJA, 196, 594.

    Google Scholar 

  43. Schmutz, J., & Manser, T. (2013). Do team processes really have an effect on clinical performance? A systematic literature review. British Journal of Anaesthesia, 110, 529–544.

    Article  Google Scholar 

  44. Salas, E., DiazGranados, D., Klein, C., Shawn-Burke, C., Stagl, K. C., & Goodwin, G. F. (2008). Does team training improve team performance? A meta-analysis. Human Factors, 50, 903–933.

    Article  Google Scholar 

  45. Gaba, D. M., Howard, S. K., Fish, K. J., Smith, B. E., & Sowb, Y. A. (2001). Simulation-based training in anesthesia crisis resource management (ACRM): A decade of experience. Simulation and Gaming, 32, 175–193.

    Article  Google Scholar 

  46. Auguste, T. C., Boswick, J. A., Loyd, M. K., & Battista, A. (2011). The simulation of an ex utero intrapartum procedure to extracorporeal membrane oxygenation. Journal of Pediatric Surgery, 46, 395–398.

    Article  Google Scholar 

  47. Draycott, T., Sibanda, T., Owen, L., Akande, V., Winter, C., & Reading, S. (2006). Does training in obstetric emergencies improve neonatal outcome? BJOG: An International Journal of Obstetrics and Gynaecology, 113, 177–182.

    Article  Google Scholar 

  48. McGaghie, W. C., Draycott, T. J., Dunn, W. F., Lopez, C. M., & Stefanidis, D. (2011). Evaluating the impact of simulation on translational patient outcomes. Simulation in Healthcare, 6(supp), S42–S47.

    Article  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Anaesthesia and Perioperative Medicine, Central Clinical School, Monash University, Melbourne, VIC, Australia

    S. D. Marshall

  2. Department of Medical Education, University of Melbourne, Melbourne, VIC, Australia

    S. D. Marshall

  3. Australian Centre for Health Innovation, Alfred Health, Melbourne, VIC, Australia

    S. D. Marshall

  4. Department of Paediatric Surgery, Monash Children’s Hospital, Melbourne, VIC, Australia

    R. M. Nataraja

  5. Department of Paediatrics, School of Clinical Sciences, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, VIC, Australia

    R. M. Nataraja

Authors
  1. S. D. Marshall
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Editor information

Editors and Affiliations

  1. Faculty of Medicine, Nursing & Health Sciences, Monash Institute for Health and Clinical Education, Monash University, Clayton, VIC, Australia, Faculty of Medicine Dentistry & Health Sciences, Department of Surgery, Melbourne Medical School, University of Melbourne, Parkville, Australia

    Debra Nestel

  2. Faculty of Medicine, Imperial College London, London, UK

    Kirsten Dalrymple

  3. Department of Surgery, Louisiana State University School of Medicine, New Orleans, LA, USA

    John T. Paige

  4. Department of Surgery, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USA, Jefferson Strategic Ventures, Jefferson Health, Philadelphia, PA, USA

    Rajesh Aggarwal

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© 2019 Springer Nature Singapore Pte Ltd.

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Marshall, S.D., Nataraja, R.M. (2019). Patient Safety and Surgical Education. In: Nestel, D., Dalrymple, K., Paige, J., Aggarwal, R. (eds) Advancing Surgical Education. Innovation and Change in Professional Education, vol 17. Springer, Singapore. https://doi.org/10.1007/978-981-13-3128-2_29

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  • DOI: https://doi.org/10.1007/978-981-13-3128-2_29

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-13-3127-5

  • Online ISBN: 978-981-13-3128-2

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