Download PDF
CC BY 4.0 · Surg J (N Y) 2018; 04(03): e136-e151
DOI: 10.1055/s-0038-1667315
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

The Role of High-Fidelity Team-Based Simulation in Acute Care Settings: A Systematic Review

Sarah Armenia
1   Division of General Surgery, Department of Surgery, Rutgers University, New Jersey Medical School, Newark, New Jersey
,
Loka Thangamathesvaran
1   Division of General Surgery, Department of Surgery, Rutgers University, New Jersey Medical School, Newark, New Jersey
,
Akia D. Caine
1   Division of General Surgery, Department of Surgery, Rutgers University, New Jersey Medical School, Newark, New Jersey
,
Neil King
1   Division of General Surgery, Department of Surgery, Rutgers University, New Jersey Medical School, Newark, New Jersey
,
Anastasia Kunac
2   Division of Trauma and Surgical Critical Care, Department of Surgery, Rutgers University, New Jersey Medical School, Newark, New Jersey
,
Aziz M. Merchant
1   Division of General Surgery, Department of Surgery, Rutgers University, New Jersey Medical School, Newark, New Jersey
› Author Affiliations
Further Information

Publication History

09 January 2018

29 June 2018

Publication Date:
13 August 2018 (online)

   Permissions and Reprints

Abstract

Introduction High-fidelity team-based simulation has been identified as an effective way of teaching and evaluating both technical and nontechnical skills. Several studies have described the benefits of this modality in a variety of acute care settings, but a lack of standardized methodologies has resulted in heterogeneous findings. Few studies have characterized high fidelity simulation across a broad range of acute care settings and integrated the latest evidence on its educational and patient impact.

Methods The MEDLINE, EMBASE, Cochrane Library, and PsycINFO databases were searched for empirical studies from the last 10 years, investigating high fidelity team-based simulation in surgical, trauma, and critical care training curricula.

Results Seventeen studies were included. Interventions and evaluations were comprehensively characterized for each study and were discussed in the context of four overarching acute care settings: the emergency department/trauma bay, the operating room, the intensive care unit, and inpatient ad hoc resuscitation teams.

Conclusions The use of high-fidelity team-based simulation has expanded in acute care and is feasible and effective in a wide variety of specialized acute settings, including the emergency department/trauma bay, the operating room, the intensive care unit, and inpatient ad hoc resuscitation teams. Training programs have evolved to emphasize team-based, multidisciplinary education models and are often conducted in situ to maximize authenticity. In situ simulations have also provided the opportunity for system-level improvement and discussions of complex topics such as social hierarchy. There is limited evidence supporting the impact of simulation on patient outcomes, sustainability of simulation efforts, or cost-effectiveness of training programs. These areas warrant further research now that the scope of utilization across acute care settings has been characterized.

Keywords

teaching - simulation training - team training - high fidelity simulation training - education - simulation-based medical education
 

  • References

  • 1 Weaver SJ, Dy SM, Rosen MA. Team-training in healthcare: a narrative synthesis of the literature. BMJ Qual Saf 2014; 23 (05) 359-372
    CrossrefPubMedGoogle Scholar
  • 2 Georgiou A, Lockey DJ. The performance and assessment of hospital trauma teams. Scand J Trauma Resusc Emerg Med 2010; 18: 66
    CrossrefPubMedGoogle Scholar
  • 3 Gjeraa K, Møller TP, Østergaard D. Efficacy of simulation-based trauma team training of non-technical skills. A systematic review. Acta Anaesthesiol Scand 2014; 58 (07) 775-787
    CrossrefPubMedGoogle Scholar
  • 4 Lewis R, Strachan A, Smith MM. Is high fidelity simulation the most effective method for the development of non-technical skills in nursing? A review of the current evidence. Open Nurs J 2012; 6: 82-89
    CrossrefPubMedGoogle Scholar
  • 5 Boling B, Hardin-Pierce M. The effect of high-fidelity simulation on knowledge and confidence in critical care training: an integrative review. Nurse Educ Pract 2016; 16 (01) 287-293
    CrossrefPubMedGoogle Scholar
  • 6 Doolen J, Mariani B, Atz T. , et al. High-fidelity simulation in undergraduate nursing education: a review of simulation reviews. Clin Simul Nurs 2016; 12: 290-302
    CrossrefPubMedGoogle Scholar
  • 7 Al-Ghareeb AZ, Cooper SJ. Barriers and enablers to the use of high-fidelity patient simulation manikins in nurse education: an integrative review. Nurse Educ Today 2016; 36: 281-286
    CrossrefPubMedGoogle Scholar
  • 8 Cant RP, Cooper SJ. Simulation-based learning in nurse education: systematic review. J Adv Nurs 2010; 66 (01) 3-15
    CrossrefPubMedGoogle Scholar
  • 9 Tan SB, Pena G, Altree M, Maddern GJ. Multidisciplinary team simulation for the operating theatre: a review of the literature. ANZ J Surg 2014; 84 (7-8): 515-522
    CrossrefPubMedGoogle Scholar
  • 10 Warren JN, Luctkar-Flude M, Godfrey C, Lukewich J. A systematic review of the effectiveness of simulation-based education on satisfaction and learning outcomes in nurse practitioner programs. Nurse Educ Today 2016; 46: 99-108
    CrossrefPubMedGoogle Scholar
  • 11 CASP Critical Appraisal Skills Programme. 2014. Available at: http://www.phru.nhs.uk/Pages/PHD/CASP.htm . Accessed March 11, 2018
    PubMed
  • 12 McHugh ML. Interrater reliability: the kappa statistic. Biochem Med (Zagreb) 2012; 22 (03) 276-282
    CrossrefPubMedGoogle Scholar
  • 13 Kirkpatrick D. Evaluating Training Programs: The Four Levels. San Francisco: Berrett-Koehler; 2014
    Google Scholar
  • 14 Briggs A, Raja AS, Joyce MF. , et al. The role of nontechnical skills in simulated trauma resuscitation. J Surg Educ 2015; 72 (04) 732-739
    CrossrefPubMedGoogle Scholar
  • 15 Capella J, Smith S, Philp A. , et al. Teamwork training improves the clinical care of trauma patients. J Surg Educ 2010; 67 (06) 439-443
    CrossrefPubMedGoogle Scholar
  • 16 Falcone Jr RA, Daugherty M, Schweer L, Patterson M, Brown RL, Garcia VF. Multidisciplinary pediatric trauma team training using high-fidelity trauma simulation. J Pediatr Surg 2008; 43 (06) 1065-1071
    CrossrefPubMedGoogle Scholar
  • 17 Miller D, Crandall C, Washington III C, McLaughlin S. Improving teamwork and communication in trauma care through in situ simulations. Acad Emerg Med 2012; 19 (05) 608-612
    CrossrefPubMedGoogle Scholar
  • 18 Patterson MD, Geis GL, Falcone RA, LeMaster T, Wears RL. In situ simulation: detection of safety threats and teamwork training in a high risk emergency department. BMJ Qual Saf 2013; 22 (06) 468-477
    CrossrefPubMedGoogle Scholar
  • 19 Steinemann S, Berg B, Skinner A. , et al. In situ, multidisciplinary, simulation-based teamwork training improves early trauma care. J Surg Educ 2011; 68 (06) 472-477
    CrossrefPubMedGoogle Scholar
  • 20 Acero NM, Motuk G, Luba J. , et al. Managing a surgical exsanguination emergency in the operating room through simulation: an interdisciplinary approach. J Surg Educ 2012; 69 (06) 759-765
    CrossrefPubMedGoogle Scholar
  • 21 Hoang TN, Kang J, Siriratsivawong K. , et al. Hyper-realistic, team-centered fleet surgical team training provides sustained improvements in performance. J Surg Educ 2016; 73 (04) 668-674
    CrossrefPubMedGoogle Scholar
  • 22 Huser AS, Müller D, Brunkhorst V. , et al. Simulated life-threatening emergency during robot-assisted surgery. J Endourol 2014; 28 (06) 717-721
    CrossrefPubMedGoogle Scholar
  • 23 Kellicut DC, Kuncir EJ, Williamson HM, Masella PC, Nielsen PE. Surgical Team Assessment Training: improving surgical teams during deployment. Am J Surg 2014; 208 (02) 275-283
    CrossrefPubMedGoogle Scholar
  • 24 Figueroa MI, Sepanski R, Goldberg SP, Shah S. Improving teamwork, confidence, and collaboration among members of a pediatric cardiovascular intensive care unit multidisciplinary team using simulation-based team training. Pediatr Cardiol 2013; 34 (03) 612-619
    CrossrefPubMedGoogle Scholar
  • 25 Gundrosen S, Solligård E, Aadahl P. Team competence among nurses in an intensive care unit: the feasibility of in situ simulation and assessing non-technical skills. Intensive Crit Care Nurs 2014; 30 (06) 312-317
    CrossrefPubMedGoogle Scholar
  • 26 Pascual JL, Holena DN, Vella MA. , et al. Short simulation training improves objective skills in established advanced practitioners managing emergencies on the ward and surgical intensive care unit. J Trauma 2011; 71 (02) 330-337 , discussion 337–338
    CrossrefPubMedGoogle Scholar
  • 27 Reed DJ, Hermelin RL, Kennedy CS, Sharma J. Interdisciplinary onsite team-based simulation training in the neonatal intensive care unit: a pilot report. J Perinatol 2017; 37 (04) 461-464
    CrossrefPubMedGoogle Scholar
  • 28 Stocker M, Allen M, Pool N. , et al. Impact of an embedded simulation team training programme in a paediatric intensive care unit: a prospective, single-centre, longitudinal study. Intensive Care Med 2012; 38 (01) 99-104
    CrossrefPubMedGoogle Scholar
  • 29 Andreatta P, Saxton E, Thompson M, Annich G. Simulation-based mock codes significantly correlate with improved pediatric patient cardiopulmonary arrest survival rates. Pediatr Crit Care Med 2011; 12 (01) 33-38
    CrossrefPubMedGoogle Scholar
  • 30 Barbeito A, Bonifacio A, Holtschneider M, Segall N, Schroeder R, Mark J. ; Durham Veterans Affairs Medical Center Patient Safety Center of Inquiry. In situ simulated cardiac arrest exercises to detect system vulnerabilities. Simul Healthc 2015; 10 (03) 154-162
    CrossrefPubMedGoogle Scholar
  • 31 Mondrup F, Brabrand M, Folkestad L. , et al. In-hospital resuscitation evaluated by in situ simulation: a prospective simulation study. Scand J Trauma Resusc Emerg Med 2011; 19: 55
    CrossrefPubMedGoogle Scholar
  • 32 Reason J. Human error: models and management. BMJ 2000; 320 (7237): 768-770
    CrossrefPubMedGoogle Scholar
  • 33 Lee SK, Pardo M, Gaba D. , et al. Trauma assessment training with a patient simulator: a prospective, randomized study. J Trauma 2003; 55 (04) 651-657
    CrossrefPubMedGoogle Scholar
  • 34 Holcomb JB, Dumire RD, Crommett JW. , et al. Evaluation of trauma team performance using an advanced human patient simulator for resuscitation training. J Trauma 2002; 52 (06) 1078-1085 , discussion 1085–1086
    CrossrefPubMedGoogle Scholar
  • 35 King DR, Patel MB, Feinstein AJ, Earle SA, Topp RF, Proctor KG. Simulation training for a mass casualty incident: two-year experience at the Army Trauma Training Center. J Trauma 2006; 61 (04) 943-948
    CrossrefPubMedGoogle Scholar
  • 36 Block EF, Lottenberg L, Flint L, Jakobsen J, Liebnitzky D. Use of a human patient simulator for the advanced trauma life support course. Am Surg 2002; 68 (07) 648-651
    PubMedGoogle Scholar
  • 37 Hogan MP, Pace DE, Hapgood J, Boone DC. Use of human patient simulation and the situation awareness global assessment technique in practical trauma skills assessment. J Trauma 2006; 61 (05) 1047-1052
    CrossrefPubMedGoogle Scholar
  • 38 Alfredsdottir H, Bjornsdottir K. Nursing and patient safety in the operating room. J Adv Nurs 2008; 61 (01) 29-37
    CrossrefPubMedGoogle Scholar
  • 39 Davies JM. Team communication in the operating room. Acta Anaesthesiol Scand 2005; 49 (07) 898-901
    CrossrefPubMedGoogle Scholar
  • 40 Boet S, Bould MD, Layat Burn C, Reeves S. Twelve tips for a successful interprofessional team-based high-fidelity simulation education session. Med Teach 2014; 36 (10) 853-857
    CrossrefPubMedGoogle Scholar
  • 41 Sharma S, Boet S, Kitto S, Reeves S. Interprofessional simulated learning: the need for ‘sociological fidelity’. J Interprof Care 2011; 25 (02) 81-83
    CrossrefPubMedGoogle Scholar
  • 42 Dieckmann P, Gaba D, Rall M. Deepening the theoretical foundations of patient simulation as social practice. Simul Healthc 2007; 2 (03) 183-193
    CrossrefPubMedGoogle Scholar
  • 43 Sydor DT, Bould MD, Naik VN. , et al. Challenging authority during a life-threatening crisis: the effect of operating theatre hierarchy. Br J Anaesth 2013; 110 (03) 463-471
    CrossrefPubMedGoogle Scholar
  • 44 Cook DA, Hatala R, Brydges R. , et al. Technology-enhanced simulation for health professions education: a systematic review and meta-analysis. JAMA 2011; 306 (09) 978-988
    PubMedGoogle Scholar
  • 45 McGaghie WC, Issenberg SB, Cohen ER, Barsuk JH, Wayne DB. Translational educational research: a necessity for effective health-care improvement. Chest 2012; 142 (05) 1097-1103
    CrossrefPubMedGoogle Scholar