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Evaluation of Communication and Safety Behaviors During Hospital-Wide Code Response Simulation.

Ren, DM, Abrams, A, Banigan, M, Batabyal, R, Chamberlain, JM, Garrow, A, Izem, R, Nicholson, L, Ottolini, M, Patterson, M, Sarnacki, R, Walsh, HA and Zaveri, P (2021) Evaluation of Communication and Safety Behaviors During Hospital-Wide Code Response Simulation. Simulation in Healthcare. ISSN 1559-2332

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Abstract

INTRODUCTION: To understand the baseline quality of team communication behaviors at our organization, we implemented institution-wide simulation training and measured the performance of safety behaviors of ad hoc teams in emergent situations. METHODS: Clinicians participated in 2 interprofessional video-recorded simulation scenarios, each followed by debriefing. Using a standardized evaluation instrument, 2 reviewers independently evaluated the presence or absence of desired team safety behaviors, including escalating care, sharing a mental model, establishing leadership, thinking out loud, and identifying roles and responsibilities. We also scored the quality of sharing the mental model, closed-loop communication, and overall team performance on a 7-point scale. Discordant reviews were resolved with scoring by an additional reviewer. RESULTS: A total of 1404 clinicians participated in 398 simulation scenarios, resulting in 257 usable videos. Overall, teams exhibited desired behaviors at the following frequencies: escalating care, 85%; sharing mental models, 66%; verbally establishing leadership, 6%; thinking out loud, 87%; and identifying roles and responsibilities, 27%. Across all reviews, the quality of the graded behaviors (of 7 points) was 2.8 for shared mental models, 3.3 for closed-loop communication, and 3.2 for overall team performance. CONCLUSIONS: In a simulation setting with ad hoc teams, there was variable performance on completing safety behaviors and only a fair quality of graded communication behaviors. These results establish a baseline assessment of communication and teamwork behaviors and will guide future quality improvement interventions.

Item Type: Article
Uncontrolled Keywords: 0899 Other Information and Computing Sciences, 1110 Nursing, 1199 Other Medical and Health Sciences
Subjects: H Social Sciences > HD Industries. Land use. Labor > HD61 Risk Management
R Medicine > R Medicine (General)
R Medicine > RT Nursing
Divisions: Nursing & Allied Health
Publisher: Lippincott, Williams & Wilkins
Related URLs:
Date Deposited: 30 Jun 2021 11:18
Last Modified: 30 Jun 2021 11:18
DOI or Identification number: 10.1097/SIH.0000000000000575
URI: https://researchonline.ljmu.ac.uk/id/eprint/15155

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