Article
Exploring the synergy of technical and non-technical skills in emergency medicine
Search Medline for
Authors
-
M. K. Scheumann
- University of Regensburg, Regensburg, Germany
-
H. Jossberger
- University of Regensburg, Regensburg, Germany
-
H. Gruber
- University of Regensburg, Regensburg, Germany
-
B. M. Graf
- Regensburg University Hospital, Regensburg, Germany
-
Y. A. Zausig
- Regensburg University Hospital, Regensburg, Germany
| Published: | March 12, 2015 |
|---|
Outline
Text
Introduction: Each of us may experience an emergency situation in everyday life. Therefore, cardiopulmonary resuscitation (CPR) is a topic that concerns everyone from medical expert to layperson. In contrary to laypersons, medical students receive specific training in CPR during their medical education.
Existing CPR trainings mainly focus on the so-called technical skills (e.g., ventilation or chest compression). There is no doubt that these skills are crucial to safe life. However, recent research shows that also non-technical skills (NTS), especially task management, team working and situation awareness, play a significant positive role during CPR [1], [2]. Insufficient NTS are the major avoidable weak spot in emergency medicine. Hence increasing NTS performance might help to prevent errors and therefore increase patient safety significantly [3], [4], [5].
At the conference, we would like to present and discuss a research initiative. Our research plan consists of three empirical studies. The overall aim is to investigate the synergy of technical and non-technical skills relevant for CPR performance in order to improve the current training in medical education. In the following, we briefly present the specific aim and approach of each study.
Research initiative: In the first study, we aim to examine expertise-related differences in CPR performance. In a quasi-experimental 5*2 design, the CPR performance regarding technical and non-technical skills will be compared.
In the second study, we aim to investigate how medical students acquire the relevant skills for CPR. A quasi-experimental 2*2*2 repeated measure design is used to compare different contemplation processes during skill acquisition.
In the third study, we aim to investigate the synergy of NTS and technical skills. In a quasi-experimental 2*2*2 design, the coherence between the two types of skills, especially the influence of NTS on technical performance, will be investigated.
References
- 1.
- Marsch SC, Müller C, Marquardt K, Conrad C, Tschan F, Hunziker PR. Human factors affect the quality of cardiopulmonary resuscitation in simulated cardiac arrests. Resuscitation. 2004;60(1):51-56. DOI: 10.1016/j.resuscitation.2003.08.004
- 2.
- Fletcher G, Flin R, McGeorge P, Glavin R, Maran N, Patey R. Rating non-technical skills: Developing a behavioural marker system for use in anaesthesia. Cogn Technol Work. 2004;6(3):165-171. DOI: 10.1007/s10111-004-0158-y
- 3.
- DeVita MA, Schaefer J, Lutz J, Wang H, Dongilli T. Improving medical emergency team (MET) performance using a novel curriculum and a computerized human patient simulator. Qual Saf Health Care. 2005;14(5):326-331. DOI: 10.1136/qshc.2004.011148
- 4.
- Hunziker S, Bühlmann C, Tschan F, Balestra G, Legeret C, Schumacher C, Semmer NK, Hunziker P, Marsch S. Brief leadership instructions improve cardiopulmonary resuscitation in a high-fidelity simulation: A randomized controlled trial. Crit Care Med. 2010;38(4):1086-1091. DOI: 10.1097/CCM.0b013e3181cf7383
- 5.
- Risser DT, Rice MM, Salisbury ML, Simon R, Jay GD, Berns SD. The Potential for Improved Teamwork to Reduce Medical Errors in the Emergency Department. Ann Emerg Med. 1999;34(3):373-383. DOI: 10.1016/S0196-0644(99)70134-4
