crew resource management - itls · gross b, rusin l, kiesewetter j, et al crew resource management...
TRANSCRIPT
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Faculty/Presenter Disclosure
Faculty: Dr James French @grade1view [email protected]
Grants/Research Support: New Brunswick Trauma Program 10K CAD Sim IRAP 1.6 M CAD AI ACOA 1.0 M CAD AI
Speakers Bureau/Honoraria: Nil
Applied R&D: Canadian Healthcare Solutions
Patents: Nil
Other: Medical Director “A Teams!“
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1. Communications failures2. Diagnostic Error3. Teamwork breakdown. 4. Human Error. 5. Systems failures.
https://psnet.ahrq.gov/resources/resource/1524/Error-in-medicine
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Why are airlines safe?
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CRM
CRM
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1. What is going on? Situational awareness
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Think Fast + Think Slow
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PATIENTCABCDE VITALS SAMPLE hx POCUS PXR/CXR
SYNTHESISType 2 Pause - Am I Biased? Information missing? Put it together.
UPDATEShare a summary to make a team mental model.
Situational Awareness
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2. Free your mind
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Miller’s Law
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Cognitive Offloading - Use a checklist!
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3. Communication
Chunks Checklists
Commentary Working Closed Loop Summaries
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Miller’s Law
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Communicate in Chunks
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Close Loop Communication
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Commentary Working
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Use Summaries
What is the case? What have we found? What have we done? What do we do next?
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4. Role Definition
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Graded Assertivness
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5. Resilience
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Yerkes - Dodson Law
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Tactical Breathing
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Positive Self Talk
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Mental Rehearsal
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Win the play then the game
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5. Leadership
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Leadership = Culture
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5. Leadership = CRM
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P
E
S
T
P
U
Update - Share Mental Model as Summary
S
SELFWhat is the case? What is my Role? Visualize Tasks +ve Talk Box Breathing
TEAMAlert Hospital? Team Identified? Roles assigned? Mini Teams? Call in others? Alert others?
ENVIRONMENT SYSTEMSTVR? MTP? Airway Kit Dump? Pre draw meds? Trauma Tower + Cart?
PATIENTCABCDE VITALS SAMPLE hx POCUS PXR/CXR
SYNTHESISType 2 Pause - Am I Biased? Information missing? Put it together.
UPDATEShare a summary to make a team mental model.
PATIENT PRIORITIESCompress Bleeding? Rule of 2s? Splints? MTP? RSI? Thoracostomies?
Pre arrivalArrival
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6. Make
Beautiful Music
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Sheet music Practice the whole song Rehearsal
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Skills
Mastery Learning
Microskills RCDP Simulation
Medium skill station short scenario full scenario
Tempo Slow Realtime Realtime
Feedback Step Coaching End coaching Non Judgemental
Performance Elements
Psychomotor, Equipment,
Communication.
Psychomotor Equipment,
System, Communication,
Resilience.
All
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Gross B, Rusin L, Kiesewetter J, et al Crew resource management training in healthcare: a systematic review of intervention design, training conditions and evaluation BMJ Open 2019;9:e025247.
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Credit and thanks to……