Effects of using a cognitive aid on content and feasibility of debriefings of simulated emergencies
type: Article
item type: journalArticle
is part of: GMS J Med Educ
authors: Person
  surname: Freytag
  given name: J.
authors: Person
  surname: Stroben
  given name: F.
authors: Person
  surname: Hautz
  given name: W. E.
authors: Person
  surname: Penders
  given name: D.
authors: Person
  surname: Kammer
  given name: J. E.
subject: *Emergencies
subject: *Simulation Training
subject: Clinical Competence
subject: Cognition
subject: Feasibility Studies
subject: Humans
subject: Patient Care Team
subject: cognitive aid
subject: non-technical skills
subject: simulation-based education
subject: structured debriefing
subject: teamwork
abstract: Background: Adverse events in patient care are often caused by failures in teamwork. Simulation training and its debriefing can contribute to improving teamwork and thus patient care. When conducting debriefings, there are several design factors that can potentially influence learning outcomes. This study examines the use of a cognitive aid to help structure the content of debriefings and compares it with debriefings that are merely roughly structured. In addition, the feasibility of the debriefing, the satisfaction of the participants and their teamwork during the training are investigated. Methods: In a simulated night shift, seven teams of four to five medical students (n=32) took part in six cases that simulated common situations in an emergency medicine environment and received a debriefing on their teamwork after each case, either in the intervention condition with the help of the TeamTAG tool - a cognitive aid focusing on selected teamwork principles from Crisis Resource Management (CRM) - or in the control condition without it. The facilitators noted the topics of the debriefings and rated their experience of conducting them; the participants indicated their satisfaction with the debriefings, as well as their assessment of the importance of CRM principles. In addition, the quality of teamwork was assessed using the Team Emergency Assessment Measure (TEAM). Results: The analysis showed no difference in the number of teamwork principles discussed between the control and intervention conditions, but topics were repeated more frequently in the control group. The TeamTAG guideline was focused on and implemented by the tutors, who discussed the CRM principles included in the TeamTAG more consistently than in the control condition. The tutors in both conditions were satisfied with the implementation, and the use of TeamTAG facilitated time management. There were no differences in participants' satisfaction, their assessment of the importance of the teamwork princip…
date: 2021-07-22
pages: Doc95
coverage: 34286075

GMS J Med Educ
type: Journal
volume: 38
number: 5
identifier: DOI 10.3205/zma001491
identifier: ISSN 2366-5017 (Electronic) 2366-5017 (Linking)