Exploratory study on the enhancement of clinical competence among anesthesiologists in crisis events through TeamSTEPPS management course in combination with problem-based learning

Xia Di; Quan Xiang; Ruan Xia; Li Xu; Wang Jingyi; Zhang Yuguan; Tan Gang

doi:10.3760/cma.j.cn116021-20240416-01910

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Exploratory study on the enhancement of clinical competence among anesthesiologists in crisis events through TeamSTEPPS management course in combination with problem-based learning

PUMC Column on Exploring Postgraduate Education in Anesthesiology | 更新时间：2024-12-26

- Exploratory study on the enhancement of clinical competence among anesthesiologists in crisis events through TeamSTEPPS management course in combination with problem-based learning
- Chinese Journal of Medical Education Research Vol. 23, Issue 12, Pages: 1591-1595(2024)
- 作者机构：
  
  中国医学科学院　北京协和医学院　北京协和医院麻醉科，北京　100730
- 作者简介：
  
  Quan Xiang, Email: quan79102@188.com
- 基金信息：
  
  Non-profit Central Research Institute Fund of Chinese Academy of Medical Sciences(2020-;RW320-003)
- DOI：10.3760/cma.j.cn116021-20240416-01910
  CLC： R-05;R614
- Published：20 December 2024，
  
  Received：16 April 2024，
- 稿件说明：
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夏迪, 权翔, 阮侠, 等. 基于CBL的TeamSTEPPS管理课程提升麻醉医师危机事件中临床胜任力的探索研究[J]. 中华医学教育探索杂志, 2024, 23(12): 1591-1595.

XIA DI, QUAN XIANG, RUAN XIA, et al. Exploratory study on the enhancement of clinical competence among anesthesiologists in crisis events through TeamSTEPPS management course in combination with problem-based learning. [J]. Chinese journal of medical education research, 2024, 23(12): 1591-1595.
夏迪, 权翔, 阮侠, 等. 基于CBL的TeamSTEPPS管理课程提升麻醉医师危机事件中临床胜任力的探索研究[J]. 中华医学教育探索杂志, 2024, 23(12): 1591-1595. DOI： 10.3760/cma.j.cn116021-20240416-01910.

XIA DI, QUAN XIANG, RUAN XIA, et al. Exploratory study on the enhancement of clinical competence among anesthesiologists in crisis events through TeamSTEPPS management course in combination with problem-based learning. [J]. Chinese journal of medical education research, 2024, 23(12): 1591-1595. DOI： 10.3760/cma.j.cn116021-20240416-01910.

摘要

目的

探索基于临床实际案例的多模式TeamSTEPPS课程应用于以麻醉科医师为主导的手术团队的教学效果，旨在提升团队应对突发事件时的团队合作表现，以增强临床安全保障。

方法

中国医学科学院北京协和医院麻醉科将TeamSTEPPS课程与以案例为基础的学习（case-based learning，CBL）相结合，基于8个实际临床真实案例，开展了针对麻醉科医师、外科医师及手术室护士等跨专业人员的模拟案例培训。本研究以培训学员为研究对象，进行了前后对照研究。共纳入研究对象80人，对培训前后学员的理论知识及团队合作情况两方面进行了评估与反馈。采用SPSS 27.0软件对数据进行统计学处理。量表评分前后的差值，若经检验符合正态分布，则以（均数±标准差）表示，并进行配对

检验；学员构成资料则采用百分比表示。

结果

培训后的理论考核成绩高于培训前（76.45±8.34 vs. 60.21±5.90），差异有统计学意义（

=13.55，

0.001）。学员在TeamSTEPPS团队合作认知调查问卷（TeamSTEPPS teamwork perception questionnaire，T-TPQ）和TeamSTEPPS团队合作态度调查问卷（TeamSTEPPS teamwork attitudes questionnaire，T-TAQ）量表上的评分，培训后均高于培训前[TPQ：（156.08±15.20）vs. （149.32±15.58）；TAQ：（134.59±10.71）vs.（128.47±10.89）

]

，差异具有统计学意义（

0.001）。

结论

基于CBL的TeamSTEPPS管理课程可以增强麻醉科医师的临床理论水平，并提升他们的团队认知和合作能力，从而为提高麻醉科医师面对危机事件的临床胜任力提供帮助。

Abstract

Objective

To explore the effectiveness of a multimodal TeamSTEPPS course based on clinical cases in training surgical teams led by anesthesiologists

improve team cooperation in crisis management

and enhance clinical safety.

Methods

The Department of Anesthesiology at Peking Union Medical College Hospital

Chinese Academy of Medical Sciences

combined the TeamSTEPPS course with problem-based learning. Based on eight clinical cases

simulation-based training was conducted for interdisciplinary personnel

including anesthesiologists

surgeons

and operating room nurses. Pre- and post-training evaluations were conducted for 80 participants on theoretical knowledge and teamwork. Statistical analysis was performed using SPSS 27.0 software. The differences in scale scores before and after training were tested for normality. If normally distributed

results were expressed as mean ± standard deviation and analyzed using paired

-tests. Participant demographic data were represented using percentages.

Results

The theoretical assessment scores after training were significantly higher than those before training [(76.45±8.34) vs. (60.21±5.90)

=13.55

0.001

]

. TeamSTEPPS Teamwork Perception Questionnaire and TeamSTEPPS Teamwork Attitudes Questionnaire scores were significantly higher after training than before training [(156.08±15.20) vs. (149.32±15.58) and (134.59±10.71) vs. (128.47±10.89)

]

with statistically significant differences (

0.001).

Conclusions

The TeamSTEPPS management course in combination with problem-based learning can enhance the clinical theoretical knowledge of anesthesiologists and improve their team awareness and collaboration

thus improving their clinical competence in managing crisis events.

关键词

TeamSTEPPS模拟培训问题驱动式学习团队合作

Keywords

TeamSTEPPSSimulation-based trainingProblem-based learningTeamwork

references

Starfield B. Is US health really the best in the world? [J]. Jama, 2000, 284(4): 483. DOI: 10.1001/jama.284.4.483http://dx.doi.org/10.1001/jama.284.4.483.

James JT. A new, evidence-based estimate of patient harms associated with hospital care [J]. J Patient Saf, 2013, 9(3): 122-128. DOI: 10.1097/PTS.0b013e3182948a69http://dx.doi.org/10.1097/PTS.0b013e3182948a69.

Nagpal K, Vats A, Lamb B, et al. Information transfer and communication in surgery: a systematic review [J]. Ann Surg, 2010, 252(2): 225-239. DOI: 10.1097/SLA.0b013e3181e495c2http://dx.doi.org/10.1097/SLA.0b013e3181e495c2.

Sevdalis N, Wong HWL, Arora S, et al. Quantitative analysis of intraoperative communication in open and laparoscopic surgery [J]. Surg Endosc, 2012, 26(10): 2931-2938. DOI: 10.1007/s00464-012-2287-3http://dx.doi.org/10.1007/s00464-012-2287-3.

Singh H, Graber ML, Hofer TP. Measures to improve diagnostic safety in clinical practice [J]. J Patient Saf, 2019, 15(4): 311-316. DOI: 10.1097/PTS.0000000000000338http://dx.doi.org/10.1097/PTS.0000000000000338.

The Agency for Healthcare Research and Quality (AHRQ) the Department of Defense （DoD）. TeamSTEPPS20 [EB/OL]. （2015-02-12）[2024-01-30]. http://www.ahrq.gov/professionals/education/curriculumtools/teamstepps/instructor/essentials/coursemgmt. pdfhttp://www.ahrq.gov/professionals/education/curriculumtools/teamstepps/instructor/essentials/coursemgmt.pdf.

费昱达，王境一，王瑾，等. 麻醉学教学中引入TeamSTEPPS 团队教学课程的探索[J]. 中华医学教育杂志， 2021， 41（1）： 62-65. DOI: 10.3760/cma.j.cn115259-20200304-00250http://dx.doi.org/10.3760/cma.j.cn115259-20200304-00250.

Gaba DM. Crisis resource management and teamwork training in anaesthesia [J]. Br J Anaesth, 2010, 105(1): 3-6. DOI: 10.1093/bja/aeq124http://dx.doi.org/10.1093/bja/aeq124.

Eppich WJ, Brannen M, Hunt EA. Team training: implications for emergency and critical care pediatrics [J]. Curr Opin Pediatr, 2008, 20(3): 255-260. DOI: 10.1097/MOP.0b013e3282ffb3f3http://dx.doi.org/10.1097/MOP.0b013e3282ffb3f3.

Cindryani M, Widnyana IG, Aribawa IM, et al. Analysis of anesthesia chief resident competencies in anesthesia crisis management simulation [J]. Adv Med Educ Pract, 2018, 9: 847-853. DOI: 10.2147/AMEP.S173433http://dx.doi.org/10.2147/AMEP.S173433.

Zhao W, He L, Deng W, et al. The effectiveness of the combined problem-based learning (PBL) and case-based learning (CBL) teaching method in the clinical practical teaching of thyroid disease [J]. BMC Med Educ, 2020, 20(1): 381. DOI: 10.1186/s12909-020-02306-yhttp://dx.doi.org/10.1186/s12909-020-02306-y.

蓝岚，陈剑锋，李韶辉，等. 麻醉与危重医学见习带教课程设置与教学实践[J]. 中华医学教育探索杂志， 2020， 19（2）： 185-188. DOI: 10.3760/cma.j.issn.2095-1485.2020.02.016http://dx.doi.org/10.3760/cma.j.issn.2095-1485.2020.02.016.

Alam F, LeBlanc VR, Baxter A, et al. Age and its impact on crisis management performance and learning after simulation-based education by acute care physicians: a multicentre prospective cohort study [J]. Br J Anaesth, 2024, 132(2): 383-391. DOI: 10.1016/j.bja.2023.10.040http://dx.doi.org/10.1016/j.bja.2023.10.040.

Diep AN, Paquay M, Servotte JC, et al. Validation of a French-language version of TeamSTEPPS® T-TPQ and T-TAQ questionnaires [J]. J Interprof Care, 2022, 36(4): 607-616. DOI: 10.1080/13561820.2021.1902293http://dx.doi.org/10.1080/13561820.2021.1902293.

Wolk CB, Locke J, Salas E, et al. An examination of the factor structure of TeamSTEPPS measures in school mental health teams [J]. J Psychol Couns Sch, 2020, 30(2): 172-184. DOI: 10.1017/jgc.2019.18http://dx.doi.org/10.1017/jgc.2019.18.

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