TITLE:
The Role of Structured Framework in Simulated Cardiac Emergency for Cardiothoracic Training
AUTHORS:
Yufeng Zhang, Wenjing Lu, Junnan Wang, Hua Shen, Jie Min, Qing Wang, Jingjing Wang, Zhinong Wang
KEYWORDS:
CPR, Education, Framework, Nontechnical Skills
JOURNAL NAME:
Open Journal of Emergency Medicine,
Vol.10 No.2,
June
8,
2022
ABSTRACT: Background: Both technical and nontechnical skills are important factors in cardiac emergency incident. The effects of
structured framework on these skills have not been thoroughly studied.
We hypothesized that structured framework can improve the clinical performance
and reduce errors to improve patients’ safety. Methodology: A total of 24 teams
composed of cardiac residents, attending surgeons and ICU nurses
performed simulated emergency incident tasks in cardiopulmonary resuscitation
(CPR) and tracheal intubation (TI) scenarios.
Framework education was introduced to the assigned groups in two separate
semesters. All the scenarios were recorded by video for further evaluation by cardiologist and emergency
medicine specialist. Clinical performance, time consumption in simulated
scenarios, correlation between framework training and nontechnical skills
performance were assessed. Results:
The average percentages of CPR completed in the Group 1 (G1) with framework
education and the Group 2 (G2) were 85% (SEM: 6.20%) and 53% (SEM: 5.77%) respectively
(P P P o complete TI in groups with framework education was shorter than in groups without framework education (P Conclusion:
The framework provides the whole procedure of the task to every participant.
Structured framework education can improvenontechnical skills as well as technical skills of
doctors and nurses. Further, researches should be conducted to evaluate the
clinical performance and correlation between
technical skills and nontechnical skills in cardiothoracic training.