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Anesth Analg 2005;100:1375-1380
© 2005 International Anesthesia Research Society
doi: 10.1213/01.ANE.0000148058.64834.80


TECHNOLOGY, COMPUTING, AND SIMULATION

A Method for Measuring the Effectiveness of Simulation-Based Team Training for Improving Communication Skills

Richard H. Blum, MD, MSE*||, Daniel B. Raemer, PhD{dagger}||, John S. Carroll, PhD{ddagger}||, Ronald L. Dufresne§||, and Jeffrey B. Cooper, PhD{dagger}||

*Department of Anesthesia, Perioperative and Pain Medicine, Children’s Hospital Boston; {dagger}Department of Anesthesia and Critical Care, Massachusetts General Hospital; {ddagger}Sloan School of Management, Massachusetts Institute of Technology; §The Carroll School of Management, Boston College, Boston; and ||Center for Medical Simulation, Cambridge, Massachusetts

Address correspondence and reprint requests to Richard H. Blum, MD, MSE, Department of Anesthesia, Perioperative and Pain Medicine, Children’s Hospital Boston, 300 Longwood Ave., Bader 3, Boston, MA 02115. Address e-mail to richard.blum{at}childrens.harvard.edu.

Team behavior and coordination, particularly communication or team information-sharing, are critical for optimizing team performance; research in medicine generally provides no accepted method for measurement of team information-sharing. In a controlled simulator setting, we developed a technique for placing clinical information (probes) with members of a team of trainees participating in a 1-day Anesthesia Crisis Resource Management course and later tested the teams for knowledge of the probes as an indicator of overall team information-sharing. Despite the low level of team information-sharing, we demonstrated construct validity of the probe methodology by the correlation of measured change in team information-sharing from beginning to end of training with self-rated change. There was no statistical difference in "group sharing" from beginning to end of training, despite trainees’ survey responses that the course would be useful for their education and practice.




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Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2005 by the International Anesthesia Research Society.