Presented in part at the Joint Annual Meeting of the National Association of Medical Simulators and the Clinical Skills Network, London; September 2008, and the International Forum on Quality and Safety in Health Care, Berlin; March 2009.
Simulation as a tool to improve the safety of pre-hospital anaesthesia – a pilot study*
Article first published online: 3 AUG 2009
© 2009 The Authors. Journal compilation © 2009 The Association of Anaesthetists of Great Britain and Ireland
Volume 64, Issue 9, pages 978–983, September 2009
How to Cite
Batchelder, A. J., Steel, A., Mackenzie, R., Hormis, A. P., Daniels, T. S. and Holding, N. (2009), Simulation as a tool to improve the safety of pre-hospital anaesthesia – a pilot study. Anaesthesia, 64: 978–983. doi: 10.1111/j.1365-2044.2009.05990.x
- Issue published online: 3 AUG 2009
- Article first published online: 3 AUG 2009
- Accepted: 15 April 2009
We conducted a pilot study of the effects of simulation as a tool for teaching doctor-paramedic teams to deliver pre-hospital anaesthesia safely. Participants undertook a course including 43 full immersion, high-fidelity simulations. Twenty videos taken from day 4 and days 9/10 of the course were reviewed by a panel of experienced pre-hospital practitioners. Participants’ performance at the beginning and the end of the course was compared. The total time from arrival to inflation of the tracheal tube cuff was longer on days 9/10 than on day 4 (mean (SD) 14 min 52 s (2 min 6 s) vs 11 min 28 s (1 min 54 s), respectively; p = 0.005), while the number of safety critical events per simulation were fewer (median (IQR [range]) 1.0 (0–1.8 [0–2]) vs 3.5 (1.5–4.8 [0–8], respectively; p = 0.011). Crew resource management behaviours also improved in later simulations. On a personal training needs analysis, participants reported increased confidence after the course.