Error Detection–Based Model to Assess Educational Outcomes in Crisis Resource Management Training: A Pilot Study. (June 2017)

• Record Type: Journal Article
• Authors: Bouhabel, Sarah; Kay-Rivest, Emily; Nhan, Carol; Bank, Ilana; Nugus, Peter; Fisher, Rachel; Nguyen, Lily HP
• Is Part Of: Otolaryngology--head and neck surgery. Volume 156:Number 6(2017)
• Page Start: 1080
• Page End: 1083
• Publication Date: 2017-06
• Subjects: airway management -- simulation -- Crisis Resource Management -- educational outcomes -- error -- resident training; Head -- Surgery -- Periodicals; Neck -- Surgery -- Periodicals; Otolaryngology -- Periodicals; 617.51
• DOI: 10.1177/0194599817697946
• Languages: English
• ISSNs: 0194-5998

Abstract

Otolaryngology–head and neck surgery (OTL-HNS) residents face a variety of difficult, high-stress situations, which may occur early in their training. Since these events occur infrequently, simulation-based learning has become an important part of residents' training and is already well established in fields such as anesthesia and emergency medicine. In the domain of OTL-HNS, it is gradually gaining in popularity. Crisis Resource Management (CRM), a program adapted from the aviation industry, aims to improve outcomes of crisis situations by attempting to mitigate human errors. Some examples of CRM principles include cultivating situational awareness; promoting proper use of available resources; and improving rapid decision making, particularly in high-acuity, low-frequency clinical situations. Our pilot project sought to integrate CRM principles into an airway simulation course for OTL-HNS residents, but most important, it evaluated whether learning objectives were met, through use of a novel error identification model.