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13 - Simulators in anaesthetic training to enhance patient safety

Published online by Cambridge University Press:  15 December 2009

By
Peter Dieckmann  and
Marcus Rall
Edited by
Jeremy Cashman  and
Michael Grounds
Peter Dieckmann
Affiliation:
Danish institute for Medical Simulation Herlev Hospital Herlev Ringrej 75 2730 Herlev Denmark
Marcus Rall
Affiliation:
Universitatsklinikum Tuebingen Abteilung fur Anaesthesiologie und Intensivmedizin Tuebingen Germany
Jeremy Cashman
Affiliation:
St George's Hospital, London
Michael Grounds
Affiliation:
St George's Hospital, London
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Summary

Simulation is revolutionising the education and training of anaesthetists all over the world and is a significant contributor to enhancing patient safety. Anaesthesiology is once again emphasising its role as a pioneering discipline for increasing patient safety. Different forms of simulators are available in many countries and new types of simulators are being further developed. Recently the field has also advanced in conceptual terms with new and creative ideas for using these advanced technical tools. Simulators are used in educational settings, for research, and for assessment. The traditional centre-based simulations are now supplemented by mobile ‘in situ’ simulation training, bringing simulation to work places. New instructors can choose from a variety of courses and other resources for learning the craft and the art of conducting simulations.

The introduction of simulation, especially with video-based debriefing, contributed considerably to the discussing of human factor theories in the medical domain. In anaesthesia this process was pioneered by Cooper and the group led by Gaba and Howard with their concept of crisis resource management (CRM (c.f. crew resource management, Ch. 12)). The CRM-based simulation course model made its way around the globe. Simulation worked as a very powerful tool to make healthcare professionals aware of the impact of human error and how to deal with human limitations, and how best to use unique human capabilities in order to reduce errors, detect problems early and to take effective teamwork countermeasures to ensure patient safety.

Type
Chapter
Information
Recent Advances in Anaesthesia and Intensive Care , pp. 213 - 232
Publisher: Cambridge University Press
Print publication year: 2007

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