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BMC Health Services Research
Published in: BMC Health Services Research 1/2018

Open Access 01-12-2018 | Research article

A comparative study on the frequency of simulation-based training and assessment of non-technical skills in the Norwegian ground ambulance services and helicopter emergency medical services

Authors: Henrik Langdalen, Eirik B. Abrahamsen, Stephen J. M. Sollid, Leif Inge K. Sørskår, Håkon B. Abrahamsen

Published in: BMC Health Services Research | Issue 1/2018

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Abstract

Background

Inadequate non-technical skills (NTSs) among employees in the Norwegian prehospital emergency medical services (EMSs) are a risk for patient and operational safety. Simulation-based training and assessment is promising with respect to improving NTSs. The frequency of simulation-based training in and assessment of NTSs among crewmembers in the Norwegian helicopter emergency medical service (HEMS) has gained increased attention over recent years, whereas there has been much less focus on the Norwegian ground emergency medical service (GEMS). The aim of the study was to compare and document the frequencies of simulation-based training in and assessment of seven NTSs between the Norwegian HEMS and GEMS, conditional on workplace and occupation.

Method

A comparative study of the results from cross-sectional questionnaires responded to by employees in the Norwegian prehospital EMSs in 2016 regarding training in and assessment of NTSs during 2015, with a focus on the Norwegian GEMS and HEMS. Professional groups of interest are: pilots, HEMS crew members (HCMs), physicians, paramedics, emergency medical technicians (EMTs), EMT apprentices, nurses and nurses with an EMT licence.

Results

The frequency of simulation-based training in and assessment of seven generic NTSs was statistically significantly greater for HEMS than for GEMS during 2015. Compared with pilots and HCMs, other health care providers in GEMS and HEMS undergo statistically significantly less frequent simulation-based training in and assessment of NTSs. Physicians working in the HEMS appear to be undergoing training and assessment more frequently than the rest of the health trust employees. The study indicates a tendency for lesser focus on the assessment of NTSs compared to simulation-based training.

Conclusion

HEMS has become superior to GEMS, in terms of frequency of training in and assessment of NTSs. The low frequency of training in and assessment of NTSs in GEMS suggests that there is a great potential to learn from HEMS and to strengthen the focus on NTSs. Increased frequency of assessment of NTSs in both HEMS and GEMS is called for.
Literature
1.
Zakariassen E, Uleberg O, Røislien J. Helicopter emergency medical services response times in Norway: do they matter? Air Med J. 2015;34(2):98–103.CrossRefPubMed
2.
Norges offentlige utredninger [Official Norwegian reports]. Først og fremst. Et helhetlig system for håndtering av akutte sykdommer og skader utenfor sykehus [Primarily. A comprehensive system for dealing with acute diseases and injuries outside hospitals]. NOU 2015:17. Norwegian Government Security and Service Organization 2015. https://​www.​regjeringen.​no/​no/​dokumenter/​nou-2015-17. Accessed 29 Jan 2018.
3.
4.
Dissmann PD, Le Clerc S. The experience of Teesside helicopter emergency services: doctors do not prolong prehospital on-scene times. Emerg Med J. 2007;24(1):59–62.CrossRefPubMedPubMedCentral
5.
Roberts K, Blethyn K, Foreman M, Bleetman A. Influence of air ambulance doctors on on-scene times, clinical interventions, decision-making and independent paramedic practice. Emerg Med J. 2009;26(2):128–34.CrossRefPubMed
6.
Shields A, Flin R. Paramedics' non-technical skills: a literature review. Emerg Med J. 2013;30:350–4.CrossRefPubMed
7.
Myers JA, Powell DMC, Psirides A, Hathaway K, Aldington S, Haney MF. Non-technical skills evaluation in the critical care air ambulance environment: introduction of an adapted rating instrument – an observational study. Scand J Trauma Resusc Emerg Med. 2016; https://​doi.​org/​10.​1186/​s13049-016-0216-5.
8.
St Pierre M, Hofinger G, Buerschaper C, Simon R. Crisis management in acute care settings: human factors, team psychology, and patient safety in a high stakes environment. 2nd ed. Berlin: Springer; 2011.CrossRef
9.
Seymour CW, Kahn JM, Schwab CW, Fuchs BD. Adverse events during rotary-wing transport of mechanically ventilated patients: a retrospective cohort study. Crit Care. 2008;12(3):R71.CrossRefPubMedPubMedCentral
10.
Manser T. Teamwork and patient safety in dynamic domains of healthcare: a review of the literature. Acta Anaesthesiol Scand. 2009;53(2):143–51.CrossRefPubMed
11.
Gordon M, Darbyshire D, Baker P. Non-technical skills training to enhance patient safety: a systematic review. Med Educ. 2012;46(11):1042–54.CrossRefPubMed
12.
O'Connor RE, Slovis CM, Hunt RC, Pirrallo RG, Sayre MR. Eliminating errors in emergency medical services: realities and recommendations. Prehosp Emerg Care. 2002;6(1):107–13.CrossRefPubMed
13.
Atack L, Maher J. Emergency medical and health providers' perceptions of key issues in prehospital patient safety. Prehosp Emerg Care. 2010;14(1):95–102.CrossRefPubMed
14.
Blandford A, Wong WBL. Situation awareness in emergency medical dispatch. Int J Hum-Compu St. 2004;61(4):421–52.CrossRef
15.
Weller J, Frengley R, Torrie J, Shulruf B, Jolly B, Hopley L, et al. Evaluation of an instrument to measure teamwork in multidisciplinary critical care teams. BMJ Qual Saf. 2011;20(3):216–22.CrossRefPubMed
16.
17.
18.
O'Connor P, Campbell J, Newton J, Melton J, Salas E, Wilson K. Crew resource management training effectiveness: a meta-analysis and some critical needs. Int J Aviat Psychol. 2008;18(4):353–68.CrossRef
19.
20.
Grote G. Safety management in different high-risk domains – all the same? Safety Sci. 2012;50(10):1983–92.CrossRef
21.
Winkelmann M, Friedrich L, Schröter C, Flemming A, Eismann H, Sieg L, Mommsen P, Krettek C, Zeckey C. Simulator-based air medical training program Christoph life: from concept to course. Air Med J. 2016;35(4):242–6.CrossRefPubMed
22.
23.
Batchelder AJ, Steel A, Mackenzie R, Hormis AP, Daniels TS, Holding N. Simulation as a tool to improve the safety of pre-hospital anaesthesia – a pilot study. Anaesthesia. 2009;64(9):978–83.CrossRefPubMed
24.
Flin R, Maran N. Basic concepts for crew resource management and non-technical skills. Best Pract Res Clin Anaesthesiol. 2015;29(1):27–39.CrossRefPubMed
25.
Flin RH, O'Connor P, Crichton M. Safety at the sharp end: a guide to non-technical skills. Farnham: Ashgate Publishing; 2008.
26.
27.
28.
Parson JR, Crichlow A, Ponnuru S, Shewokis PA, Goswami V, Griswold S. Filling the gap: simulation-based crisis resource management training for emergency medicine residents. West J Emerg Med. 2018;19(1):205–10.CrossRef
29.
Gardner A, Rich M. Error management training and simulation education. Clin Teach. 2014;11(7):537–40.CrossRefPubMed
30.
31.
Ballangrud R, Husebø SE, Hall-Lord ML. Cross-cultural validation and psychometric testing of the Norwegian version of the TeamSTEPPS® teamwork perceptions questionnaire. BMC Health Serv Res. 2017;17(1):799.CrossRefPubMedPubMedCentral
32.
Mayer CM, Cluff L, Lin W-T, Willis TS, Stafford RE, Williams C, et al. Evaluating efforts to optimize TeamSTEPPS implementation in surgical and pediatric intensive care units. Jt Comm J Qual Patient Saf. 2011;37(8):365–74.CrossRefPubMed
33.
34.
Abrahamsen HB, Sollid SJM, Öhlund LS, Røislien J, Bondevik GT. Simulation-based training and assessment of non-technical skills in the Norwegian helicopter emergency medical services: a cross-sectional survey. Emerg Med J. 2015;32(8):647–53.CrossRefPubMed
35.
Langhelle A, Lossius HM, Silfvast T, Björnsson HM, Lippert FK, Ersson A, et al. International EMS systems: the Nordic countries. Resuscitation. 2004;61(1):9–21.CrossRefPubMed
36.
37.
Lyk-Jensen H, Jepsen R, Spanager L, Dieckmann P, Østergaard D. Assessing nurse anaesthetists' non-technical skills in the operating room. Acta Anaesthesiol Scand. 2014;58(7):794–801.CrossRefPubMed
38.
39.
40.
41.
Ryoo EN, Ha EH. The importance of debriefing in simulation-based learning: comparison between debriefing and no debriefing. Comput Inform Nurs. 2015;33(12):538–45.CrossRefPubMed
42.
43.
Williams KA, Rose WD, Simon R. Teamwork in emergency medical services. Air Med J. 1999;18(4):149–53.CrossRefPubMed
44.
45.
Myers JA, Powell DMC, Aldington S, Sim D, Psirides A, Hathaway K, et al. The impact of fatigue on the non-technical skills performance of critical care air ambulance clinicians. Acta Anaesthesiol Scand. 2017;61(10):1305–13.CrossRefPubMed
46.
47.
48.
49.
50.
51.
52.
Frykman M, Hasson H, Muntlin Athlin Å, von Thiele Schwarz U. Functions of behavior change interventions when implementing multi-professional teamwork at an emergency department: a comparative case study. BMC Health Serv Res. 2014; https://​doi.​org/​10.​1186/​1472-6963-14-218.
53.
Martinsen J. Observation and rating HEMS Crew in non-Technical Skills, CRM medical simulation in Norwegian air ambulance. Scand J Trauma, Resusc Emerg Med. 2015;23(2):A21.CrossRef
Metadata
Title
A comparative study on the frequency of simulation-based training and assessment of non-technical skills in the Norwegian ground ambulance services and helicopter emergency medical services
Authors
Henrik Langdalen
Eirik B. Abrahamsen
Stephen J. M. Sollid
Leif Inge K. Sørskår
Håkon B. Abrahamsen
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2018
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/s12913-018-3325-1

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