Accepted Manuscript Surgical Team Assessment Training (STAT): Improving Surgical Teams During Deployment Dwight C. Kellicut , MD, FACS Eric Kuncir , MD, FACS Hope M. Williamson , ARNP, DNP Pamela C. Masella , DO Peter E. Nielsen , MD, FACOG PII:
S0002-9610(14)00211-6
DOI:
10.1016/j.amjsurg.2014.03.008
Reference:
AJS 11166
To appear in:
The American Journal of Surgery
Received Date: 23 September 2013 Revised Date:
27 January 2014
Accepted Date: 4 March 2014
Please cite this article as: Kellicut DC, Kuncir E, Williamson HM, Masella PC, Nielsen PE, Surgical Team Assessment Training (STAT): Improving Surgical Teams During Deployment, The American Journal of Surgery (2014), doi: 10.1016/j.amjsurg.2014.03.008. This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
ACCEPTED MANUSCRIPT
TITLE: Surgical Team Assessment Training (STAT): Improving Surgical Teams during Deployment LTC Dwight C. Kellicut, MD, FACS1, CAPT Eric Kuncir, MD, FACS2, MAJ Hope M. Williamson, RN, PhD3, COL Peter E. Nielsen, MD, FACOG4
RI PT
1. Tripler Army Medical Center, Honolulu, HI, 2. Naval Medical Center San Diego, San Diego, CA, 3. 86th Combat Support Hospital, Fort Campbell, KY, 4. Madigan Army Medical Center, Tacoma, WA The opinions expressed herein are those of the authors and do not reflect the official policy or position of the Department of the Army, the Department of the Navy, the Department of Defense, or the United States Government.
M AN U
SC
INTRODUCTION: Simulation and team training are accepted as critical patient safety strategies to improve team performance, and can help achieve better outcomes. Standardized and realistic drills conducted by skilled physicians and nurses who demonstrate consistent use of principles which enhance communication and teamwork increase the likelihood of improved clinical outcomes.
TE D
METHODS: Two, 4-member surgeon/nurse teams traveled to eight Army surgical resuscitation medical treatment facilities in Iraq during July and August 2011. At each site, a new program called Surgical Team Assessment Training (STAT) was introduced and implemented to 220 military personnel. Two multi-patient scenarios were designed to test resuscitative and operating room medical decisionmaking, communication, and coordination of care. In addition, 2 hours of didactic instruction emphasized principles of TeamSTEPPS applied emergency and operating rooms during care of patients with multiple, complex traumatic injuries. Anonymous surveys were completed by participants following the training. RESULTS: Participants were significantly more likely to rate this training as very helpful following training compared to their opinion before participation (53% vs. 37% p
S0002-9610(14)00211-6
DOI:
10.1016/j.amjsurg.2014.03.008
Reference:
AJS 11166
To appear in:
The American Journal of Surgery
Received Date: 23 September 2013 Revised Date:
27 January 2014
Accepted Date: 4 March 2014
Please cite this article as: Kellicut DC, Kuncir E, Williamson HM, Masella PC, Nielsen PE, Surgical Team Assessment Training (STAT): Improving Surgical Teams During Deployment, The American Journal of Surgery (2014), doi: 10.1016/j.amjsurg.2014.03.008. This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
ACCEPTED MANUSCRIPT
TITLE: Surgical Team Assessment Training (STAT): Improving Surgical Teams during Deployment LTC Dwight C. Kellicut, MD, FACS1, CAPT Eric Kuncir, MD, FACS2, MAJ Hope M. Williamson, RN, PhD3, COL Peter E. Nielsen, MD, FACOG4
RI PT
1. Tripler Army Medical Center, Honolulu, HI, 2. Naval Medical Center San Diego, San Diego, CA, 3. 86th Combat Support Hospital, Fort Campbell, KY, 4. Madigan Army Medical Center, Tacoma, WA The opinions expressed herein are those of the authors and do not reflect the official policy or position of the Department of the Army, the Department of the Navy, the Department of Defense, or the United States Government.
M AN U
SC
INTRODUCTION: Simulation and team training are accepted as critical patient safety strategies to improve team performance, and can help achieve better outcomes. Standardized and realistic drills conducted by skilled physicians and nurses who demonstrate consistent use of principles which enhance communication and teamwork increase the likelihood of improved clinical outcomes.
TE D
METHODS: Two, 4-member surgeon/nurse teams traveled to eight Army surgical resuscitation medical treatment facilities in Iraq during July and August 2011. At each site, a new program called Surgical Team Assessment Training (STAT) was introduced and implemented to 220 military personnel. Two multi-patient scenarios were designed to test resuscitative and operating room medical decisionmaking, communication, and coordination of care. In addition, 2 hours of didactic instruction emphasized principles of TeamSTEPPS applied emergency and operating rooms during care of patients with multiple, complex traumatic injuries. Anonymous surveys were completed by participants following the training. RESULTS: Participants were significantly more likely to rate this training as very helpful following training compared to their opinion before participation (53% vs. 37% p
