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Simulationsbasierte Trainings zur Verbesserung der Patientensicherheit

Konzeptionelle und organisationale Möglichkeiten und Grenzen

Simulator-based trainings for improvement of patient safety

Conceptual and organisational potentials and limits

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Notfall + Rettungsmedizin Aims and scope Submit manuscript

Zusammenfassung

Hintergrund

Simulationsbasiertes Lernen (SBL) wird im Rahmen der künftigen Aus-, Fort- und Weiterbildung von medizinischem Personal eine zunehmend wichtige Rolle übernehmen. Zahlreiche Untersuchungen deuten darauf hin, dass diese Lernmethode in den für die Patientensicherheit besonderes wichtigen Bereichen Human Factors und der Sicherheitskultur erfolgreich zum Einsatz kommen kann.

Schlussfolgerung

Eine flächendeckende Umsetzung scheitert aktuell an der Finanzierung. Diese Probleme könnten sich jedoch durch politische Vorgaben und haftpflichtrelevante Entwicklungen bald lösen.

Abstract

Background

In the future, simulation-based learning (SBL) will play an important role for the education of care givers. Several studies have reported that the method is effective for training of human factors and safety culture, which is especially important for patient safety.

Conclusion

Currently, a complete role out is not possible due to financial reasons. However, these problems could be solved soon by political guidelines and liability law developments.

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Literatur

  1. Rall M, Koppenberg J, Henninger M (2013) Simulationstraining zur Verbesserung der Teamarbeit und Erhöhung der Patientensicherheit. In: Moecke H, Marung H, Oppermann S (Hrsg) Praxishandbuch Qualitäts- und Risikomanagement im Rettungsdienst. Medizinisch Wissenschaftlicher Verlagsgesellschaft, Berlin

  2. Koppenberg J, Moecke HP (2012) Srukturiertes klinisches Risikomanagement in einer Akutklinik. Notfall Rettungsmed 15:16–24

    Article  Google Scholar 

  3. Koppenberg J, Urban B, Lackner K (2011) Instrumente, Werkzeuge und Praxis des Risikomanagements. In: Moecke HP, Lackner CK, Klöss T (Hrsg) Das ZNA-Buch. Medizinisch Wissenschaftlicher Verlagsgesellschaft, Berlin

  4. Ostergard S, Dieckmann P, Lippert A (2011) Simulation an CRM. Best Pract Res Clin Anaesthesiol 25:239–249

    Article  Google Scholar 

  5. Lackner CK, Burghofer K, Baschnegger H et al (2009) Simulationstraining in der Akut- und Notfallmedizin. Notfall Rettungsmed 12:366–371

    Article  Google Scholar 

  6. Rall M (2013) Human Factors und CRM: Eine Einführung. In: Pierre M, Breuer G (Hrsg) Simulation in der Medizin. Springer, Berlin

  7. Vries EN de, Ramrattan MA, Smorenburg SM et al (2008) The incidence and nature of in-hospital adverse events: a systemic review. Qual Saf Health Care 17:216–223

    Article  PubMed Central  PubMed  Google Scholar 

  8. Mönk S, Vollmer J (2013) Blick über den Horizont: Fünf Länder, ein Anliegen. In: Pierre M, Breuer G (Hrsg) Springer, Berlin

  9. Maran NJ, Glavin RJ (2003) Low- to high-fidelity simulation – a continuum of medical education? Med Educ 37:22–S28

    Article  PubMed  Google Scholar 

  10. Breckwoldt J, Gruber H, Wittmann A (in Druck) Simulation learning. In: Billett S, Gruber H, Harteis C (Hrsg) International handbook of research in professional practice-based learning. Springer, Dordrecht

  11. http://www.asahq.org/For-Members/Education-and-Events/Simulation-Education/White-Paper-on-ASA-Approval-of-Anesthesiology-Simulation-Programs.aspx. Zugegriffen: 05. Feb. 2014

  12. Kerr B, Hawkins TL-A, Herman R et al (2013) Feasibility of scenario-based simulation training versus traditional workshops in continuing medical education: a randomized controlled trial. Med Educ Online 18:21312

    Article  PubMed  Google Scholar 

  13. Awad SS, Fagan SP, Bellows C et al (2005) Bridging the communication gap in the operating room with medical team training. Am J Surg 190:770–774

    Article  PubMed  Google Scholar 

  14. Perkins GD (2007) Simulation in the resuscitation training. Resuscitation 73:202–211

    Article  PubMed  Google Scholar 

  15. Okuda Y, Quinones J (2008) The use of simulation in the education of emergency care providers for cardiac emergencies. Int J Emerg Med 1:73–77

    Article  PubMed Central  PubMed  Google Scholar 

  16. Gartmeier M, Bauer J, Gruber H, Held H (2008) Negative knowledge: understanding professional learning and expertise. Vocations and Learning 1:87–103

    Article  Google Scholar 

  17. Gaba DM (2004) The future vision of simulation in health care. Qual Saf Health Care 13:i2–i10

    Article  PubMed Central  PubMed  Google Scholar 

  18. Issenberg SB, McGaghie WC, Petrusa ER et al (2005) Features and uses of high-fidelity medical simulations that lead to effective learning: a BEME systematic review. Med Teach 27:10–28

    Article  PubMed  Google Scholar 

  19. Henninger M, Mandl H (2006) Training soft skills with software – fostering reflection in the training of speech-receptive action. In: Frey D, Rosenstiel L von, Mandl H (Hrsg) Knowledge and action. Springer, New York, S 53–83

  20. Henninger M, Mandl H, Law LC (2001) Training der Reflexion. In: Klauer KJ (Hrsg) Handbuch kognitives Training. Hogrefe, Göttingen, S 235–260

  21. Schön DA (1983) The reflective practitioner. Basic Books, New York

  22. Morgan PJ, Tarshis J, LeBlanc V et al (2009) Efficacy of high-fidelity simulation debriefing on the performance of practicing anaesthetists in simulated scenarios. Br J Anaesth 103:531–537

    Article  CAS  PubMed  Google Scholar 

  23. Okuda Y, Bryson EO, DeMaria S et al (2009) The utility of simulation in medical education: what is the evidence? Mt Sinai J Med 76:330–343

    Article  PubMed  Google Scholar 

  24. Savoldelli GL, Naik VN, Park J et al (2006) Value of debriefing during simulated crisis management: oral versus video-assisted oral feedback. Anesthesiology 105:279–285

    Article  PubMed  Google Scholar 

  25. Stegmann K, Pilz F, Siebeck M, Fischer F (2012) Vicarious learning during simulations: is it more effective than hands-on training? Med Educ 46:1001–1008

    Article  PubMed  Google Scholar 

  26. Catchpole K, Mishra A, Handa A, Mc Culloch P (2008) Teamwork and error in the operating room: analysis of skills and roles. Ann Surg 247:699

    Article  CAS  PubMed  Google Scholar 

  27. Degner S, Gruber H (2011) Persons in the shadow: how guidance works in the acquisition of expertise. In: Weber B, Marsal E, Dobashi T (Hrsg) The politics of empathy. New interdisciplinary perspectives on an ancient phenomenon. Lit, Münster, S 103–116

  28. Ericsson KA (2004) Deliberate practice and the acquisition and maintenance of expert performance in medicine and related domains. Acad Med 79:70–81

    Article  Google Scholar 

  29. McGaghie C, Issenberg S, Petrusa ER, Scalese RJ (2010) A critical review of simulation-based medical education research: 2003–2009. Med Educ 44:50–63

    Article  PubMed  Google Scholar 

  30. Chandra DB, Savoldelli GL, Joo HS et al (2008) Fiberoptic oral intubation. The effect of model fidelity on training for transfer to patient care. Anesthesiology 109:1007–1013

    Article  PubMed  Google Scholar 

  31. Wenk M, Waurick R, Schotes D et al (2009) Simulation-based medical education is no better than problem-based discussions and induces misjudgment in self-assessment. Adv Health Sci Educ Theory Pract 14:159–171

    Article  PubMed  Google Scholar 

  32. Bruppacher HR, Alam SK, LeBlanc VR et al (2010) Simulation-based training improves physicians‘ performance in patient care in high-stakes clinical setting of cardiac surgery. Anesthesiology 112:985–992

    Article  PubMed  Google Scholar 

  33. DeGiovanni D, Roberts T, Norman G (2009) Relative effectiveness of high- versus low-fidelity simulation in learning heart sounds. Med Educ 43:661–668

    Article  Google Scholar 

  34. Hallikainen J, Vaisarien O, Randell T et al (2009) Teaching anaesthesia induction to medical students: comparison between full-scale simulation and supervised teaching in the operating theatre. Eur J Anaesthesiol 26:101–104

    Article  PubMed  Google Scholar 

  35. Trentzsch H, Urban B, Sandmeyer B et al (2013) Verbessern simulatorenbasierte Teamtrainings die Patientensicherheit? Unfallchirurg 116(10):900–908

    Article  CAS  PubMed  Google Scholar 

  36. Teteris E, Fraser K, Wright B, McLaughlin K (2012) Does training learners on simulators benefit real patients? Adv Health Sci Educ Theory Pract 17:137–144

    Article  PubMed  Google Scholar 

  37. Okuda Y, Bryson EO, De Maria S Jr et al (2009) The utility of simulation in medical education: what ist he evidence? Mt Sinai J Med 76(4):303–304

    Article  Google Scholar 

  38. Henninger M, Barth C (2009) Kommunikation und Führung. Z Evid Fortbild Qual Gesundhwes 103:211–216

    Article  PubMed  Google Scholar 

  39. Henninger M, Weingandt B (2003) Training of interpersonal communication with tomorrow’s technologies. In: DeFillippi R, Wankel C (Hrsg) Research in management education and development 2. Educating managers with tomorrow’s technologies, Information Age Press, Greenwich (CT), S 149–172

  40. http://www.simparteam.de. Zugegriffen: 11. Feb. 2014

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Einhaltung ethischer Richtlinien

Interessenkonflikt. J. Koppenberg, M. Henninger, P. Gausmann und M. Bucher geben an, dass kein Interessenkonflikt besteht. Der Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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Authors and Affiliations

  1. Abteilung für Anästhesiologie, Schmerztherapie und Rettungsmedizin, Ospidal – Gesundheitszentrum Unterengadin, 7550, Scuol, Schweiz

    J. Koppenberg

  2. Zentrums für Lernen mit Digitalen Medien, Pädagogische Hochschule Weingarten, Weingarten, Deutschland

    M. Henninger

  3. Gesellschaft für Risikoberatung, Detmold, Deutschland

    P. Gausmann

  4. Universitätsklinik für Anästhesiologie und Operative Intensivmedizin, Halle (Saale), Deutschland

    M. Bucher

Authors
  1. J. Koppenberg
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  2. M. Henninger
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  3. P. Gausmann
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  4. M. Bucher
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Corresponding author

Correspondence to J. Koppenberg.

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Koppenberg, J., Henninger, M., Gausmann, P. et al. Simulationsbasierte Trainings zur Verbesserung der Patientensicherheit. Notfall Rettungsmed 17, 373–378 (2014). https://doi.org/10.1007/s10049-013-1802-y

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