Performance Enhancement in Anesthesia Using the Training Simulator Sophus (Peanuts)
Although anesthesia today is a safe procedure, complications do arise. Several studies have tried to evaluate mortality and the frequency of complications in relation to operation and anesthesia.1,2 In 14% of reported incidences the anesthesia in itself is considered to be a contributory factor. The major part of this factor is human error. Systematic collection of critical incidents “The Critical Incident Technique” was adopted from aviation and used for the first time in anesthesia by Cooper et al in 1978.3 It was found like in aviation, that at least half of the reported critical incidents in the study was caused by human factors, mostly lack of knowledge about equipment in use and communication and/or leadership errors. In aviation this has lead to the development of simulators where it is possible to train both manual skills and aspects of communication, cooperation and leadership (the CRM concept). As there are some similarities between aviation and anesthesia the CRM concept has been transferred to anesthesia by Howard and Gaba by the use of simulators.4 It has been shown that using simulators can improve performance.5
KeywordsAbdominal Aorta Aneurysm Critical Incident Simulator Training Team Spirit Critical Incident Technique
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- 4.Howard SK, Gaba DM, Fish KJ, Yang G, Sarnquist FH. Anesthesia crisis resource management training: teaching anesthesiologists to handle critical incidents. Aviation Space & Environmental Medicine 1992; 63:763–770.Google Scholar