Exploratory study on the enhancement of clinical competence among anesthesiologists in crisis events through TeamSTEPPS management course in combination with problem-based learning
Objective To explore the effectiveness of a multimodal TeamSTEPPS course based on clinical cases in training surgical teams led by anesthesiologists,improve team cooperation in crisis management,and enhance clinical safety.Methods The Department of Anesthesiology at Peking Union Medical College Hospital,Chinese Academy of Medical Sciences,combined the TeamSTEPPS course with problem-based learning.Based on eight clinical cases,simulation-based training was conducted for interdisciplinary personnel,including anesthesiologists,surgeons,and operating room nurses.Pre-and post-training evaluations were conducted for 80 participants on theoretical knowledge and teamwork.Statistical analysis was performed using SPSS 27.0 software.The differences in scale scores before and after training were tested for normality.If normally distributed,results were expressed as mean±standard deviation and analyzed using paired t-tests.Participant demographic data were represented using percentages.Results The theoretical assessment scores after training were significantly higher than those before training[(76.45±8.34)vs.(60.21±5.90),t=13.55,P<0.001].TeamSTEPPS Teamwork Perception Questionnaire and TeamSTEPPS Teamwork Attitudes Questionnaire scores were significantly higher after training than before training[(156.08±15.20)vs.(149.32±15.58)and(134.59±10.71)vs.(128.47±10.89)],with statistically significant differences(P<0.001).Conclusions The TeamSTEPPS management course in combination with problem-based learning can enhance the clinical theoretical knowledge of anesthesiologists and improve their team awareness and collaboration,thus improving their clinical competence in managing crisis events.
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