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Human factor training further improves novice obstetric anaesthetists' confidence levels during simulation training

Thursday, 22 May, 2014 - 11:50
Board 3

Poster Presenter: Ruth Murphyruthmurphy@doctors.org.uk
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Original Research

Human factor training further improves novice obstetric anaesthetists' confidence levels during simulation training
R Murphy, H Murdoch, A Pickard*, M Scrutton
Department of Anaesthesia, Bristol Royal Infirmary, Bristol, UK, *Department of Anaesthesia, Southmead Hospital, Bristol, UK
Simulation training:
• Offers a safe learning environment for reinforcing emergency drills
•Enables non-technical skill acquisition for situations where clinical opportunities may be limited
•Is included in the RCoA curriculum 2010 for basic training [1] The high fidelity Novice Obstetric Anaesthetists' Course was established in 2010 with the aim of improving the confidence of trainees starting obstetric anaesthetic on calls. We have developed the course following recent OAA/ AAGBI Guidelines for Obstetric Anaesthesia Services [2] to include essential non-technical team work training and human factor elements [3].

•We ran a one day high fidelity simulation course for trainees about to, or who had recently started obstetric anaesthetic on calls .
•Candidates voluntarily completed a pre and post -course survey rating their confidence levels in managing a variety of obstetric anaesthetic scenarios using a visual analogue scale (VAS) of 0-100mm.
•Each candidate led a regional (RA) or general anaesthesia (GA) scenario (8 in total) followed by an 'ultimate scenario'.
•In 2013 we introduced interactive small group discussion sessions between scenarios, emphasising the key learning points, with focus on the nontechnical aspects of each scenario using a 'non-clinical checklist' and discussion of human factors.
•The mean confidence increase for all scenarios was 35mm (range 26-43mm) in 2013 compared to 27mm (range 18-30mm) in 2010-11.
•The post course feedback praised and highlighted the value of emphasis on non-clinical skills, human factors and small group tutorials.
•We have demonstrated that the addition of human factor training to an established high-fidelity simulation training course helps novice anaesthetists further improve their confidence in managing situations in obstetric anaesthesia.
•It is hoped this increase in confidence and awareness of human factors will ultimately lead to improvements in patient care.
1. RCoA Curriculum 2010 for basic level training
2. OAA/ AAGBI Guidelines for Obstetric Anaesthesia Services 2013
3. Implementing human factors in healthcare - 'How to' guide: Patient Safety First 2009. Available at: http://www.patientsafetyfirst.nhs.uk/ashx/Asset.ashx?path=/Intervention-...
Accessed January 9, 2014