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Geraghty A, Tang B, Tait I, Maran N, Monepenny M

“Managing Surgical Crisis: non-technical skills for new surgeons” A Human Factors course for core surgical trainees. Geraghty A, Tang B, Tait I, Maran N, Monepenny M. Threat Error Management. Highly effective safety training - train to overcome threats identified in error literature.

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Geraghty A, Tang B, Tait I, Maran N, Monepenny M

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  1. “Managing Surgical Crisis: non-technical skills for new surgeons”A Human Factors course for core surgical trainees Geraghty A, Tang B, Tait I, Maran N, Monepenny M

  2. Threat Error Management • Highly effective safety training - train to overcome threats identified in error literature • Cognitively more effective way to avoid error is to train to overcome it

  3. Threats • Physical problems • Bleeding • Leaks – bowel/bile/urine/CSF • Unusual anatomy • Human factors problems • Communication • Teamwork • Leadership • Situation awareness • Decision making

  4. Effective Management • Physical problems • Technical training • Human factors problems • Non technical skills for surgeons • Graded assertiveness • Shared mental models • SBAR • Closed loop communication

  5. Core Surgical Trainees • Developing independent operative skills • Naïve situation awareness/judgement pathways • High technical demand can compromise non-technical skills • Same threats are present in ALL surgical contexts

  6. Role of Human Factors in Crisis Development

  7. Crisis Management Algorithm Team Environment Assess/Analyse/Anticipate Manage Resources Shared mental models Graded assertiveness Sterile cockpit Situation Awareness Analytical decision making SBAR Closed loop communication

  8. Simulated Crisis Scenarios

  9. Debriefing

  10. Skills

  11. Attitudes Empowered me in my role as a surgical trainee to take responsibility in theatre “I am more aware and ready to take action before a crisis hits.” “It has made me think about what I can do to prepare before situations so more information is in the automatic portion of my brain so that I have maximum space for active thought processes in emergency and elective situations” “It has given me a structured approach to managing crisis…. helpful in thinking about the big picture and definitive solution”

  12. Managing Surgical Crisis: non-technical skills for new surgeons3rd JuneCuschieri Skills Centre, Dundee Places Available

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