BACKGROUND Beginners in residency programmes in anaesthesia are challenged because working environment is complex, and they cannot rely on experience to meet challenges. During this early stage, residents need rules and structures to guide their actions and ensure patient safety. OBJECTIVE We investigated whether self-training with an electronic audiovisual checklist app on a mobile phone would produce a long-term improvement in the safety-relevant actions during induction of general anaesthesia. DESIGN, SETTING AND PARTICIPANTS During the first month of their anaesthesia residency, we randomised 26 residents to the intervention and control groups. The study was performed between August 2013 and December 2014 in two university hospitals in Germany. INTERVENTION In addition to normal training, the residents of the intervention group trained themselves on well tolerated induction using the electronic checklist for at least 60 consecutive general anaesthesia inductions. MAIN OUTCOME MEASURES After an initial learning phase, all residents were observed during one induction of general anaesthesia. The primary outcome was the number of safety items completed during this anaesthesia induction. Secondary outcomes were similar observations 4 and 8 weeks later. RESULTS Immediately, and 4 weeks after the first learning phase, residents in the intervention group completed a significantly greater number of safety checks than residents in the control group 2.8 [95% confidence interval (CI) 0.4 to 5.1, P = 0.021, Cohen's d = 0.47] and 3.7 (95% CI 1.3 to 6.1, P = 0.003, Cohen's d = 0.61), respectively. The difference between the groups had disappeared by 8 weeks: mean difference in the number of safety checks at 8 weeks was 0.4, 95% CI −2.0 to 2.8, P = 0.736, Cohen's d = 0.07). CONCLUSION The use of an audiovisual self-training checklists improves safety-relevant behaviour in the early stages of a residency training programme in anaesthesia. Correspondence to Dr Stefanie Beck, Department of Anaesthesiology, University Hospital Hamburg-Eppendorf, Martinistrasse 52, 20246 Hamburg, Germany E-mail: st.beck@uke.de © 2018 European Society of Anaesthesiology
http://ift.tt/2DQAzd2
Σφακιανάκης Αλέξανδρος
ΩτοΡινοΛαρυγγολόγος
Αναπαύσεως 5 Άγιος Νικόλαος
Κρήτη 72100
00302841026182
00306932607174
alsfakia@gmail.com
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- Use of the REVERT® total protein stain as a loadin...
- Increased mitochondrial turnover in the skeletal m...
- A novel tubulin inhibitor STK899704 induces tumor ...
- Eicosapentaenoic acid ethyl ester ameliorates atop...
- An efficient method for eccrine gland isolation fr...
- Leiomyoma of the soft palate: Case report and revi...
- Leiomyoma of the soft palate: Case report and revi...
- A rotation flap does not rotate
- Does dietary fluid intake affect skin hydration in...
- Issue Information
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- Alterations of the Gut Microbiota in Hashimoto's T...
- Issue Information - TOC
- Issue Information - Cover
- Editorial echoes
- The Vitamin D3 analogue calcipotriol suppresses Cp...
- Issue Information - TOC
- Issue Information - Cover
- Editorial echoes
- Comparison of the effectiveness of pulsed dye lase...
- Tracing Stem Cell Division in Adult Neurogenesis
- Slow Your Roll: Inhibiting SETD7 Activity Permits ...
- Shaping the Pluripotent Genome: Switches, Borders,...
- Mentoring the Next Generation: Irving Weissman
- Meddling with METTLs in Normal and Leukemia Stem C...
- Japan Strengthens Regenerative Medicine Oversight
- Phospholipid Remodeling and Cholesterol Availabili...
- Adult Neurogenesis Is Sustained by Symmetric Self-...
- Jak1 Integrates Cytokine Sensing to Regulate Hemat...
- Models including plasma levels of sphingomyelins a...
- Membrane progesterone receptors β and γ have poten...
- Periodontal diseases and adverse pregnancy outcome...
- Differential insulin and steroidogenic signaling i...
- Progesterone arrested cell cycle progression throu...
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- Selective estrogen receptor modulator ormeloxifene...
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- A descriptive analysis of shoulder muscle activiti...
- The Audiology of Otosclerosis
- Stapedectomy Versus Stapedotomy
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- Editorial Board
- The world needs new knowledge
- Low temperature diamond growth arising from ultraf...
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- Standardised noxious stimulation-guided individual...
- Reply to: who takes the lead in critical illness?
- Neostigmine-based reversal of intermediate acting ...
- Reply to: collaboration in emergency medical care ...
- Effects of magnesium chloride on rocuronium-induce...
- Effects of propofol on wound closure and barrier f...
- Who takes the lead in critically ill patients?
- Professionalisation rather than monopolisation is ...
- Impact of pectoral nerve block on postoperative pa...
- Ultrasound with neurostimulation compared with ult...
- Ultrasound in Anesthesia, Critical Care, and Pain ...
- eNOS Uncoupling, A Therapeutic Target For Ischemic...
- Should platelet-rich plasma be activated in fat gr...
- Thermodynamic characterization of a non-commercial...
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- I don't really feel comfortable doing that
- The way it was, the way it ought to be, the way it...
- Authors' response
- Surgery-first approach vs traditional approach
- February 2018:153(2)
- Authors' response
- Residents' journal review
- A friend in need
- Predictable method to deliver physiologic force fo...
- Reliability of different radiographic methods for ...
- Physical properties of root cementum: Part 26. Eff...
- Statistical testing against baseline
- No association between types of unilateral mandibu...
- Reply to: professionalisation rather than monopoli...
- History of anaesthesia: Nurse anaesthesia practice...
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