4.4 Article

Simulation training results in improvement of the management of operating room fires-A single-blinded randomized controlled trial

Journal

AMERICAN JOURNAL OF SURGERY
Volume 218, Issue 2, Pages 237-242

Publisher

EXCERPTA MEDICA INC-ELSEVIER SCIENCE INC
DOI: 10.1016/j.amjsurg.2019.02.035

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Background: Operating room (OR) fires are a preventable danger. Our aim is to examine the effectiveness of OR fire simulation scenarios as a supplement to classroom-based training for managing OR fires. Methods: Eighty-two participants were randomly divided into 14 groups. Eight groups (Group S) participated in two simulations: one prior to the classroom-based fire training and another after the classroom. Six groups (Group D) participated in the identical classroom training, but only one simulation, which followed the classroom session. Confidence surveys were completed before classroom training and after the final simulation. All simulations were assessed by a blinded evaluator. Results: Competency scores within Group S were significantly higher after the second simulation. Competency scores for Group S were significantly higher than Group D for the final test scenario. Prior to the classroom-based training, confidence scores regarding fire safety-related OR tasks were significantly higher in S group. Conclusions: Simulation training significantly improves both the competency and confidence of medical professionals in managing fires in the OR, with more simulation training showing a greater degree of benefit. (C) 2019 Elsevier Inc. All rights reserved.

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