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Introduction: In May 2010, The Helsinki Declaration for Patient Safety in
Anaesthesiology was launched by the two major anaesthetic societies in
Europe. The ICU environment is especially unforgiving for mistakes due
to the multidisciplinary, time-critical nature of care and vulnerability of
the patients. Human factors account for the majority of adverse events
and a sound safety climate is therefore essential [1].
Endangerment of patients by deficits in the field of Human Factors (HF) is
especially tragic, as it should be avoidable in most cases. Simulation
trainigs provide a valuable tool to train the management of complex
medical situations thus reducing the occurrence of fatal errors and
increasing patient safety.
We demonstrate the effects of trainigs by the means of a “ Pre- and Post-
Training Self-Evaluation Questionnaire“ [2]. In addition, the debriefing
after each training was evaluated by a standardised questionnaire
(Debriefing Assessment for Simulation in Healthcare, DASH©).
Objectives: Over the period of one year, nearly every health professional of
our SICU (120 nurses and 15 physicians) underwent a simulation training
consisting of 5 hours of training for each 8 participants ending with a videoassisted
debriefing. The focus of the training was on the area of CRM and
HF. In every training, typical medical emergencies such as anaphylaxia,
critical increase of icp, severe hypotension, tension pneumothorax after the
insertion of a central venous catheter, were reproduced.
Results: So far, the first 75 questionnaires (65 nurses, 10 physicians ) have
been evaluated regarding pre- and post training self evaluation. On a scale
ranging from 1 (best) to 6 (worst) the overall rating of the training was 1.04.
The multidisciplinary approach was rated 1.22. We could demonstrate that
the participants felt they could improve their skills in all of the items that
were assessed. The multidisciplinary approach of the training was esteemed
by the majority of the participants. The debriefing was rated with 6.59 (scale
ranging from 1, bad to 7, very good) in the DASH©-assessment.
Conclusions: Multidisciplinary simulation-based educational trainig is
feasible and improves self-estimated competence and awareness of CRM
and HF in a medical complex ICU setting . This could have the potential to
impact patient outcome. Interprofessional simulation trainings lead to a
subjective increase of self-assuredness in the management of complexsituations on ICU. A training within the unit is regarded mainly positively by the participants. A concluding inquiry could monitor the sustainability of these efforts in the long view.