Impact of video recordings review with structured debriefings on trauma team performance: a prospective observational cohort study.

IF 2.2 3区医学 Q2 EMERGENCY MEDICINE European Journal of Trauma and Emergency Surgery Pub Date : 2024-08-01 Epub Date: 2024-02-23 DOI:10.1007/s00068-024-02473-3

Vytautas Aukstakalnis, Justinas Stucinskas, Paulius Dobozinskas, Linas Darginavicius, Kestutis Stasaitis, Dinas Vaitkaitis

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Abstract

Purpose: To determine the impact of structured debriefings (SD) with audio/video review of trauma patients' resuscitation events on trauma team (TT) technical and non-technical skills.

Methods: Single-center prospective observational cohort study. The study included all emergency department patients aged 18 years or older who received resuscitation from the TT. Virtual meeting was held with the TT using SD to review one trauma patient resuscitation video. Technical skills improvement was based on adherence to the ATLS protocol and non-technical skills based on T-NOTECHS scale.

Results: There was statistically significant improvement in adherence to the ATLS protocol: 73% [55-82%] vs 91% [82-100%] (p < 0.001); and improvement in T-NOTECHS scale: 12 [10-14] vs 16 [14-19] points (p < 0.001).

Conclusion: In this study, we found that structured debriefings with review of patients' resuscitation video recordings can have a significant positive impact on trauma team performance in the emergency department in both technical and non-technical skills.

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视频录像回顾与结构化汇报对创伤团队表现的影响：一项前瞻性观察队列研究。

目的：确定对创伤患者复苏事件进行音频/视频回顾的结构化汇报（SD）对创伤团队（TT）技术和非技术技能的影响：单中心前瞻性观察队列研究。研究对象包括所有接受创伤团队复苏的 18 岁及以上急诊科患者。使用 SD 与 TT 举行虚拟会议，审查创伤患者复苏视频。技术技能的提高基于对 ATLS 协议的遵守情况，非技术技能的提高基于 T-NOTECHS 量表：结果：在遵守 ATLS 协议方面有了统计学意义上的明显改善：73%[55-82%]对 91% [82-100%]（P 结论：在这项研究中，我们发现，通过回顾患者的复苏视频录像进行结构化汇报，可对急诊科创伤团队在技术和非技术技能方面的表现产生重大积极影响。

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来源期刊

European Journal of Trauma and Emergency Surgery 医学-急救医学

CiteScore

4.50

自引率

14.30%

发文量

311

审稿时长

3 months

期刊介绍： The European Journal of Trauma and Emergency Surgery aims to open an interdisciplinary forum that allows for the scientific exchange between basic and clinical science related to pathophysiology, diagnostics and treatment of traumatized patients. The journal covers all aspects of clinical management, operative treatment and related research of traumatic injuries. Clinical and experimental papers on issues relevant for the improvement of trauma care are published. Reviews, original articles, short communications and letters allow the appropriate presentation of major and minor topics.