Enhanced closed-loop communication to keep team members informed of the status of request or action, including maintaining visual contact to confirm messages received and understood.The lead physician remained engaged with prehospital emergency medical services (EMS)/handoff personnel to let them know they were receiving the information being provided.The team was familiar with equipment in the room (for example, how the respiratory cart was set up), which expedited patient care.All of the roles were assigned, and everyone knew what his or her job was during the simulation.The Parkland team offered the following critiques. Carter asked at the conclusion of the 20-minute simulation. “What do you think you did well, and what could you have done better?” Dr. The simulation lasted from arrival in the emergency department to the decision to move the patient to the operating room. The team worked together to care for the patient, taking into account all the new information communicated to them. Vital signs and imaging results were projected to both the simulation team and the audience in real time. Moulage was used on the live patient to effectively depict realistic wounds and injuries. His injuries included chest and abdominal pain and bruising, multiple lacerations, and head trauma. According to the MIST (mechanism, injuries, signs, treatment and trends) report provided in real-time to both the team and the audience, the 57-year-old male “patient” was involved in a rollover motor vehicle crash with confined space patient extrication. To begin the simulation, all 13 members of the resuscitation team identified his or her role in the simulation. Carter, MD, FACS, medical director, Louisiana State University School of Medicine, New Orleans, moderated the trauma scenario and co-led the debriefing. The live multidisciplinary resuscitation simulation-a first for the TQIP meeting-featured staff from Parkland Memorial Hospital in Dallas, a Level I trauma center. In addition, the meeting featured sessions describing the traits of high-reliability organizations as they apply to trauma, the evolving role of hospital-based interventions, and updates on TQIP and Committee on Trauma (COT) initiatives. Maxson shared his singular experience witnessing the functioning of the Arkansas Trauma System from both sides-as a surgeon and, later, a patient. The program also featured a keynote address by Todd Maxson, MD, FACS, chief, trauma program, Arkansas Children’s Hospital, Little Rock. The 10th annual TQIP conference focused on high-functioning teams and error management, including a live trauma simulation session featuring an ad hoc trauma team with a post-session debriefing. The program included sessions tailored for trauma medical directors, program managers, coordinators, and registrars. The 2019 Trauma Quality Improvement Program (TQIP ®) Annual Scientific Meeting and Training, November 16−18 in Dallas, TX, drew 1,960 attendees, including TQIP participants, staff, speakers, and exhibitors.
0 Comments
Leave a Reply. |