Simulator-based modular human factor training in anaesthesiology. Concept and results of the module "communication and team-cooperation" [Simulatorgestütztes, modulares human factors training in der anästhesie. Konzept und ergebnisse des trainingsmoduls "kommunikation und kooperation im team"]

Background. Human factors (HF) play a major role in crisis development and management and simulator training can help to train HF aspects. We developed a modular training concept with psychological intensive briefing. The aim of the study was to see whether learning and transfer In the treatment group (TG) with the module "communication and team-cooperation" differed from that in the control group (CG) without psychological briefing ("anaesthesia crisis resource management type course"). Methods. A total of 34 residents (TG:n=20, CG: n=14) managed 1 out of 3 scenarios and communication patterns and management were evaluated using video recordings. A questionnaire was answered at the end of the course and 2 months later participants were asked for lessons learnt and behavioral changes. Results. Good communication and medical management showed a significant correlation (r=0.57, p=0.001).The TG showed greater initiative (P=0.001) and came more often in conflict with the surgeon (p=0.06). The TG also reported more behavioral changes than the CG 2 months later. The reported benefit of the simulation was training for rare events in the CG, whereas in the TG it was issues of communication and cooperation (p=0.001). Conclusions. A training concept with psychological intensive briefing may enhance the transfer of HF aspects more than classical ACRM.