• M St Pierre, G Hofinger, C Buerschaper, M Grapengeter, H Harms, G Breuer, and J Schüttler.
• Klinik für Anästhesiologie, Friedrich-Alexander-Universität, Erlangen. michael.st.pierre@kfa.imed.uni-erlangen.de
• Anaesthesist. 2004 Feb 1;53(2):144-52.

BackgroundHuman 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").MethodsA 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.ResultsGood 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).ConclusionsA training concept with psychological intensive briefing may enhance the transfer of HF aspects more than classical ACRM.

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