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NightShift simulation to train newly qualified doctors in non-technical skills: a feasibility study

Brown, Michael; Pinchin, James; Valand, Reena; Larkin, Christopher; Pattinson, Joanne; Benning, Kelly; Housley, Gemma; Hatton, Jim; Shaw, Dominick E.; Syrysko, Paul; Sharples, Sarah; Blakey, John

Authors

Michael Brown

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JAMES PINCHIN JAMES.PINCHIN@NOTTINGHAM.AC.UK
Transitional Assistant Professor

Reena Valand

Christopher Larkin

Joanne Pattinson

Kelly Benning

Gemma Housley

Jim Hatton

Dominick E. Shaw

Paul Syrysko

John Blakey



Abstract

There is growing evidence of greater rates of morbidity and mortality in hospitals during out-of-hours shifts, which appears to be exacerbated during the period in which newly qualified doctors commence work. In order to combat this issue, an online simulation of a night shift was developed and trialled in order to improve the non-technical skills of newly qualified doctors and, ultimately, improve clinical outcomes. A randomised feasibility trial of the electronic training simulation was performed with medical students (n=30) at the end of their training and in the initial weeks of working at a large teaching hospital. The study showed that participants in the intervention group completed their non-urgent tasks more rapidly than the control group: mean (SD) time to complete a non-urgent task of 85.1 (50.1) versus 157.6 (90.4) minutes, p=0.027. This difference persisted using linear regression analysis, which was undertaken using rota and task volume as independent cofactors (p=0.028). This study shows the potential for simulation technologies to improve non-technical skills.

Journal Article Type Article
Publication Date Jun 1, 2016
Journal Future Hospital Journal
Print ISSN 2055-3323
Electronic ISSN 2055-3331
Publisher Royal College of Physicians
Peer Reviewed Peer Reviewed
Volume 3
Issue 2
APA6 Citation Brown, M., Pinchin, J., Valand, R., Larkin, C., Pattinson, J., Benning, K., …Blakey, J. (2016). NightShift simulation to train newly qualified doctors in non-technical skills: a feasibility study. Future Hospital Journal, 3(2), https://doi.org/10.7861/futurehosp.3-2-94
DOI https://doi.org/10.7861/futurehosp.3-2-94
Keywords Out-of-hours Care, Secondary Care, Simulation, Medical Education, Non-technical Skills
Publisher URL http://futurehospital.rcpjournal.org/content/3/2/94.short
Copyright Statement Copyright information regarding this work can be found at the following address: http://eprints.nottingh.../end_user_agreement.pdf

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Copyright Statement
Copyright information regarding this work can be found at the following address: http://eprints.nottingham.ac.uk/end_user_agreement.pdf





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