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Training novice anaesthesiology trainees to speak up for patient safety

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  • Additional Information
    • Affiliation:
      1 Children's Hospital of Philadelphia, Department of Anesthesiology and Critical Care Medicine, University of Pennsylvania, Philadelphia, PA, USA
      2 Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA
    • Note:
      This article is accompanied by an editorial: Consensus clinical scoring for suspected perioperative immediate hypersensitivity reactions by Hopkins et al., Br J Anaesth 2019:122:710–713, doi: https://doi.org/10.1016/j.bja.2019.03.003.
      Handling editor: H.C. Hemmings Jr
      Editorial decision: 11 January 2019
    • Keywords:
      assertiveness
      communication
      medical education
      patient safety
      simulation training
      speaking up
    • Abstract:
      Background Effectively communicating patient safety concerns in the operating theatre is crucial, but novice trainees often struggle to develop effective speaking up behaviour. Our primary objective was to test whether repeated simulation-based practice helps trainees speak up about patient management concerns. We also tested the effect of an additional didactic intervention over standard simulation education.
    • Abstract:
      Results Twenty-two participants (11 per group) were included. There was no significant interaction between group and time for any outcome measure. There was a main effect for time for self-efficacy (P<0.001); for social outcome expectations (P<0.001); for assertive attitude (P=0.003); and for speaking up scores (P=0.001). The SE+ group's assertive attitude scores increased at follow-up whereas the SE group reverted to near baseline scores (P=0.025).
    • Abstract:
      Conclusions In novice anaesthesia trainees, intrapersonal factors and communication performance benefit from repeated simulation training. Focused teaching may help trainees develop assertive behaviours.
    • ISSN:
      0007-0912
    • Accession Number:
      10.1016/j.bja.2019.01.017
    • Accession Number:
      S000709121930056X
    • Copyright:
      © 2019 British Journal of Anaesthesia. Published by Elsevier Ltd. All rights reserved.
  • Citations
    • ABNT:
      DALY GURIS, R. J. et al. Training novice anaesthesiology trainees to speak up for patient safety. British Journal of Anaesthesia, [s. l.], v. 122, n. 6, p. 767–775, 2019. DOI 10.1016/j.bja.2019.01.017. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edselp&AN=S000709121930056X&custid=s8280428. Acesso em: 4 jul. 2020.
    • AMA:
      Daly Guris RJ, Duarte SS, Miller CR, Schiavi A, Toy S. Training novice anaesthesiology trainees to speak up for patient safety. British Journal of Anaesthesia. 2019;122(6):767-775. doi:10.1016/j.bja.2019.01.017.
    • AMA11:
      Daly Guris RJ, Duarte SS, Miller CR, Schiavi A, Toy S. Training novice anaesthesiology trainees to speak up for patient safety. British Journal of Anaesthesia. 2019;122(6):767-775. doi:10.1016/j.bja.2019.01.017
    • APA:
      Daly Guris, R. J., Duarte, S. S., Miller, C. R., Schiavi, A., & Toy, S. (2019). Training novice anaesthesiology trainees to speak up for patient safety. British Journal of Anaesthesia, 122(6), 767–775. https://doi.org/10.1016/j.bja.2019.01.017
    • Chicago/Turabian: Author-Date:
      Daly Guris, Rodrigo J., Shirley S. Duarte, Christina R. Miller, Adam Schiavi, and Serkan Toy. 2019. “Training Novice Anaesthesiology Trainees to Speak up for Patient Safety.” British Journal of Anaesthesia 122 (6): 767–75. doi:10.1016/j.bja.2019.01.017.
    • Harvard:
      Daly Guris, R. J. et al. (2019) ‘Training novice anaesthesiology trainees to speak up for patient safety’, British Journal of Anaesthesia, 122(6), pp. 767–775. doi: 10.1016/j.bja.2019.01.017.
    • Harvard: Australian:
      Daly Guris, RJ, Duarte, SS, Miller, CR, Schiavi, A & Toy, S 2019, ‘Training novice anaesthesiology trainees to speak up for patient safety’, British Journal of Anaesthesia, vol. 122, no. 6, pp. 767–775, viewed 4 July 2020, .
    • MLA:
      Daly Guris, Rodrigo J., et al. “Training Novice Anaesthesiology Trainees to Speak up for Patient Safety.” British Journal of Anaesthesia, vol. 122, no. 6, June 2019, pp. 767–775. EBSCOhost, doi:10.1016/j.bja.2019.01.017.
    • Chicago/Turabian: Humanities:
      Daly Guris, Rodrigo J., Shirley S. Duarte, Christina R. Miller, Adam Schiavi, and Serkan Toy. “Training Novice Anaesthesiology Trainees to Speak up for Patient Safety.” British Journal of Anaesthesia 122, no. 6 (June 1, 2019): 767–75. doi:10.1016/j.bja.2019.01.017.
    • Vancouver/ICMJE:
      Daly Guris RJ, Duarte SS, Miller CR, Schiavi A, Toy S. Training novice anaesthesiology trainees to speak up for patient safety. British Journal of Anaesthesia [Internet]. 2019 Jun 1 [cited 2020 Jul 4];122(6):767–75. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edselp&AN=S000709121930056X&custid=s8280428