Carolyn Lee Wang MD, Presenter: Nothing to Disclose

Sankar Chinnugounder MD, Abstract Co-Author: Nothing to Disclose

Daniel S. Hippe MS, Abstract Co-Author: Research Grant, Koninklijke Philips NV Research Grant, General Electric Company

Ryan O'Malley MD, Abstract Co-Author: Nothing to Disclose

Sadaf Fatima Zaidi MD, Abstract Co-Author: Nothing to Disclose

Odawni Palmer, Abstract Co-Author: Nothing to Disclose

Mary Sichko RN, Abstract Co-Author: Nothing to Disclose

Gulnoor Sherif RT, Abstract Co-Author: Nothing to Disclose

Angelisa Marie Paladin MD, Abstract Co-Author: Nothing to Disclose

William Henry Bush MD, Abstract Co-Author: Nothing to Disclose

To develop and implement an evidenced based high-fidelity simulation team training program for contrast reaction management (CRM) and teamwork skills (TS) and compare it to our standard curriculum of computer-based simulation training and didactic lecture for radiology residents, nurses and technologists.

IRB approved HIPAA compliant study of 12 residents, 13 nurses and 15 techologists who were randomized to hands-on (HO) or computer-based (CB) training. In the HO group a resident, nurse and tech trained together as a team to manage different contrast reactions using high-fidelity simulation scenarios and practicing specific teamwork skills based on TeamSTEPPS® (Team Strategies and Tools to Enhance Performance and Patient Safety). In the CB group each completed a computer-based simulation program on CRM and watched an online video on team skills. Eighteen HO (6 of each type) and 12 CB (6 residents, 4 nurses and 2 techs) completed the training. Both groups completed written tests on CRM and TS skills before and after the intervention and responses were compared using the Mann-Whitney test. Changes in scores were tested against no change using the Wilcoxon signed-rank test.

No statistical difference existed between the pre-test scores of the CB (65.6 ± 16.5) and HO groups (66.7 ± 19.9) (p=0.73) or the immediate post-test scores (CB=79.0 ± 14.4, HO=79.6 ± 16.7) (p=0.69), although both groups improved after the intervention (p<0.05). With test questions divided into CRM versus TS, the HO group had a higher percentage improvement in TS (13.3 ± 19.4) compared to the CB (1.5 ± 17.2). Post intervention the HO group was more likely than the CB group to strongly agree that the course enhanced how to handle crisis, was an effective learning tool, was a realistic model of the clinical setting, and was effective at teaching CRM and TS (p<0.05).

Our novel high-fidelity simulation team training program was able to teach both contrast reaction management and teamwork skills and was well accepted by the trainees. HO was comparable to CB at training CRM and may be more effective than CB training for teamwork skills.

Medical teams rarely treat contrast reactions. Suboptimal teamwork threatens patient safety. High-fidelity team simulations teaching CR management and teamwork skills improve patient safety.

Wang, C, Chinnugounder, S, Hippe, D, O'Malley, R, Zaidi, S, Palmer, O, Sichko, M, Sherif, G, Paladin, A, Bush, W, Evidence Based Development of a High-fidelity Simulation Team Training Program for Contrast Reaction Management.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14014471.html