CRNA performance using a handheld, computerized, decision-making aid during critical events in a simulated environment: a methodologic inquiry.
Directives to improve patient outcomes and enhance safety within the healthcare system have led to development of technologies to assist practitioners in a variety of activities. The purpose of this study was to explore and evaluate a method for examining the effect of computer-assisted decision mak...
| Publicado en: | AANA Journal Vol. 76; no. 1; pp. 29 - 36 |
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| Autores principales: | , |
| Formato: | clinical trial forms research tables/charts Journal Article |
| Publicado: |
American Association of Nurse Anesthetists
Feb2008
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105876209&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105876209 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00946354 GLR jtl: AANA Journal issn: 00946354 maglogo: N pubinfo: dt: Feb2008 vid: 76 iid: 1 pid: 11824 pub: American Association of Nurse Anesthetists place: Park Ridge, Illinois artinfo: ui: 105876209 105876209 2009808833 NLM18323317 105876209 ppf: 29 ppct: 7 formats: fmt: @attributes: type: P tig: atl: CRNA performance using a handheld, computerized, decision-making aid during critical events in a simulated environment: a methodologic inquiry. aug: au: Coopmans VC Biddle C affil: Nurse Anesthesia Program, Barnes-Jewish College of Nursing, St. Louis, Missouri; vcoopmans@bjc.org sug: subj: Anesthesia Nursing Computer Simulation Computers, Hand-Held Critical Care Decision Making, Computer Assisted Intraoperative Care Models, Anatomic Certified Registered Nurse Anesthetists Postoperative Care Clinical Trials Convenience Sample Crossover Design Descriptive Statistics Evaluation Research Funding Source Interrater Reliability kappa Statistic Nurse Attitudes Evaluation Random Assignment Research Instruments Time Factors Videorecording Human ab: Directives to improve patient outcomes and enhance safety within the healthcare system have led to development of technologies to assist practitioners in a variety of activities. The purpose of this study was to explore and evaluate a method for examining the effect of computer-assisted decision making (CADM) using a handheld device on the accuracy (ie, correct diagnosis and treatment) and speed of problem solving by Certified Registered Nurse Anesthetists (CRNAs) during simulated critical patient-care events. A randomized crossover design with matched-pair sampling was used. In a high-fidelity human simulation environment, 4 CRNAs participated in 2 plausible critical anesthesia case scenarios. CRNA performance with and without CADM technology, environmental authenticity, and reliability and validity of data collection tools and simulated case scenarios were evaluated. Time to correct diagnosis and treatment varied by scenario, taking less time with CADM for one but more with CADM for the other, likely due to differences in pace, intensity, and conduct of the 2 scenarios. We believe this study supports further exploration and application of CADM in complex patient scenarios involving anesthesia practitioners. Affirmation of environmental authenticity also validates the high-fidelity human simulation environment as an appropriate setting to conduct research in this area. pubtype: Academic Journal doctype: clinical trial forms research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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