Simulatorgestütztes, modulares Human Factors Training in der Anästhesie. Konzept und Ergebnisse des Trainingsmoduls "Kommunikation und Kooperation im Team".

<bold>Background: </bold>Human 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").<bold>Methods: </bold>A 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.<bold>Results: </bold>Good 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).<bold>Conclusions: </bold>A training concept with psychological intensive briefing may enhance the transfer of HF aspects more than classical ACRM. [ABSTRACT FROM AUTHOR]