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Simulation-based training and assessment of non-technical skills in the Norwegian Helicopter Emergency Medical Services: a cross-sectional survey
Norwegian Air Ambulance Fdn, Drobak, Norway; Univ Bergen, Bergen, Norway; Natl Ctr Emergency Primary Hlth Care, Bergen, Norway; Univ Stavanger, Stavanger, Norway .
Norwegian Air Ambulance Fdn, Drobak, Norway; Univ Stavanger, Stavanger, Norway; Oslo University Hospital, Oslo, Norway.
University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Public health science.
Univ Stavanger, Stavanger, Norway; Univ Oslo, Oslo, Norway.
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2015 (English)In: Emergency Medicine Journal, ISSN 1472-0205, E-ISSN 1472-0213, Vol. 32, no 8, p. 647-653Article in journal (Refereed) Published
Abstract [en]

Background: Human error and deficient non-technical skills (NTSs) among providers of ALS in helicopter emergency medical services (HEMS) is a threat to patient and operational safety. Skills can be improved through simulation-based training and assessment. Objective: To document the current level of simulation-based training and assessment of seven generic NTSs in crew members in the Norwegian HEMS. Methods: A cross-sectional survey, either electronic or paper-based, of all 207 physicians, HEMS crew members (HCMs) and pilots working in the civilian Norwegian HEMS (11 bases), between 8 May and 25 July 2012. Results: The response rate was 82% (n=193). A large proportion of each of the professional groups lacked simulation-based training and assessment of their NTSs. Compared with pilots and HCMs, physicians undergo statistically significantly less frequent simulation-based training and assessment of their NTSs. Fifty out of 82 (61%) physicians were on call for more than 72 consecutive hours on a regular basis. Of these, 79% did not have any training in coping with fatigue. In contrast, 72 out of 73 (99%) pilots and HCMs were on call for more than 3 days in a row. Of these, 54% did not have any training in coping with fatigue. Conclusions: Our study indicates a lack of simulation-based training and assessment. Pilots and HCMs train and are assessed more frequently than physicians. All professional groups are on call for extended hours, but receive limited training in how to cope with fatigue.

Place, publisher, year, edition, pages
2015. Vol. 32, no 8, p. 647-653
Keywords [en]
accident prevention, assessment, critical care transport, prehospital care, helicopter retrieval, training
National Category
Health Sciences
Identifiers
URN: urn:nbn:se:hig:diva-17752DOI: 10.1136/emermed-2014-203962ISI: 000358588300016PubMedID: 25344577Scopus ID: 2-s2.0-84937839681OAI: oai:DiVA.org:hig-17752DiVA, id: diva2:768409
Available from: 2014-12-03 Created: 2014-10-31 Last updated: 2018-03-13Bibliographically approved

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Öhlund, Lennart S.

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