Effect of Cognitive Aids on Adherence to Best Practice in the Treatment of Deteriorating Surgical Patients: A Randomized Clinical Trial in a Simulation Setting.

ABSTRACT:

Importance

Failure to rescue causes significant morbidity and mortality in the surgical population. Human error is often the underlying cause of failure to rescue. Human error can be reduced by the use of cognitive aids.

Objectives

To test the effectiveness of cognitive aids on adherence to best practice in the management of deteriorating postoperative surgical ward patients.

Design, setting, and participants

Randomized clinical trial in a simulation setting. Surgical teams consisted of 1 surgeon and 2 nurses from a surgical ward from 4 different hospitals in Amsterdam, the Netherlands. Data were analyzed between February 2, 2017, and December 18, 2018.

Interventions

The teams were randomized to manage 3 simulated deteriorating patient scenarios with or without

SUBMITTER: Koers L 

PROVIDER: S-EPMC6902237 | biostudies-literature | 2020 Jan

REPOSITORIES: biostudies-literature