Medical team training

Wolf et al. (2010) Medical Team Training One Day Operating room Safety Attitudes Questionnaire No significant change... 

Carney, B.T., West, R, Neily, J., Mills, P.D. and Bagian, J.P. 2011. Changing perceptions of safety climate in the operating room with the Veterans Health Administration medical team training program. American Journal of Medical Quality, 26, 181M. 

Wolf, F.A., Way, L.W. and Stewart, L. 2010. The efficacy of medical team training Improved team performance and decreased operating room delays A detailed analysis of 4863 cases, zlnno/5 of Surgery, 252, 477-85. 

Treatment of life-threatening injuries should almost always take precedence over measures to address radioactive, chemical, or biological contamination or exposure. Injured individuals should be stabilized if possible and immediately transported to a medical facility. It is recommended that an individual with training in the areas of radioactive, chemical, and biological hazards accompany the first patients to the hospital and serve as an advisor to the medical team. 

The pharmacist s role on the drug development team has greatly expanded the professional opportunities of individuals with backgrounds in pharmacy. Pharmacists can provide valuable therapeutic insight into medical research. Training of pharmacists as clinical scientists with... 

A decontamination area must be a part of the early medical care to limit the degree of exposure to the casualty. Emergency medical care will, initially, be provided by nonmedical workers who are responsible for removing the casualties from the site of injury through a personnel decontamination station and to the waiting medical team. Further evacuation may be required for one or more victims, either to the Installation Medical Facility (IMF) or to an off-post medical treatment facility (MTF). Civilian medical facilities may be required to receive the injured personnel, and they also will need their own supplies, equipment, and training appropriate for treating these casualties. 

Medical personnel must rely on accurate and timely information provided by the earliest responders on the scene. If medical teams are expected to be the earliest responders to the scene of a mass casualty incident involving chemical agents, then they should be provided with reliable detection equipment as well as training on the use of the equipment. There should be continued support for the Public Health Service efforts to equip Metropolitan Medical Strike Teams with effective and currently available chemical agent detection equipment. These detectors are reliable, relatively inexpensive, and provide for the detection of all classical chemical agents that may be utilized in a domestic terrorist incident. Furthermore, efficient and cost-effective portable hand-held CWA detectors employing photo ionization detectors, surface acoustic wave microsensors, or ion mobility spectrometry should be readily available to all Hazmat units expected to respond to a potential CWA incident. 

A few major items of equipment should be readily available from the safety department, fire department, security force, or perhaps the emergency medical team. Their ready availability is by no means certain, and the institution or corporation should maintain a set of these major items. Many of these items require special training to be used safely. 

Provide adequate training to all medical team members, including residents and students, on fall-injury risk assessment and on postfall assessment. 

The nursing staff is among the heaviest users of any simulation center because of the multiple competencies required from them and the large number of nursing staff working in any hospital setting. In multidisciplinary training, nurses are the cornerstone of any medical team. 

Part 4 is a collection of human factors interventions from the different indnstry modes. It will introdnce the concept that human error is indeed ubicpiitous and therefore, its management should be approached from multiple applications training and development, leadership and supervision, situational awareness, distraction management etc. Novel elements in this part include research on driver distraction, medical team resource management, a new look at situational awareness, rail risk management and fatigue management in the medical field. 

Medical Team Resource Management and Error Prevention Training... 

The underlying emphasis of the program is the enhancement of team performance in the medical environment. All members of a medical team need to work together as a well-stmctured, well-fimctioiiing team that has as its main aim patient safety. Failure to act as a well-coordinated team that understands all the issues present and conmiunicates freely and accurately can lead to detrimental consequences for the patient. Medical TRM and error prevention training is designed to prevent such occurrences. 

In general, management of hazardous material release protocols exists for the management of people suffering toxic trauma inside a contaminated area by specially equipped and trained paramedical and medical teams. In the HAZMAT model, medical care is provided following a release of a hazardous material and assumes that three zones of operation (hot, warm and cold) can be established quickly. 

Large-scale chemical releases are rare events around the world. Thus, direct emergency medical experience of dealing with toxic trauma is relatively limited compared with physical trauma, which occurs on a daily basis. However, the risk of both accidental and deliberate toxic releases is growing and emergency medical teams must plan, prepare and train for such events. To do this, the following are required ... 

Training and protection of emergency medical teams responding to toxic agent releases are essential to prevent secondary casualties. 

Medical teams were unaware of what had been released from the plant and the potential effects, and there was inadequate medical knowledge about the possible danger or training to respond. 

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