Malignant hyperthermia crisis: optimizing patient outcomes through simulation and interdisciplinary collaboration. AORN J 2014 Feb;99(2):301-8; quiz 309-11
Date
01/30/2014Pubmed ID
24472592Pubmed Central ID
PMC4276305DOI
10.1016/j.aorn.2013.06.012Scopus ID
2-s2.0-84893005120 (requires institutional sign-in at Scopus site) 22 CitationsAbstract
Malignant hyperthermia (MH) is a rare, life-threatening event. Many clinicians are unprepared to manage an MH crisis in the perioperative setting because it requires the use of low-frequency, high-risk skills and procedures. Simulation is a recognized educational method for cumulative and integrative learning in a safe environment that resembles real-life clinical scenarios. The aim of this quality improvement project was to provide simulation-based learning to perioperative personnel to educate them in the early recognition, treatment, and management of MH. An interdisciplinary team developed an MH education plan. Implementation of the plan involved a two-part training: an educational session, and a role-playing scenario using high-fidelity OR simulation. Simulation teaching provided OR personnel with an opportunity for skill development, teamwork, interdisciplinary communication, and problem solving. Personnel responded favorably and identified positive outcomes, such as role clarity, improved anticipatory response, and overall team cohesion. In addition, the project included updating the MH cart and writing the hospital's MH policy.
Author List
Cain CL, Riess ML, Gettrust L, Novalija JAuthor
Jutta Novalija MD, PhD Professor in the Anesthesiology department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
Education, ContinuingHumans
Malignant Hyperthermia
Organizational Policy
Patient Care Team
Patient Simulation
Problem Solving
Quality Improvement
Treatment Outcome
