The flip side of speaking up: a new model to facilitate positive responses to speaking up in the operating theatre.

Background: Speaking up is important for patient safety, but only if the concern raised is acknowledged and responded to appropriately. While the power to change the course of events rests with those in charge, research has focussed on supporting those in subordinate positions to speak up. We propose responsibility also rests with senior clinical staff to respond appropriately.

Sustaining multidisciplinary team training in New Zealand hospitals: a qualitative study of a national simulation-based initiative.

Aim: Healthcare is delivered by teams, but the training of healthcare staff is commonly undertaken in professional silos. This study investigated local perspectives on the sustainability of NetworkZ, a New Zealand national simulation-based multi-disciplinary operating room team training programme.

Method: Local course instructors and managers were invited to participate in semi-structured interviews.

Towards a safer culture: implementing multidisciplinary simulation-based team training in New Zealand operating theatres - a framework analysis.

Aim: NetworkZ is a simulation-based multidisciplinary team-training programme designed to enhance patient safety by improving communication and teamwork in operating theatres (OTs). In partnership with the Accident Compensation Corporation, its implementation across New Zealand (NZ) began in 2017. Our aim was to explore the experiences of staff - including the challenges they faced - in implementing NetworkZ in NZ hospitals, so that we could improve the processes necessary for subsequent implementation.

Building the evidence on simulation validity: comparison of anesthesiologists' communication patterns in real and simulated cases.

Background: Effective teamwork is important for patient safety, and verbal communication underpins many dimensions of teamwork. The validity of the simulated environment would be supported if it elicited similar verbal communications to the real setting. The authors hypothesized that anesthesiologists would exhibit similar verbal communication patterns in routine operating room (OR) cases and routine simulated cases.

Anaesthetic drug administration as a potential contributor to healthcare-associated infections: a prospective simulation-based evaluation of aseptic techniques in the administration of anaesthetic drugs.

Objective: To evaluate the possibility that anaesthetists are administering potentially pathogenic micro-organisms to their patients.

Design: Prospective microbiological and observational study in a realistic simulated setting.

Participants: Ten anaesthetists supported by 10 anaesthetic technicians.

The effect of a simulation-based training intervention on the performance of established critical care unit teams.

Objective: We evaluated the effectiveness of a simulation-based intervention on improving teamwork in multidisciplinary critical care teams managing airway and cardiac crises and compared simulation-based learning and case-based learning on scores for performance.

Design: Self-controlled randomized crossover study design with blinded assessors.

Setting: A simulated critical care ward, using a high-fidelity patient simulator, in a university simulation center.

Analyser position for end-tidal carbon dioxide monitoring in a rebreather circuit.

Introduction: A diving rebreather currently nearing release incorporates an infra-red CO2 analyser at the end of the exhale hose and uses the expired gas CO2 measurement made at this position to detect hypercapnia. This configuration may allow exhaled anatomic and mouthpiece dead space gas to mix with alveolar gas in the exhale hose thus falsely lowering the CO2 measurement, especially at low tidal volumes.

Methods: A test circuit was constructed using a typical rebreather mouthpiece and exhale hose connected into an anaesthetic machine breathing loop.