Mitch Keamy is an anesthesiologist in Las Vegas Nevada
Andy Kofke is a Professor of Neuro-anesthesiology and Critical Care at the University of Pennslvania
Mike O'Connor is Professor of Anesthesiology and Critical Care at the University of Chicago
Rob Dean is a cardiac anesthesiologist in Grand Rapids Michigan, with extensive experience in O.R. administration.
My hospital recently ran an innovation tournament. over 1700 ideas but only one of them won to get implemented. So I share what I submitted in this and a series of posts to share my suggested innovations with others; perhaps some good will come out of the effort.
CRM Training
Only 17% of in-hospital cardiac arrest patients survive. Simulation-based crisis resource management (CRM) teamwork training may help. However, cost constrained hospitals are reluctant to commit the necessary resources to sustain recurrent CRM training of hundreds of housestaff annually. RRT ICU nurses are permanent staff who can be trained once. I propose a QI study to determine the impact on team practice performance, patient outcomes, and measures of institutional efficiency when simulation-based CRM trained first responder ICU nurses leverage this CRM knowledge by teaching housestaff in a real-time in-situ interprofessional education-facilitator paradigm associated with imminent and actual cardiopulmonary and respiratory arrests.
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