WFRF:(Magnus Maria Christine)
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| Fältnamn | Indikatorer | Metadata |
|---|---|---|
| 000 | 04326naa a2200457 4500 | |
| 001 | oai:DiVA.org:umu-115215 | |
| 003 | SwePub | |
| 008 | 160201s2016 | |||||||||||000 ||eng| | |
| 024 | 7 | a https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-1152152 URI |
| 024 | 7 | a https://doi.org/10.1136/bmjopen-2015-0099112 DOI |
| 040 | a (SwePub)umu | |
| 041 | a engb eng | |
| 042 | 9 SwePub | |
| 072 | 7 | a ref2 swepub-contenttype |
| 072 | 7 | a art2 swepub-publicationtype |
| 100 | 1 | a Härgestam, Mariau Umeå universitet,Institutionen för omvårdnad,Anestesiologi och intensivvård4 aut0 (Swepub:umu)maaham82 |
| 245 | 1 0 | a Trauma teams and time to early management during in situ trauma team training |
| 264 | c 2016-01-29 | |
| 264 | 1 | b BMJ,c 2016 |
| 338 | a electronic2 rdacarrier | |
| 500 | a Originally included in thesis in submitted form. | |
| 520 | a OBJECTIVES: To investigate the association between the time taken to make a decision to go to surgery and gender, ethnicity, years in profession, experience of trauma team training, experience of structured trauma courses and trauma in the trauma team, as well as use of closed-loop communication and leadership styles during trauma team training.DESIGN: In situ trauma team training. The patient simulator was preprogrammed to represent a severely injured patient (injury severity score: 25) suffering from hypovolemia due to external trauma.SETTING: An emergency room in an urban Scandinavian level one trauma centre.PARTICIPANTS: A total of 96 participants were divided into 16 trauma teams. Each team consisted of six team members: one surgeon/emergency physician (designated team leader), one anaesthesiologist, one registered nurse anaesthetist, one registered nurse from the emergency department, one enrolled nurse from the emergency department and one enrolled nurse from the operating theatre.PRIMARY OUTCOME: HRs with CIs (95% CI) for the time taken to make a decision to go to surgery was computed from a Cox proportional hazards model.RESULTS: Three variables remained significant in the final model. Closed-loop communication initiated by the team leader increased the chance of a decision to go to surgery (HR: 3.88; CI 1.02 to 14.69). Only 8 of the 16 teams made the decision to go to surgery within the timeframe of the trauma team training. Conversely, call-outs and closed-loop communication initiated by the team members significantly decreased the chance of a decision to go to surgery, (HR: 0.82; CI 0.71 to 0.96, and HR: 0.23; CI 0.08 to 0.71, respectively).CONCLUSIONS: Closed-loop communication initiated by the leader appears to be beneficial for teamwork. In contrast, a high number of call-outs and closed-loop communication initiated by team members might lead to a communication overload. | |
| 650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Omvårdnad0 (SwePub)303052 hsv//swe |
| 650 | 7 | a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Nursing0 (SwePub)303052 hsv//eng |
| 650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Anestesi och intensivvård0 (SwePub)302012 hsv//swe |
| 650 | 7 | a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Anesthesiology and Intensive Care0 (SwePub)302012 hsv//eng |
| 653 | a Accident & Emergency Medicin | |
| 653 | a Anaesthetics | |
| 653 | a Medical Education & Training | |
| 653 | a Trauma Management | |
| 700 | 1 | a Lindkvist, Marieu Umeå universitet,Epidemiologi och global hälsa,Statistik4 aut0 (Swepub:umu)mali0004 |
| 700 | 1 | a Jacobsson, Marithau Umeå universitet,Institutionen för socialt arbete4 aut0 (Swepub:umu)maja0003 |
| 700 | 1 | a Brulin, Christineu Umeå universitet,Institutionen för omvårdnad4 aut0 (Swepub:umu)chbr0002 |
| 700 | 1 | a Hultin, Magnusu Umeå universitet,Anestesiologi och intensivvård4 aut0 (Swepub:umu)mahu0016 |
| 710 | 2 | a Umeå universitetb Institutionen för omvårdnad4 org |
| 773 | 0 | t BMJ Opend : BMJg 6:1q 6:1x 2044-6055 |
| 856 | 4 | u https://doi.org/10.1136/bmjopen-2015-009911y Fulltext |
| 856 | 4 | u https://umu.diva-portal.org/smash/get/diva2:899179/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print |
| 856 | 4 | u https://bmjopen.bmj.com/content/bmjopen/6/1/e009911.full.pdf |
| 856 | 4 8 | u https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-115215 |
| 856 | 4 8 | u https://doi.org/10.1136/bmjopen-2015-009911 |
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