Imperial College London
Alternate

DrSonalArora

Faculty of Medicine, Department of Surgery & Cancer

 
 
 
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Contact

 

sonal.arora06

 
 
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Location

 

Queen Elizabeth the Queen Mother Wing (QEQM)St Mary's Campus

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Summary

 

Publications

Citation

BibTex format

@article{Johnston:2016:10.1097/SLA.0000000000001543,
author = {Johnston, MJ and Arora, S and Pucher, PH and McCartan, N and Reissis, Y and Chana, P and Darzi, A},
doi = {10.1097/SLA.0000000000001543},
journal = {ANNALS OF SURGERY},
pages = {421--426},
title = {Improving Escalation of Care A Double-blinded Randomized Controlled Trial},
url = {http://dx.doi.org/10.1097/SLA.0000000000001543},
volume = {263},
year = {2016}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Objective: This study aimed to determine whether an intervention could improve the escalation of care skills of junior surgeons.Summary Background Data: Escalation of care involves the recognition, communication, and response to patient deterioration until a satisfactory outcome has been achieved. Although failure to escalate care can lead to increased morbidity and mortality, there is no formal training in how to perform this vital process safely.Methods: This randomized controlled trial recruited postgraduate year (PGY)-1 and PGY-2 surgeons to participate in 2 scenarios involving simulated patients requiring escalation of care. A control group performed both scenarios before receiving the intervention; the intervention group received the educational intervention before their second scenario. Scenarios were video recorded and rated by 2 independent, blinded assessors using validated scales to measure patient assessment, communication, management and nontechnical skills of participants, and the number of medical errors they detected.Results: A total of 33 PGY-1 and PGY-2 surgeons, all with equivalent skill at baseline, participated. Postintervention, the intervention group demonstrated significantly better patient assessment (P < 0.001), communication (P < 0.001), and nontechnical skills (P < 0.001). They also detected more medical errors (P < 0.05).Conclusions: Teaching junior surgeons a systematic approach to escalation of care improved multiple core skills required to maintain patient safety and avoid preventable harm.
AU  - Johnston,MJ
AU  - Arora,S
AU  - Pucher,PH
AU  - McCartan,N
AU  - Reissis,Y
AU  - Chana,P
AU  - Darzi,A
DO  - 10.1097/SLA.0000000000001543
EP  - 426
PY  - 2016///
SN  - 0003-4932
SP  - 421
TI  - Improving Escalation of Care A Double-blinded Randomized Controlled Trial
T2  - ANNALS OF SURGERY
UR  - http://dx.doi.org/10.1097/SLA.0000000000001543
UR  - http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000370172400001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
UR  - http://hdl.handle.net/10044/1/60400
VL  - 263
ER  -
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