Abstract
Introduction The use of cognitive aids (CAs) during critical events is thought to be useful. However, whether CAs are known and used by French and Canadian anaesthesia providers is not clear. Methods A survey was emailed to French and Canadian anaesthesia providers in 2017 through their respective national societies. It consisted of 23 questions about the participants' demographics and their knowledge, use, and impact of CAs. A second survey was sent to French simulation centres. Results 912 responses were recorded in France and 278 in Canada (overall response rate: 7% and 11%, respectively). Among the respondents, 700/899 in France (78%) versus 249/273 (91%) in Canada were familiar with the concept of cognitive dysfunction during a crisis and 501/893 (56%) in France versus 250/271 (92%) in Canada knew the concept of CAs. Amongst those respondents who knew about CAs, 189/492 (38%) in France versus 108/244 (44%) in Canada stated that they had already used a CA in real life and 225/493 (45%) in France versus 126/245 (51%) in Canada had received training in their use. Simulation was the principal modality for training in 150/225 (67%) of cases in France versus 47/126 (37%) in Canada. Among the 28/50 French simulation centres which responded (2018 January), 27 organised sessions in anaesthesia and 22 used CAs. Conclusion CAs were better known in Canada than in France, but their actual use in real life was low in both countries. Simulation appears to play a potentially important role training anaesthesia providers in the use of CAs.
Highlights
Critical events are very rare, but if they occur adherence to best practice guidelines will contribute to optimal outcomes
Applying a concept already used in aviation, Gaba created the notion of crisis resource management in anaesthesia [3] and is one of the first researchers to show the potential benefits of working with cognitive aids (CAs) [4]
E second part of the study was an online French survey sent in 2018 January to the 50 simulation centres registered in the SoFraSimS database. e questionnaire was created by experts in CAs and simulation (AB, DB, and DBa) and included 17 questions about centre characteristics, whether CAs are being used in these centres and if so, how they are being implemented. is questionnaire was officially approved by the Society of Anaesthesia and Intensive Care Medicine (SFAR) (Committee on Risk Management) and SoFraSimS (French Society of Simulation in Healthcare)
Summary
Critical events are very rare, but if they occur adherence to best practice guidelines will contribute to optimal outcomes. CAs ( named critical event checklists, sometimes grouped together in the form of an emergency manual) are aimed to increase clinical performance by guiding clinical reasoning and by inviting to implement life-saving actions [5, 6]. E potential usefulness of CAs has been demonstrated in several publications, and their widespread use has been advocated [5, 7,8,9]. Teams both at Harvard and Stanford published CAs for anaesthesia providers on their respective websites [10,11,12,13]
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