Critical action procedures testing: a novel method for test-enhanced learning

Medical Education
Samuel M Galvagno, B Scott Segal

Abstract

Human error is a leading cause of adverse events in anaesthesia. Residents' knowledge of how to respond to rare, yet potentially life-threatening events has been shown to deteriorate over time and thus cost-effective educational interventions are indicated. Previous research has shown that test-enhanced learning has the potential to strengthen both clinical knowledge and performance. We hypothesised that critical action procedures (CAPs) tests, similar to those employed by high-performance aircraft pilots, would help improve resident knowledge about how to respond to rare and potentially catastrophic events encountered during the perioperative period. Knowledge assessments were administered to 29 first-year anaesthesiology residents over the course of 9 months. Five-minute closed-book tests were administered with fill-in-the-blank questions regarding the American Society of Anesthesiologists' difficult airway guideline, advanced cardiac life support protocols, an institutional airway fire protocol and drug dosing for malignant hyperthermia. Inter-group comparisons were evaluated using the Kruskal-Wallis test. The difference between the pre-test and final test scores for each subsection was determined with the Mann-Whitney U-tes...Continue Reading

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Jan 15, 2009·Medical Education·Charles B KromannCharlotte Ringsted

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Citations

Aug 21, 2013·The Journal of Chiropractic Education·Xiaohua He, Anne Canty
Jul 31, 2012·Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses·Joshua A AllenJulie Considine
Oct 13, 2011·Medical Education·Ralf SchmidmaierMartin R Fischer
Dec 21, 2019·Medical Education·Marjolein VersteegPaul Steendijk

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