Durham Casualty has awarded Duke Anesthesiology’s Dr. Jeffrey Taekman $108,668 in funding for a patient safety project titled, “Simulation-Based Crisis Resource Management as a Risk Reduction Strategy for the Health System.”
Throughout medicine, safe and effective delivery of health care has relied on proper team coordination and communication. The Joint Commission cites failures of teamwork and communication as a root cause of more than 50 percent of sentinel events. These events can have both economic and patient safety implications. In perioperative medicine, communication breakdowns represent the second leading cause of preventable intraoperative error, resulting in patient harm, second only to technical error. Analysis of closed claims by the American Society of Anesthesiologists (ASA) and the American College of Surgeons (ACS) implicate poor communication as a major preventable cause of adverse events.
In order to combat communication errors, Dr. Taekman proposes to implement an interprofessional simulation-centric crisis resource management (CRM) learning experience within Duke University Hospital. The expected outcome of this project includes decreased malpractice liability exposure and improved patient outcomes.
The proposed program, with interprofessional simulation at its core, will be carried out in collaboration with the Department of OB/Gyn and the faculty and staff of the Duke Birthing Center. Dr. Taekman’s collaborators include Ankeet Udani, Zaneta Strouch, Chad Grotegut, Andrea Fiumefreddo, Joe Chapman, Trish Fletcher, and Jennifer Justice. Dr. Taekman’s vision is to build a similar program for each of the high risk surgical/perioperative services.
Dr. Taekman is the assistant dean for educational technology and the director of the Duke Human Simulation and Patient Safety Center, a joint project of Duke Anesthesiology, the School of Medicine and the School of Nursing.