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Application of simulation in anesthesia Application of simulation in anesthesia
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Crisis management behaviors
have been studied extensively in aviation Resulting in special training: Crew Resource Management (CRM)
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Simulation Room --
VA Palo Alto
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Scenarios are challenging
medically, technically, and in terms of teamwork
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A Picture of
“Face Validity”
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Debriefings with video
allows discussion of alternatives and pros & cons of CRM behaviors & technical choices
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Video-link with HM,
Queen Elizabeth II The video-conferencing set-up Dr. Gaba addresses Her Majesty Dr. Donovan introduces Dr. Gaba to Her Majesty
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Prototypical Experimental Design
Chopra, et al; others 3x
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at MDD/SD =
0.1, N=1944 Estimate of Required N (per cohort) for 80% power, = 0.05 How Large Must the Cohorts Be? 0 50 100 150 200 250 300 350 400 450 500 Required N per Cohort 0 0.25 0.5 0.75 1 1.25 1.5 Minimum Detectable Difference / Std. Dev
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The End
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