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What are we doing wrong?  80% of critical incidents are caused by human errors team control failing to involve the team in decision-making clinical data interpretation communication failure wrong priorities  0Scottish Airway and Ventilation Emergency Course 1 wDeveloped in Stirling Bristol and London faculty involvement multi-centre course established central control of content =  6 VIDEO   What courses are there?  CCARMA Safe Sedation Medical Emergencies Paediatric Emergencies SAVE D  -Educational Aspects - the video-based debrief . 3Technical factors - knowledge Non-technical factors 4 Technical factors  LClinical knowledge Clinical management procedures pharmacology investigation M Non-technical factors  Iteamworking leadership communication information handling decision making  ?  Advantages  No litigation if the patient dies (possibly PTSD however!) allow errors to happen, and to develop how did we get here?!! Can re-run if necessary   Disadvantages  Cost assimilation difficulties realism where s the evidence labour intensive M Emergency Medicine  consistency of training multidisciplinary approach establish a safety framework necessary for RITA progress involvement of senior trainees     The future  coordinated by working party group within the education committee of the Faculty of A&E Medicine hub and spoke system confidential dialogue between Centre and Regional Trainers "    No industry in which human lives depend on skilled performance of responsible operators has waited for unequivocal proof of the benefits of simulation before embracing it.  David M. Gaba, M.D. *     ?(X`X    ` f̙f` ff̙f` 999MMM>?" dd@,?nKd@  d n<@ d`n2 n?" dd@   @@``@n?" dd@  @@``PR    @ ` ` p>> (    s *TL   4 T Click to edit Master title style! !   c $tP  4 RClick to edit Master text styles Second level Third level Fourth level Fifth level!     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