Abstract
Background
Performance review using videotapes is a strategy employed to improve future performance.
We postulated that videotape review of trauma resuscitations would improve compliance
with a treatment algorithm.
Methods
Trauma resuscitations were taped and reviewed during a 6-month period. For 3 months,
team members were given verbal feedback regarding performance. During the next 3 months,
new teams attended videotape reviews of their performance. Data on targeted behaviors
were compared between the two groups.
Results
Behavior did not change after 3 months of verbal feedback; however, behavior improved
after 1 month of videotape feedback (P <0.05) and total time to disposition was reduced by 50% (P <0.01). This response was sustained for the remainder of the study.
Conclusions
Videotape review can be an important learning tool as it was more effective than verbal
feedback in achieving behavioral changes and algorithm compliance. Videotape review
can be an important quality assurance adjunct, as improved algorithm compliance should
be associated with improved patient care.
Keywords
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Article Info
Publication History
Received in revised form:
October 9,
2002
Received:
September 3,
2002
Identification
Copyright
© 2003 Excerpta Medica Inc. Published by Elsevier Inc. All rights reserved.
