{"title":"Enhancing Malignant Hyperthermia Response via Rapid Cycle Deliberate Practice: An In Situ Interprofessional Simulation Quality Improvement Project.","authors":"Ayumi S Fielden, Mary K Sanders, Lisa K Morris","doi":"10.1002/aorn.70052","DOIUrl":null,"url":null,"abstract":"<p><p>Malignant hyperthermia (MH) is a life-threatening anesthetic emergency that requires rapid recognition and intervention to prevent severe complications. Delays in treatment can result in poor patient outcomes, making MH preparedness crucial in perioperative care. The aim of this quality improvement project was to enhance perioperative team preparedness for MH crises through in situ simulation using rapid cycle deliberate practice. The project was implemented over five days in a 14-room operating suite and a 31-bed postanesthesia care unit at an academic medical center in the United States. Interprofessional perioperative staff engaged in high-fidelity simulation drills with real-time feedback. The intervention significantly improved team response times and adherence to MH treatment protocols (P < .001), with notable reductions in time to dantrolene administration (P = .018) and cooling measure initiation (P = .011). Results from this project support integration of structured simulation training to enhance preparedness for rare anesthetic emergencies.</p>","PeriodicalId":54317,"journal":{"name":"Aorn Journal","volume":"123 4","pages":"291-303"},"PeriodicalIF":1.7000,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Aorn Journal","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1002/aorn.70052","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
Abstract
Malignant hyperthermia (MH) is a life-threatening anesthetic emergency that requires rapid recognition and intervention to prevent severe complications. Delays in treatment can result in poor patient outcomes, making MH preparedness crucial in perioperative care. The aim of this quality improvement project was to enhance perioperative team preparedness for MH crises through in situ simulation using rapid cycle deliberate practice. The project was implemented over five days in a 14-room operating suite and a 31-bed postanesthesia care unit at an academic medical center in the United States. Interprofessional perioperative staff engaged in high-fidelity simulation drills with real-time feedback. The intervention significantly improved team response times and adherence to MH treatment protocols (P < .001), with notable reductions in time to dantrolene administration (P = .018) and cooling measure initiation (P = .011). Results from this project support integration of structured simulation training to enhance preparedness for rare anesthetic emergencies.
期刊介绍：
The AORN Journal provides professional perioperative registered nurses with evidence-based practice information needed to help meet the physiological, behavioral, safety, and health system needs of a diverse patient population.
Journal content supports the clinical, research/quality improvement, education, and management strategies related to the nurse''s role in caring for patients before, during, or after operative and other invasive and interventional procedures in ambulatory and inpatient settings.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
