J Anesth Perioper Med. 2018;5(5):231-241. https://doi.org/10.24015/ebcmed.japm.2018.0095

Simulation Wars: A Competition to Increase Participation in Emergency Manuals Simulation Training and a Novel Tool for Rating Simulation Competitions

Jeffrey Huang1, Khoa Nguyen2, Chunyuang Zhang3, Wei Zheng3, Zuhua Rao3, Jian Ma3, Yanwen Wu3, Jinfan Liu3, Mian Wu3, Hui Zhong3, and Zhuang Yu3

From 1Department of Anesthesiology, Oak Hill Hospital, Brooksville, FL, USA; 2University of Central Florida, Orlando, FL, USA; 3Department of Anesthesiology, Zhongshan Boai Hospital, Zhongshan, Guangdong, China.

Correspondence to Dr. Jeffrey Huang at jeffreyhuangmd@gmail.com.

EBCMED ID: ebcmed.japm.2018.0095 DOI: 10.24015/ebcmed.japm.2018.0095


Emergency Manuals (EMs) are valuable tools to guide healthcare professionals during anesthesia-related emergencies that require prompt diagnosis and effective treatment. Its use has been shown to improve simulated and actual patient outcomes in various operating room (OR) critical scenarios. However, integration of EMs into the standard practice of OR crises has been particularly challenging.

The Simulation Wars was a competition created in China to increase awareness of EMs, the use of EMs among multidisciplinary teams, and to promote health care professional participation in EM simulation training. Each participant completed a post-competition questionnaire detailing their opinions about the event. A novel scoring system was created and tested for use in simulation competitions.

Ninety-three percent of participants agreed that this competition could enhance the participation of simulation training in multidisciplinary health professionals and that they would continue participating in their hospital simulation training. The novel scoring system exhibited high internal consistency and good reliability. There is a strong positive correlation between the judges’ score and the participants’ score as R = 0.862, P = 0.013.

The Simulation Wars can increase participants’ understanding of how and why to use EMs, and enhance participation of multidisciplinary teams. The scoring system created for the competition has shown good reliability and justifies further development and evaluation.

Article Type
Original Article

Declaration of Interests
The authors have no other potential conflicts of interest for this work.

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