About MORSim

MORSim involves around eight hours of interactive sessions, including challenging simulated surgical cases, debriefs, and communication skills training. The scenarios include cases (and the appropriate models) for the main five surgical specialties, and engage each member of the multidisciplinary surgical team. To suit local needs, MORSim is designed for flexible delivery in full-day or part-day modules, in an existing operating room (OR) or in a simulation teaching facility.

Each DHB will be supported to implement MORSim. The University MORSim faculty will provide comprehensive instructor training. ACC funding provides simulators (where required) and surgical models. The faculty will run three MORSim courses in each DHB, and provide ongoing support during the transition to locally-led, ongoing MORSim training. The goal is for MORSim to become part of business as usual in each DHB, and for each surgeon, anaesthetist, anaesthetic technician and theatre nurse to participate regularly in the training.

Roll-out of MORSim is in four cohorts, with five DHBs in each cohort. Cohort one instructor training commenced in November 2016, and local MORSim courses in February 2017. By December 2017 up to 400 operating room staff have been trained in cohort one. Training for cohorts two, three and four will follow at 12 month intervals.

The evaluation of MORSim will draw upon a suite of measures, including routinely collected data from the National Minimum Data Set, ACC claims data-base, HQSC data as well as observational data and surveys. While ACC funding for the first two cohorts is secured, funding for cohorts three and four will depend on the success of the programme in cohorts one and two.

The evidence to support teamwork training for healthcare teams is strong, but team training has not been systematically implemented at a national level. New Zealand stands to become a world leader in this field. We anticipate that this intervention will improve quality, safety, and efficiency of care for surgical patients throughout New Zealand.

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