{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T07:12:34Z","timestamp":1775805154158,"version":"3.50.1"},"reference-count":42,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T00:00:00Z","timestamp":1774483200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T00:00:00Z","timestamp":1774483200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["aornjournal.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["AORN Journal"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    <jats:boxed-text content-type=\"graphic\" position=\"anchor\">\n                      <jats:graphic xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" mimetype=\"image\/png\" position=\"anchor\" specific-use=\"enlarged-web-image\" xlink:href=\"graphic\/aorn70052-toc-0001-m.png\">\n                        <jats:alt-text>image<\/jats:alt-text>\n                      <\/jats:graphic>\n                    <\/jats:boxed-text>\n                  <\/jats:p>\n                  <jats:p>\n                    Malignant hyperthermia (MH) is a life\u2010threatening 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\u00a0situ simulation using rapid cycle deliberate practice. The project was implemented over five days in a 14\u2010room operating suite and a 31\u2010bed postanesthesia care unit at an academic medical center in the United States. Interprofessional perioperative staff engaged in high\u2010fidelity simulation drills with real\u2010time feedback. The intervention significantly improved team response times and adherence to MH treatment protocols (\n                    <jats:italic>P<\/jats:italic>\n                    \u00a0&lt;\u00a0.001), with notable reductions in time to dantrolene administration (\n                    <jats:italic>P<\/jats:italic>\n                    \u00a0=\u00a0.018) and cooling measure initiation (\n                    <jats:italic>P<\/jats:italic>\n                    \u00a0=\u00a0.011). Results from this project support integration of structured simulation training to enhance preparedness for rare anesthetic emergencies.\n                  <\/jats:p>","DOI":"10.1002\/aorn.70052","type":"journal-article","created":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T08:00:23Z","timestamp":1774512023000},"page":"291-303","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Enhancing Malignant Hyperthermia Response via Rapid Cycle Deliberate Practice: An In\u00a0Situ Interprofessional Simulation Quality Improvement Project"],"prefix":"10.1002","volume":"123","author":[{"given":"Ayumi S.","family":"Fielden","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary K.","family":"Sanders","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa K.","family":"Morris","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,3,26]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.15317"},{"issue":"2","key":"e_1_2_10_3_1","first-page":"154","article-title":"Malignant hyperthermia","volume":"116","author":"Kaur H","year":"2019","journal-title":"Mo Med."},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/ccm.0000000000006401"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13023\u2010015\u20100310\u20101"},{"key":"e_1_2_10_6_1","unstructured":"Malignant Hyperthermia Association of the United States.Managing a Crisis: Emergency Treatment for an Acute MH Event. 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