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Feasibility of an International Remote Simulation Training Program in Critical Care Delivery: A Pilot Study
OBJECTIVE: To determine the feasibility and effectiveness of a video-enabled remote simulation training program to teach a systematic, standardized approach to the evaluation and management of the critically ill patients as part of an international quality improvement intervention. PATIENTS AND METH...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6132209/ https://www.ncbi.nlm.nih.gov/pubmed/30225455 http://dx.doi.org/10.1016/j.mayocpiqo.2018.06.008 |
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author | Shao, Min Kashyap, Rahul Niven, Alexander Barwise, Amelia Garcia-Arguello, Lisbeth Suzuki, Reina Hulyalkar, Manasi Gajic, Ognjen Dong, Yue |
author_facet | Shao, Min Kashyap, Rahul Niven, Alexander Barwise, Amelia Garcia-Arguello, Lisbeth Suzuki, Reina Hulyalkar, Manasi Gajic, Ognjen Dong, Yue |
author_sort | Shao, Min |
collection | PubMed |
description | OBJECTIVE: To determine the feasibility and effectiveness of a video-enabled remote simulation training program to teach a systematic, standardized approach to the evaluation and management of the critically ill patients as part of an international quality improvement intervention. PATIENTS AND METHODS: In this pilot “train-the-trainer” prospective cohort study, we provided a remote simulation-based educational program for practicing clinicians from intensive care units involved in an international quality improvement project (www.icertain.org). Between February 21, 2014, and August 6, 2015, participants completed a self-guided online curriculum and participated in structured simulation training using web conference software with recording capabilities. The performance was assessed using a matched pair analysis at baseline and using standardized scenarios and a validated assessment tool postintervention. Participants rated their satisfaction with the training experience and confidence in implementing these skills in clinical practice. RESULTS: Eighteen local champions from 8 hospitals in 7 countries in Asia, Europe, and South and Central America completed the educational program. Learners exhibited significant improvements in cumulative critical task performance during simulated critical care scenarios with training (60.3%-81.8%; P=.002). Most clinicians (94%) reported that they felt well prepared to manage the common critical care scenarios after training. These local champions have subsequently delivered this educational program to more than 800 international clinicians over a 4-year period. CONCLUSION: Insufficient training is a major barrier to the delivery of cost-effective critical care in many areas of the world. Video-enabled remote simulation training is a low-cost, feasible, and effective method to disseminate clinical skills to critical care practitioners in diverse international settings. |
format | Online Article Text |
id | pubmed-6132209 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-61322092018-09-17 Feasibility of an International Remote Simulation Training Program in Critical Care Delivery: A Pilot Study Shao, Min Kashyap, Rahul Niven, Alexander Barwise, Amelia Garcia-Arguello, Lisbeth Suzuki, Reina Hulyalkar, Manasi Gajic, Ognjen Dong, Yue Mayo Clin Proc Innov Qual Outcomes Original Article OBJECTIVE: To determine the feasibility and effectiveness of a video-enabled remote simulation training program to teach a systematic, standardized approach to the evaluation and management of the critically ill patients as part of an international quality improvement intervention. PATIENTS AND METHODS: In this pilot “train-the-trainer” prospective cohort study, we provided a remote simulation-based educational program for practicing clinicians from intensive care units involved in an international quality improvement project (www.icertain.org). Between February 21, 2014, and August 6, 2015, participants completed a self-guided online curriculum and participated in structured simulation training using web conference software with recording capabilities. The performance was assessed using a matched pair analysis at baseline and using standardized scenarios and a validated assessment tool postintervention. Participants rated their satisfaction with the training experience and confidence in implementing these skills in clinical practice. RESULTS: Eighteen local champions from 8 hospitals in 7 countries in Asia, Europe, and South and Central America completed the educational program. Learners exhibited significant improvements in cumulative critical task performance during simulated critical care scenarios with training (60.3%-81.8%; P=.002). Most clinicians (94%) reported that they felt well prepared to manage the common critical care scenarios after training. These local champions have subsequently delivered this educational program to more than 800 international clinicians over a 4-year period. CONCLUSION: Insufficient training is a major barrier to the delivery of cost-effective critical care in many areas of the world. Video-enabled remote simulation training is a low-cost, feasible, and effective method to disseminate clinical skills to critical care practitioners in diverse international settings. Elsevier 2018-07-31 /pmc/articles/PMC6132209/ /pubmed/30225455 http://dx.doi.org/10.1016/j.mayocpiqo.2018.06.008 Text en © 2018 THE AUTHORS https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Original Article Shao, Min Kashyap, Rahul Niven, Alexander Barwise, Amelia Garcia-Arguello, Lisbeth Suzuki, Reina Hulyalkar, Manasi Gajic, Ognjen Dong, Yue Feasibility of an International Remote Simulation Training Program in Critical Care Delivery: A Pilot Study |
title | Feasibility of an International Remote Simulation Training Program in Critical Care Delivery: A Pilot Study |
title_full | Feasibility of an International Remote Simulation Training Program in Critical Care Delivery: A Pilot Study |
title_fullStr | Feasibility of an International Remote Simulation Training Program in Critical Care Delivery: A Pilot Study |
title_full_unstemmed | Feasibility of an International Remote Simulation Training Program in Critical Care Delivery: A Pilot Study |
title_short | Feasibility of an International Remote Simulation Training Program in Critical Care Delivery: A Pilot Study |
title_sort | feasibility of an international remote simulation training program in critical care delivery: a pilot study |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6132209/ https://www.ncbi.nlm.nih.gov/pubmed/30225455 http://dx.doi.org/10.1016/j.mayocpiqo.2018.06.008 |
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