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ASSESSMENT OF THE QUALITY OF PEDIATRIC CARDIOPULMONARY RESUSCITATION USING THE IN SITU MOCK CODE TOOL

OBJECTIVE: To evaluate the quality of individual and team care for cardiac arrest in a pediatric hospital using clinical surprise simulation (in situ mock code). METHODS: We conducted an observational study with a sample of the hospital staff. Clinical simulations of cardiorespiratory arrest were pe...

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Autores principales: Kuzma, Gabriela de Sio Puetter, Hirsch, Camila Bellettini, Nau, Angélica Luciana, Rodrigues, Analiz Marchini, Gubert, Eduardo Maranhão, Soares, Leonardo Cavadas Costa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sociedade de Pediatria de São Paulo 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6958535/
https://www.ncbi.nlm.nih.gov/pubmed/31939509
http://dx.doi.org/10.1590/1984-0462/2020/38/2018173
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author Kuzma, Gabriela de Sio Puetter
Hirsch, Camila Bellettini
Nau, Angélica Luciana
Rodrigues, Analiz Marchini
Gubert, Eduardo Maranhão
Soares, Leonardo Cavadas Costa
author_facet Kuzma, Gabriela de Sio Puetter
Hirsch, Camila Bellettini
Nau, Angélica Luciana
Rodrigues, Analiz Marchini
Gubert, Eduardo Maranhão
Soares, Leonardo Cavadas Costa
author_sort Kuzma, Gabriela de Sio Puetter
collection PubMed
description OBJECTIVE: To evaluate the quality of individual and team care for cardiac arrest in a pediatric hospital using clinical surprise simulation (in situ mock code). METHODS: We conducted an observational study with a sample of the hospital staff. Clinical simulations of cardiorespiratory arrest were performed in several sectors and work shifts. The mock code occurred in vacant beds of the sector without previous notification to the teams on call. One researcher conducted all mock codes and another evaluated individual and team attendance through a questionnaire contemplating recommendation for adequate cardiopulmonary resuscitation, based on the Pediatric Advanced Life Support (PALS) guidelines. At the end of the simulations, the research team provided a debriefing to the team tested. RESULTS: Fifteen in situ mock code were performed with 56 nursing professionals (including nurses, nursing residents and technicians) and 11 physicians (including two pediatric residents and four residents of pediatric subspecialties). The evaluation showed that 46.7% of the professionals identified cardiac arrest checking for responsiveness (26.7%) and pulse (46.7%); 91.6% requested cardiac monitoring and venous access. In one case (8.3%) the cardiac compression technique was correct in depth and frequency, while 50% performed cardiopulmonary resuscitation correctly regarding the proportion of compressions and ventilation. According to PALS guidelines, the teams had a good performance in the work dynamics. CONCLUSIONS: There was low adherence to the PALS guidelines during cardiac arrest simulations. The quality of cardiopulmonary resuscitation should be improved in many points. We suggest periodical clinical simulations in pediatric services to improve cardiopulmonary resuscitation performance.
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spelling pubmed-69585352020-01-23 ASSESSMENT OF THE QUALITY OF PEDIATRIC CARDIOPULMONARY RESUSCITATION USING THE IN SITU MOCK CODE TOOL Kuzma, Gabriela de Sio Puetter Hirsch, Camila Bellettini Nau, Angélica Luciana Rodrigues, Analiz Marchini Gubert, Eduardo Maranhão Soares, Leonardo Cavadas Costa Rev Paul Pediatr Original Article OBJECTIVE: To evaluate the quality of individual and team care for cardiac arrest in a pediatric hospital using clinical surprise simulation (in situ mock code). METHODS: We conducted an observational study with a sample of the hospital staff. Clinical simulations of cardiorespiratory arrest were performed in several sectors and work shifts. The mock code occurred in vacant beds of the sector without previous notification to the teams on call. One researcher conducted all mock codes and another evaluated individual and team attendance through a questionnaire contemplating recommendation for adequate cardiopulmonary resuscitation, based on the Pediatric Advanced Life Support (PALS) guidelines. At the end of the simulations, the research team provided a debriefing to the team tested. RESULTS: Fifteen in situ mock code were performed with 56 nursing professionals (including nurses, nursing residents and technicians) and 11 physicians (including two pediatric residents and four residents of pediatric subspecialties). The evaluation showed that 46.7% of the professionals identified cardiac arrest checking for responsiveness (26.7%) and pulse (46.7%); 91.6% requested cardiac monitoring and venous access. In one case (8.3%) the cardiac compression technique was correct in depth and frequency, while 50% performed cardiopulmonary resuscitation correctly regarding the proportion of compressions and ventilation. According to PALS guidelines, the teams had a good performance in the work dynamics. CONCLUSIONS: There was low adherence to the PALS guidelines during cardiac arrest simulations. The quality of cardiopulmonary resuscitation should be improved in many points. We suggest periodical clinical simulations in pediatric services to improve cardiopulmonary resuscitation performance. Sociedade de Pediatria de São Paulo 2020-01-13 /pmc/articles/PMC6958535/ /pubmed/31939509 http://dx.doi.org/10.1590/1984-0462/2020/38/2018173 Text en https://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License
spellingShingle Original Article
Kuzma, Gabriela de Sio Puetter
Hirsch, Camila Bellettini
Nau, Angélica Luciana
Rodrigues, Analiz Marchini
Gubert, Eduardo Maranhão
Soares, Leonardo Cavadas Costa
ASSESSMENT OF THE QUALITY OF PEDIATRIC CARDIOPULMONARY RESUSCITATION USING THE IN SITU MOCK CODE TOOL
title ASSESSMENT OF THE QUALITY OF PEDIATRIC CARDIOPULMONARY RESUSCITATION USING THE IN SITU MOCK CODE TOOL
title_full ASSESSMENT OF THE QUALITY OF PEDIATRIC CARDIOPULMONARY RESUSCITATION USING THE IN SITU MOCK CODE TOOL
title_fullStr ASSESSMENT OF THE QUALITY OF PEDIATRIC CARDIOPULMONARY RESUSCITATION USING THE IN SITU MOCK CODE TOOL
title_full_unstemmed ASSESSMENT OF THE QUALITY OF PEDIATRIC CARDIOPULMONARY RESUSCITATION USING THE IN SITU MOCK CODE TOOL
title_short ASSESSMENT OF THE QUALITY OF PEDIATRIC CARDIOPULMONARY RESUSCITATION USING THE IN SITU MOCK CODE TOOL
title_sort assessment of the quality of pediatric cardiopulmonary resuscitation using the in situ mock code tool
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6958535/
https://www.ncbi.nlm.nih.gov/pubmed/31939509
http://dx.doi.org/10.1590/1984-0462/2020/38/2018173
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