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Use of simulation as a needs assessment to develop a focused team leader training curriculum for resuscitation teams

BACKGROUND: Many inpatients experience cardiac arrest and mortality in this population is extremely high. Simulation is frequently used to train code teams with the goal of improving these outcomes. A key step in designing such a training curriculum is to perform a needs assessment. We report on the...

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Autores principales: Zern, Susan Coffey, Marshall, William J., Shewokis, Patricia A., Vest, Michael T.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7251806/
https://www.ncbi.nlm.nih.gov/pubmed/32514384
http://dx.doi.org/10.1186/s41077-020-00124-2
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author Zern, Susan Coffey
Marshall, William J.
Shewokis, Patricia A.
Vest, Michael T.
author_facet Zern, Susan Coffey
Marshall, William J.
Shewokis, Patricia A.
Vest, Michael T.
author_sort Zern, Susan Coffey
collection PubMed
description BACKGROUND: Many inpatients experience cardiac arrest and mortality in this population is extremely high. Simulation is frequently used to train code teams with the goal of improving these outcomes. A key step in designing such a training curriculum is to perform a needs assessment. We report on the effectiveness of a simulation-based training program for residents designed using unannounced in-situ simulation cardiac arrest data as a needs assessment. METHODS: In order to develop the curriculum for training, a needs assessment was done using in-situ simulation. Prior to instruction, residents were assessed in their ability to lead a simulated resuscitation using a standardized checklist. During the intervention phase, residents participated in didactic and team training. The didactic training consisted of pharmacology review, ACLS update and TeamSTEPPS training. Residents took turns as code team leader in three simulation sessions. Rapid cycle deliberate practice (RCDP) was employed as part of simulation sessions. All residents returned, for post-intervention assessment. Mean pre-post test scores were analyzed to determine if there was a significant difference. RESULTS: Twenty-seven residents participated. Mean pre-training assessment score was 47.6 (95% CI 37.5-57.9). The mean post-training assessment score was 84.4 (95% CI 79.0-89.5). The mean time to defibrillation after pads were placed in scenario with shockable rhythm decreased from 102.2 seconds (95% CI 74.0-130.5) to 56.3 (95% CI 32.7-79.8). CONCLUSION: Using unannounced in-situ cardiac arrest simulations as a needs assessment, a simulation-based training program was developed that significantly improved resident performance as team leader. Future work is needed to determine if this improvement translates into patient benefits and is sustainable. However, in-situ simulation is a promising tool for curriculum development.
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spelling pubmed-72518062020-06-07 Use of simulation as a needs assessment to develop a focused team leader training curriculum for resuscitation teams Zern, Susan Coffey Marshall, William J. Shewokis, Patricia A. Vest, Michael T. Adv Simul (Lond) Research BACKGROUND: Many inpatients experience cardiac arrest and mortality in this population is extremely high. Simulation is frequently used to train code teams with the goal of improving these outcomes. A key step in designing such a training curriculum is to perform a needs assessment. We report on the effectiveness of a simulation-based training program for residents designed using unannounced in-situ simulation cardiac arrest data as a needs assessment. METHODS: In order to develop the curriculum for training, a needs assessment was done using in-situ simulation. Prior to instruction, residents were assessed in their ability to lead a simulated resuscitation using a standardized checklist. During the intervention phase, residents participated in didactic and team training. The didactic training consisted of pharmacology review, ACLS update and TeamSTEPPS training. Residents took turns as code team leader in three simulation sessions. Rapid cycle deliberate practice (RCDP) was employed as part of simulation sessions. All residents returned, for post-intervention assessment. Mean pre-post test scores were analyzed to determine if there was a significant difference. RESULTS: Twenty-seven residents participated. Mean pre-training assessment score was 47.6 (95% CI 37.5-57.9). The mean post-training assessment score was 84.4 (95% CI 79.0-89.5). The mean time to defibrillation after pads were placed in scenario with shockable rhythm decreased from 102.2 seconds (95% CI 74.0-130.5) to 56.3 (95% CI 32.7-79.8). CONCLUSION: Using unannounced in-situ cardiac arrest simulations as a needs assessment, a simulation-based training program was developed that significantly improved resident performance as team leader. Future work is needed to determine if this improvement translates into patient benefits and is sustainable. However, in-situ simulation is a promising tool for curriculum development. BioMed Central 2020-05-27 /pmc/articles/PMC7251806/ /pubmed/32514384 http://dx.doi.org/10.1186/s41077-020-00124-2 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Zern, Susan Coffey
Marshall, William J.
Shewokis, Patricia A.
Vest, Michael T.
Use of simulation as a needs assessment to develop a focused team leader training curriculum for resuscitation teams
title Use of simulation as a needs assessment to develop a focused team leader training curriculum for resuscitation teams
title_full Use of simulation as a needs assessment to develop a focused team leader training curriculum for resuscitation teams
title_fullStr Use of simulation as a needs assessment to develop a focused team leader training curriculum for resuscitation teams
title_full_unstemmed Use of simulation as a needs assessment to develop a focused team leader training curriculum for resuscitation teams
title_short Use of simulation as a needs assessment to develop a focused team leader training curriculum for resuscitation teams
title_sort use of simulation as a needs assessment to develop a focused team leader training curriculum for resuscitation teams
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7251806/
https://www.ncbi.nlm.nih.gov/pubmed/32514384
http://dx.doi.org/10.1186/s41077-020-00124-2
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