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Actor feedback and rigorous monitoring: Essential quality assurance tools for testing behavioral interventions with simulation

INTRODUCTION: Simulation is a powerful tool for training and evaluating clinicians. However, few studies have examined the consistency of actor performances during simulation based medical education (SBME). The Simulated Communication with ICU Proxies trial (ClinicalTrials.gov NCT02721810) used simu...

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Autores principales: Abshire, Martha A., Li, Xintong, Basyal, Pragyashree Sharma, Teply, Melissa L., Singh, Arun L., Hayes, Margaret M., Turnbull, Alison E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7259593/
https://www.ncbi.nlm.nih.gov/pubmed/32469920
http://dx.doi.org/10.1371/journal.pone.0233538
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author Abshire, Martha A.
Li, Xintong
Basyal, Pragyashree Sharma
Teply, Melissa L.
Singh, Arun L.
Hayes, Margaret M.
Turnbull, Alison E.
author_facet Abshire, Martha A.
Li, Xintong
Basyal, Pragyashree Sharma
Teply, Melissa L.
Singh, Arun L.
Hayes, Margaret M.
Turnbull, Alison E.
author_sort Abshire, Martha A.
collection PubMed
description INTRODUCTION: Simulation is a powerful tool for training and evaluating clinicians. However, few studies have examined the consistency of actor performances during simulation based medical education (SBME). The Simulated Communication with ICU Proxies trial (ClinicalTrials.gov NCT02721810) used simulation to evaluate the effect of a behavioral intervention on physician communication. The purpose of this secondary analysis of data generated by the quality assurance team during the trial was to assess how quality assurance monitoring procedures impacted rates of actor errors during simulations. METHODS: The trial used rigorous quality assurance to train actors, evaluate performances, and ensure the intervention was delivered within a standardized environment. The quality assurance team evaluated video recordings and documented errors. Actors received both timely, formative feedback and participated in group feedback sessions. RESULTS: Error rates varied significantly across three actors (H(2) = 8.22, p = 0.02). In adjusted analyses, there was a decrease in the incidence of actor error over time, and errors decreased sharply after the first group feedback session (Incidence Rate Ratio = 0.25, 95% confidence interval 0.14–0.42). CONCLUSIONS: Rigorous quality assurance procedures may help ensure consistent actor performances during SBME.
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spelling pubmed-72595932020-06-08 Actor feedback and rigorous monitoring: Essential quality assurance tools for testing behavioral interventions with simulation Abshire, Martha A. Li, Xintong Basyal, Pragyashree Sharma Teply, Melissa L. Singh, Arun L. Hayes, Margaret M. Turnbull, Alison E. PLoS One Research Article INTRODUCTION: Simulation is a powerful tool for training and evaluating clinicians. However, few studies have examined the consistency of actor performances during simulation based medical education (SBME). The Simulated Communication with ICU Proxies trial (ClinicalTrials.gov NCT02721810) used simulation to evaluate the effect of a behavioral intervention on physician communication. The purpose of this secondary analysis of data generated by the quality assurance team during the trial was to assess how quality assurance monitoring procedures impacted rates of actor errors during simulations. METHODS: The trial used rigorous quality assurance to train actors, evaluate performances, and ensure the intervention was delivered within a standardized environment. The quality assurance team evaluated video recordings and documented errors. Actors received both timely, formative feedback and participated in group feedback sessions. RESULTS: Error rates varied significantly across three actors (H(2) = 8.22, p = 0.02). In adjusted analyses, there was a decrease in the incidence of actor error over time, and errors decreased sharply after the first group feedback session (Incidence Rate Ratio = 0.25, 95% confidence interval 0.14–0.42). CONCLUSIONS: Rigorous quality assurance procedures may help ensure consistent actor performances during SBME. Public Library of Science 2020-05-29 /pmc/articles/PMC7259593/ /pubmed/32469920 http://dx.doi.org/10.1371/journal.pone.0233538 Text en © 2020 Abshire et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Abshire, Martha A.
Li, Xintong
Basyal, Pragyashree Sharma
Teply, Melissa L.
Singh, Arun L.
Hayes, Margaret M.
Turnbull, Alison E.
Actor feedback and rigorous monitoring: Essential quality assurance tools for testing behavioral interventions with simulation
title Actor feedback and rigorous monitoring: Essential quality assurance tools for testing behavioral interventions with simulation
title_full Actor feedback and rigorous monitoring: Essential quality assurance tools for testing behavioral interventions with simulation
title_fullStr Actor feedback and rigorous monitoring: Essential quality assurance tools for testing behavioral interventions with simulation
title_full_unstemmed Actor feedback and rigorous monitoring: Essential quality assurance tools for testing behavioral interventions with simulation
title_short Actor feedback and rigorous monitoring: Essential quality assurance tools for testing behavioral interventions with simulation
title_sort actor feedback and rigorous monitoring: essential quality assurance tools for testing behavioral interventions with simulation
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7259593/
https://www.ncbi.nlm.nih.gov/pubmed/32469920
http://dx.doi.org/10.1371/journal.pone.0233538
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