COVID-19 Critical Care Simulations: An International Cross-Sectional Survey.

Autor:	Temsah MH; College of Medicine, King Saud University, Riyadh, Saudi Arabia.; Pediatric Intensive Care Unit, Pediatric Department, King Saud University Medical City, Riyadh, Saudi Arabia., Alrabiaah A; College of Medicine, King Saud University, Riyadh, Saudi Arabia.; Pediatric Infectious Disease Unit, Pediatric Department, King Saud University Medical City, Riyadh, Saudi Arabia., Al-Eyadhy A; College of Medicine, King Saud University, Riyadh, Saudi Arabia.; Pediatric Intensive Care Unit, Pediatric Department, King Saud University Medical City, Riyadh, Saudi Arabia., Al-Sohime F; College of Medicine, King Saud University, Riyadh, Saudi Arabia.; Pediatric Intensive Care Unit, Pediatric Department, King Saud University Medical City, Riyadh, Saudi Arabia.; Clinical Skills & Simulation Center, King Saud University Medical City, Riyadh, Saudi Arabia., Al Huzaimi A; College of Medicine, King Saud University, Riyadh, Saudi Arabia.; Division of Pediatric Cardiology, Department of Cardiac Sciences, College of Medicine, King Saud University Medical City, Riyadh, Saudi Arabia.; Heart Center, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia., Alamro N; College of Medicine, King Saud University, Riyadh, Saudi Arabia.; Department of Family and Community Medicine, King Saud University Medical City, Riyadh, Saudi Arabia., Alhasan K; College of Medicine, King Saud University, Riyadh, Saudi Arabia.; Pediatric Nephrology Unit, Pediatric Department, King Saud University Medical City, Riyadh, Saudi Arabia., Upadhye V; Clinical Lead in Simulation, Dr. Indumati Amodkar Simulation Center, Deenanath Mangeshkar Hospital and Research Center, Pune, India., Jamal A; College of Medicine, King Saud University, Riyadh, Saudi Arabia.; Department of Family and Community Medicine, King Saud University Medical City, Riyadh, Saudi Arabia.; Evidence-Based Health Care & Knowledge Translation Research Chair, King Saud University, Riyadh, Saudi Arabia., Aljamaan F; College of Medicine, King Saud University, Riyadh, Saudi Arabia.; Critical Care Department, King Saud University Medical City, Riyadh, Saudi Arabia., Alhaboob A; College of Medicine, King Saud University, Riyadh, Saudi Arabia.; Pediatric Intensive Care Unit, Pediatric Department, King Saud University Medical City, Riyadh, Saudi Arabia., Arabi YM; National Guard Health Affairs, Riyadh, Saudi Arabia.; King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.; King Abdullah International Medical Research Center, Riyadh, Saudi Arabia., Lazarovici M; Ludwig-Maximilians-University, Munich University Hospital, Munich, Germany., Somily AM; College of Medicine, King Saud University, Riyadh, Saudi Arabia.; Department of Pathology and Laboratory Medicine, King Saud University Medical City, Riyadh, Saudi Arabia., Boker AM; Anesthesia and Critical Care Department, King Abdulaziz University Hospital, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.; Clinical Skills and Simulation Centre, King Abdulaziz University, Jeddah, Saudi Arabia.
Jazyk:	angličtina
Zdroj:	Frontiers in public health [Front Public Health] 2021 Sep 21; Vol. 9, pp. 700769. Date of Electronic Publication: 2021 Sep 21 (Print Publication: 2021).
DOI:	10.3389/fpubh.2021.700769
Abstrakt:	Objective: To describe the utility and patterns of COVID-19 simulation scenarios across different international healthcare centers. Methods: This is a cross-sectional, international survey for multiple simulation centers team members, including team-leaders and healthcare workers (HCWs), based on each center's debriefing reports from 30 countries in all WHO regions. The main outcome measures were the COVID-19 simulations characteristics, facilitators, obstacles, and challenges encountered during the simulation sessions. Results: Invitation was sent to 343 simulation team leaders and multidisciplinary HCWs who responded; 121 completed the survey. The frequency of simulation sessions was monthly (27.1%), weekly (24.8%), twice weekly (19.8%), or daily (21.5%). Regarding the themes of the simulation sessions, they were COVID-19 patient arrival to ER (69.4%), COVID-19 patient intubation due to respiratory failure (66.1%), COVID-19 patient requiring CPR (53.7%), COVID-19 transport inside the hospital (53.7%), COVID-19 elective intubation in OR (37.2%), or Delivery of COVID-19 mother and neonatal care (19%). Among participants, 55.6% reported the team's full engagement in the simulation sessions. The average session length was 30-60 min. The debriefing process was conducted by the ICU facilitator in (51%) of the sessions followed by simulation staff in 41% of the sessions. A total of 80% reported significant improvement in clinical preparedness after simulation sessions, and 70% were satisfied with the COVID-19 sessions. Most perceived issues reported were related to infection control measures, followed by team dynamics, logistics, and patient transport issues. Conclusion: Simulation centers team leaders and HCWs reported positive feedback on COVID-19 simulation sessions with multidisciplinary personnel involvement. These drills are a valuable tool for rehearsing safe dynamics on the frontline of COVID-19. More research on COVID-19 simulation outcomes is warranted; to explore variable factors for each country and healthcare system. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2021 Temsah, Alrabiaah, Al-Eyadhy, Al-Sohime, Al Huzaimi, Alamro, Alhasan, Upadhye, Jamal, Aljamaan, Alhaboob, Arabi, Lazarovici, Somily and Boker.)
Databáze:	MEDLINE
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