A simulation-enhanced, spaced learning, interprofessional "code blue" curriculum improves ACLS algorithm adherence and trainee resuscitation skill confidence.

Autor: Toft LEB; University of Nevada Reno School of Medicine, Cardiology, 89557, Reno, NV USA., Bottinor W; Division of Cardiology, Virginia Commonwealth University Medical College of Virginia, Richmond, VA USA., Cobourn A; University of Nevada Reno School of Medicine, Cardiology, 89557, Reno, NV USA., Blount C; Division of Cardiology, Indiana University School of Medicine, Indianapolis, IN USA., Tripathi A; Division of Cardiology, University of Kentucky College of Medicine, Bowling Green, KY USA., Mehta I; Division of Pulmonology, Emory University School of Medicine, Atlanta, GA USA., Koch J; Department of Medicine, University of Louisville School of Medicine, Louisville, KY USA.
Jazyk: angličtina
Zdroj: Journal of interprofessional care [J Interprof Care] 2023 Jul-Aug; Vol. 37 (4), pp. 623-628. Date of Electronic Publication: 2022 Nov 13.
DOI: 10.1080/13561820.2022.2140130
Abstrakt: In-hospital cardiac arrest resuscitation training often happens in silos, with minimal interprofessional training. The aim of this study was to implement and evaluate a simulation-enhanced, interprofessional cardiac arrest curriculum in a university hospital. The curriculum ran monthly for 12 months, training interprofessional teams of internal medicine residents, nurses, respiratory therapists, and pharmacy residents. Teams participated in a 90-min high-fidelity simulation including "code blue" (30 min) followed by a 30-min debriefing and a repeat identical simulated "code blue" scenario. Teams were tested in an unannounced mock Code Blue the following month. Advanced Cardiac Life Support (ACLS) algorithm adherence was assessed using a standardized checklist. In-hospital cardiac arrest (IHCA) incidence and survival was tracked for 2 years prior, during, and 1 year after curriculum implementation. Team ACLS-algorithm adherence at baseline varied from 47% to 90% (mean of 71 ± 11%) and improved immediately following training (mean 88 ± 4%, range 80-93%, p = .011). This improvement persisted but decreased in magnitude over 1 month (mean 81 ± 7%, p = .013). Medical resident self-reported comfort levels with resuscitation skills varied widely at baseline, but improved for all skills post-curriculum. This simulation-enhanced, spaced practice, interprofessional curriculum resulted in a sustained improvement in team ACLS algorithm adherence.
Databáze: MEDLINE
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