EAST multicenter trial of simulation-based team training for pediatric trauma: Resuscitation task completion is highly variable during simulated traumatic brain injury resuscitation
| Autor: | Caron Park, Timothy P. Young, Julie Dunn, Marc Auerbach, Eric Katz, Mary C. Santos, Richard A. Falcone, Randall S. Burd, L. Caulette Young, James O'Neill, Tensing Maa, Emily R. Christison-Lagay, Christianne J. Lane, Jose M. Prince, Aaron R. Jensen, Margot Daugherty, Cory McLaughlin, Joseph Hess, Daniel J. Scherzer, Laura Wining, Omar Z. Ahmed, Karen R O'Bosky, Francesca Bullaro |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Traumatic
medicine.medical_specialty Resuscitation Physical Injury - Accidents and Adverse Effects Traumatic brain injury media_common.quotation_subject Clinical Sciences education Article Task (project management) 03 medical and health sciences 0302 clinical medicine Clinical Research Multicenter trial Brain Injuries Traumatic medicine Humans Prospective Studies 030212 general & internal medicine Prospective cohort study Simulation Training media_common Pediatric Teamwork business.industry Neurosciences 030208 emergency & critical care medicine General Medicine medicine.disease Brain Injuries Emergency medicine Feasibility Studies Surgery Observational study Clinical Competence business Pediatric trauma |
| Zdroj: | Am J Surg American journal of surgery, vol 219, iss 6 |
| ISSN: | 0002-9610 |
| Popis: | BACKGROUND: Best practices for benchmarking the efficacy of simulation-based training programs are not well defined. This study sought to assess feasibility of standardized data collection with multicenter implementation of simulation-based training, and to characterize variability in pediatric trauma resuscitation task completion associated with program characteristics. METHODS: A prospective multicenter observational cohort of resuscitation teams (N = 30) was used to measure task completion and teamwork during simulated resuscitation of a child with traumatic brain injury. A survey was used to measure center-specific trauma volume and simulation-based training program characteristics among participating centers. RESULTS: No task was consistently performed across all centers. Teamwork skills were associated with faster time to computed tomography notification (r = −0.51, p < 0.01). Notification of the operating room by the resuscitation team occurred more frequently in in situ simulation than in laboratory-based simulation (13/22 versus 0/8, p < 0.01). CONCLUSIONS: Multicenter implementation of a standardized pediatric trauma resuscitation simulation scenario is feasible. Standardized data collection showed wide variability in simulated resuscitation task completion. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect