Evaluation of an Online Educational Tool to Improve Postresuscitation Debriefing in the Emergency Department
| Autor: | Lauren E Zinns, Patricia L Eaton, Tuzraj Vazifedan, Linda Papa, Brian Buning, Kelly Cramm, Jerome Gene Chen, Paul C. Mullan |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Resuscitation education MEDLINE Graduate medical education Burnout Accreditation 03 medical and health sciences 0302 clinical medicine Pediatric emergency medicine 030225 pediatrics medicine Humans Child business.industry Pediatric Emergency Medicine Debriefing Internship and Residency 030208 emergency & critical care medicine General Medicine Odds ratio Emergency department Confidence interval Education Medical Graduate Family medicine Pediatrics Perinatology and Child Health Emergency Medicine Clinical Competence business Emergency Service Hospital |
| Zdroj: | Pediatric emergency care. 37(12) |
| ISSN: | 1535-1815 |
| Popis: | OBJECTIVE Postresuscitation debriefing (PRD) addresses Accreditation Council for Graduate Medical Education core competencies and is recommended by the American Heart Association. Postresuscitation debriefing improves resuscitation outcomes, promotes team morale, supports emotional well-being, and reduces burnout. Despite these benefits, PRD occurs infrequently. Commonly cited barriers to PRD include lack of training and comfort in facilitating PRD. We are unaware of any video-based educational tools that train physicians in PRD. We aimed to evaluate the impact of an educational tool on the frequency of PRD using a before- and after-study design. METHODS We created and distributed a 20-minute, video-based educational tool via youtube.com on PRD to pediatric emergency medicine (EM) fellows, pediatric EM attendings, senior EM residents, and EM attending physicians. Participants completed web-based surveys before, immediately after, and 3 months after watching the tool. We analyzed the effects of participation on PRD knowledge, comfort conducting PRD, and frequency of PRD performance. RESULTS Thirty-five (63%) of 56 participants completed all 3 surveys. Participation in our study showed significant improvements in reported frequency of performing PRD (23% presurvey, 38% follow-up survey; 95% confidence interval [CI], 2%-29%; P = 0.03), perceived knowledge of PRD (odds ratio, 6.1; 95% CI, 3.05-12.29; P < 0.001), and comfort in conducting PRD (odds ratio, 3.7; 95% CI, 1.96-7.03; P < 0.001). Most respondents (94%) reported that the tool was worthwhile. Most (83%) would recommend the tool to colleagues, and 86% reported positive effects on their teams with PRD. CONCLUSIONS Implementation of a video-based educational tool on PRD in the emergency department was associated with increased provider report of PRD frequency, knowledge, and comfort level. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|