Simulation Intervention With Manikin-Based Objective Metrics Improves CPR Instructor Chest Compression Performance Skills Without Improvement in Chest Compression Assessment Skills
| Autor: | Rakan S. Al-Rasheed, Leo Kobayashi, Mark S. Jones, Gregory D. Jay, Jeffrey Devine, Jason T. Machan, Max Dannecker, Jennifer A. Dunbar-Viveiros |
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| Rok vydání: | 2013 |
| Předmět: |
Adult
Male Resuscitation medicine.medical_specialty Epidemiology education Medicine (miscellaneous) Manikins Feedback Education law.invention Randomized controlled trial law health services administration Intervention (counseling) Humans Medicine Computer Simulation Prospective Studies cardiovascular diseases health care economics and organizations business.industry Basic life support Faculty Cardiopulmonary Resuscitation Modeling and Simulation Physical therapy Female Clinical Competence Clinical competence business therapeutics |
| Zdroj: | Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare. 8:242-252 |
| ISSN: | 1559-2332 |
| DOI: | 10.1097/sih.0b013e31828e716d |
| Popis: | Cardiopulmonary resuscitation (CPR) instructor/coordinator (CPR-I/C) adherence to published guidelines during resuscitation and learner assessment for basic life support (BLS)/CPR skills has not been experimentally studied. Investigators sought to (1) determine the quality of CPR-I/C chest compression and the accuracy of CPR-I/C chest compression assessment, and (2) improve CPR-I/C compression and assessment skills through cardiac arrest simulations with objective in-scenario performance feedback.Thirty CPR-I/Cs (median, 20 years [range, 4-40 years] of BLS provider experience; 6 years [range 1-40 years] of BLS instructor experience) were randomized to control or experimental group. Each subject performed compressions during a 2-minute simulation, then reviewed 6 videos of simulated CPR performances (featuring prespecified chest compression parameters) for scoring as "pass" or "needs remediation." Subjects participated in a second simulation with or without real-time manikin compression feedback, then reviewed 6 additional videos. Primary outcome variables were the proportion of subjects with more than 80% (American Heart Association regional criteria) or more than 23 of 30 (ie, 77%; American Heart Association instructor manual criteria) correct compressions and subjects' accuracy of "pass"/"needs remediation" assessment for videos. The secondary outcome variable was correlation between subjects' correctness of chest compressions and their assessment accuracy for simulated CPR compression performance.All CPR-I/C subjects compressed suboptimally at baseline; real-time manikin feedback improved the proportion of subjects with more than 77% correct compressions to 0.53 (P0.01). Video review data revealed persistently low CPR-I/C assessment accuracy. Correlation between subjects' correctness of compressions and their assessment accuracy remained poor regardless of interventions.Real-time compression feedback during simulation improved CPR-I/C's chest compression performance skills without comparable improvement in chest compression assessment skills. |
| Databáze: | OpenAIRE |
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