95. Effect of a pediatric mock code on resuscitation skills and team performance: an in situ simulation experience over three years

Hazwani, Tarek R; Ashraf, Naila S.; Hasan, Zahra; Antar, Mohannad; Kazzaz, Yasser; Alali, Hamza

doi:10.1097/01.mej.0000697880.10650.f1

Cited by 3 publications

(1 citation statement)

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“…Developing competency-based assessments is a challenge, because the need for complex assessments aligned with a realistic professional environment must be addressed [2]. Simulation-based education enables contextualized and efficient training for health care professionals regarding a full range of clinical skills, particularly for complex tasks encountered in emergency medicine [3,4]. Simulation-based assessment allows for standardized, individualized assessments in a semi-authentic context [5,6].…”

Section: Introductionmentioning

confidence: 99%

Testing the validity of three acute care assessment tools for assessing residents’ performance during in situ simulation: the ACAT-SimSit study

Philippon,

Lefevre-Scelles,

Eyer

et al. 2024

European Journal of Emergency Medicine

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Background The assessment of technical and nontechnical skills in emergency medicine requires reliable and usable tools. Three Acute Care Assessment Tools (ACATs) have been developed to assess medical learners in their management of cardiac arrest (ACAT-CA), coma (ACAT-coma) and acute respiratory failure (ACAT-ARF). Objective This study aims to analyze the reliability and usability of the three ACATs when used for in situ (bedside) simulation. Methods This prospective multicenter validation study tested ACATs using interprofessional in situ simulations in seven emergency departments and invited training residents to participate in them. Each session was rated by two independent raters using ACAT. Intraclass correlation coefficients (ICC) were used to assess interrater reliability, and Cronbach’s alpha coefficient was used to assess internal consistency for each ACAT. The correlation between ACATs’ scores and the learners’ level of performance was also assessed. Finally, a questionnaire and two focus groups were used to assess the usability of the ACATs. Results A total of 104 in situ simulation sessions, including 85 residents, were evaluated by 37 raters. The ICC for ACAT-CA, ACAT-coma and ACAT-ARF were 0.95 [95% confidence interval (CI), 0.93–0.98], 0.89 (95% CI, 0.77–0.95) and 0.92 (95%CI 0.83–0.96), respectively. The Cronbach’s alphas were 0.79, 0.80 and 0.73, respectively. The ACAT-CA and ARF showed good construct validity, as third-year residents obtained significantly higher scores than first-year residents (P < 0.001; P < 0.019). The raters supported the usability of the tools, even though they expressed concerns regarding the use of simulations in a summative way. Conclusion This study reported that the three ACATs showed good external validity and usability.

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Section: Introductionmentioning

confidence: 99%

Testing the validity of three acute care assessment tools for assessing residents’ performance during in situ simulation: the ACAT-SimSit study

Philippon,

Lefevre-Scelles,

Eyer

et al. 2024

European Journal of Emergency Medicine

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Simulation based education in paediatric resuscitation

O'Leary

2024

Paediatric Respiratory Reviews

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The effectiveness of improving healthcare teams’ human factor skills using simulation-based training: a systematic review

et al. 2022

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Background Simulation-based training used to train healthcare teams’ skills and improve clinical practice has evolved in recent decades. While it is evident that technical skills training is beneficial, the potential of human factor training has not been described to the same extent. Research on human factor training has been limited to marginal and acute care scenarios and often to validate instruments. This systematic review aimed to investigate the effectiveness of simulation-based training in improving in-hospital qualified healthcare teams’ human factor skills. Method A review protocol outlining the study was registered in PROSPERO. Using the PRISMA guidelines, the systematic search was conducted on September 28th, 2021, in eight major scientific databases. Three independent reviewers assessed title and abstract screening; full texts were evaluated by one reviewer. Content analysis was used to evaluate the evidence from the included studies. Results The search yielded 19,767 studies, of which 72 were included. The included studies were published between 2004 and 2021 and covered research from seven different in-hospital medical specialisms. Studies applied a wide range of assessment tools, which made it challenging to compare the effectiveness of human factor skills training across studies. The content analysis identified evidence for the effectiveness. Four recurring themes were identified: (1) Training human factor skills in qualified healthcare teams; (2) assessment of human factor skills; (3) combined teaching methods, and (4) retention and transfer of human factor skills. Unfortunately, the human factor skills assessments are variable in the literature, affecting the power of the result. Conclusion Simulation-based training is a successful learning tool to improve qualified healthcare teams’ human factor skills. Human factor skills are not innate and appear to be trainable similar to technical skills, based on the findings of this review. Moreover, research on retention and transfer is insufficient. Further, research on the retention and transfer of human factor skills from simulation-based training to clinical practice is essential to gain knowledge of the effect on patient safety.

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95. Effect of a pediatric mock code on resuscitation skills and team performance: an in situ simulation experience over three years

Cited by 3 publications

References 0 publications

Testing the validity of three acute care assessment tools for assessing residents’ performance during in situ simulation: the ACAT-SimSit study

Testing the validity of three acute care assessment tools for assessing residents’ performance during in situ simulation: the ACAT-SimSit study

Simulation based education in paediatric resuscitation

The effectiveness of improving healthcare teams’ human factor skills using simulation-based training: a systematic review

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