Can Simulation Based-Team Training Impact Bedside Teamwork in a Pediatric Intensive Care Unit?

Abstract

Effective teamwork performance is essential to the delivery of high-quality and safe patient care. In this mixed methodological observational cohort study, we evaluated team performance immediately following a real medical crisis in a pediatric intensive care unit (PICU) following implementation of a simulation-based team training (SBTT) program. Comparison of teamwork skills when rated by study observers demonstrated a statistically significant improvement in 12 out of 15 composite teamwork skills during real emergency events following SBTT (p < 0.05). Pre- and post-SBTT intervention survey data demonstrated an improvement in the perception of teamwork, most notable in the area of shared mental model and situational awareness following SBTT. Study results suggest that teamwork behaviors and skills acquired during SBTT can translate into improved bedside performance in the PICU.

Long‐term effects of teamwork training on communication and teamwork climate in ambulatory reproductive health care

“…While this work represents some of the first long‐term evidence of the impact of teamwork training in the ambulatory environment, it is consistent with prior research demonstrating improvements in team outcomes and clinical processes in the hospital setting 1,6,7,9,21,23 . Nevertheless, our findings should be interpreted in light of several limitations.…”

“…While previous evaluations have linked medical team training to improvements in team attitudes, behaviors, and culture; clinical process measures; and patient outcomes, 1‐26 this work has traditionally been focused on acute care in the hospital setting 1 . In response to a call to expand patient safety initiatives beyond the hospital to other care environments, 27 we undertook a 5‐year initiative to implement TeamSTEPPS ® into the ambulatory reproductive health care setting and demonstrated success 6 months and 1 year after implementation 28 .…”

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

“…Only four studies [ 68 , 74 , 93 , 100 ] trained HFS in day-to-day work, such as reducing falls, ethical issues, delirium, the busy ward and caring for older patients and relatives. A paediatric focus was found in 25 SBT studies, in anaesthesiology, intensive care and obstetrics [ 13 , 56 , 60 , 61 , 72 , 74 – 77 , 80 , 81 , 83 , 86 , 88 , 90 , 91 , 98 , 102 – 109 ]. In total, 3251 of the participants were trained in acute paediatric scenarios.…”

“…The studies lack an adequate description of how HFS refinements should be assessed. Existing HFS assessment tools are insufficient, which was emphasised in 28 studies [ 49 , 55 , 58 , 61 , 64 , 65 , 68 , 71 , 75 , 78 , 80 , 81 , 84 , 85 , 87 , 89 , 95 , 96 , 98 , 99 , 103 , 107 , 111 – 115 ]. Assessment methods ( n = 51) spanned quantitative, qualitative and mixed methods, validated and non-validated methods, rating behavioural markers, rating via checklists, interviews, self-assessments, passing probes of information, measuring time and evaluation of reported experiences.…”

Recent Advances in Simulation for Pediatric Critical Care Medicine

“…Patient care in the PICU is inherently team based, thus simulation training goals tend to focus on development of intact Fig. 1 Translational simulation framework and applications relevant to PCCM [58][59][60] interprofessional teams and improvement of their approach to critical situations, problem-solving, process improvement, and questioning of cultural norms [18,78]. Code-team simulations are a common focus of PCCM simulation, with several studies showing both technical skills improvement and improvement in team-dynamics [79][80][81][82][83][84][85].…”