Cost-efficiency assessment of Advanced Life Support (ALS) courses based on the comparison of advanced simulators with conventional manikins

Iglesias-Vázquez, José Antonio; Rodrı́guez-Núñez, Antonio; Penas-Penas, Mónica; Sánchez-Santos, Luís; Cegarra-García, Maria; Barreiro-Diaz, Maria Victoria

doi:10.1186/1471-227x-7-18

Cited by 33 publications

(23 citation statements)

References 30 publications

(19 reference statements)

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“…Seven LOE 1 studies 140 -146 reported no effect on skills assessed using a manikin. Eleven LOE 1 studies tested the effect of simulation fidelity on the participants' knowledge using multiple-choice questions; nine of these studies found no effect 124,127,128,130,140,141,143,144,147 and two of the 11 studies demonstrated an improvement in participant knowledge with the more realistic techniques. 148,149 Two studies (LOE 3 136 ; LOE 4 138 ) that focused on resuscitation in trauma reported improved skill performance (on a manikin) with higher-fidelity simulation.…”

Section: Consensus On Sciencementioning

confidence: 99%

See 1 more Smart Citation

Part 12: Education, Implementation, and Teams

Mancini¹,

Soar²,

Bhanji³

et al. 2010

Circulation

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Section: Consensus On Sciencementioning

confidence: 99%

“…One LOE 1 study 144 questioned the cost-effectiveness of higher-fidelity approaches compared with standard manikins.…”

Section: Consensus On Sciencementioning

confidence: 99%

Part 12: Education, Implementation, and Teams

Mancini¹,

Soar²,

Bhanji³

et al. 2010

Circulation

View full text Add to dashboard Cite

“…144 Eight studies showed equal knowledge acquisition with realistic manikins when compared with lower-technology manikins. 128,130,138,[142][143][144][145][146] Three studies indicated that learner satisfaction was greater with realistic manikins. 130,138,142 There is insufficient evidence to recommend for or against the routine use of more realistic manikins to improve skills performance in actual resuscitations.…”

Section: Realistic Manikinsmentioning

confidence: 99%

“…138 -143 Use of more realistic manikins in training may incur substantially higher financial costs. 144 Eight studies showed equal knowledge acquisition with realistic manikins when compared with lower-technology manikins. 128,130,138,[142][143][144][145][146] Three studies indicated that learner satisfaction was greater with realistic manikins.…”

mentioning

confidence: 99%

Part 16: Education, Implementation, and Teams

Bhanji¹,

Mancini²,

et al. 2010

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C ardiac arrest occurs in a wide variety of settings, from the unanticipated event in the out-of-hospital setting to anticipated arrests in the intensive care unit. Outcome from cardiac arrest is a function of many factors including the willingness of bystanders to perform cardiopulmonary resuscitation (CPR), the ability of rescuers to integrate knowledge and psychomotor skills, the quality of performance delivered by individual rescuers and teams, and the efficiency and effectiveness of post-cardiac arrest care.The Chain of Survival is a metaphor used to organize and describe the integrated set of time-sensitive, coordinated actions necessary to maximize survival from cardiac arrest. The use of evidence-based education and implementation strategies can optimize the links of that chain.Strengthening the Chain of Survival in the prehospital setting requires focus on prevention and immediate recognition of cardiac arrest, increasing the likelihood of high-quality bystander CPR and early defibrillation, and improving regional systems of care. In the hospital setting, organized efforts targeting early identification and prevention of deterioration in patients at risk can decrease the incidence of cardiac arrest. The challenge for resuscitation programs is twofold: to ensure that providers acquire and maintain the necessary knowledge, skills, and team behavior to maximize resuscitation outcome; and to assist response systems in developing, implementing, and sustaining an evidence-based Chain of Survival.Maximizing survival from cardiac arrest requires improvement in resuscitation education and the implementation of systems that support the delivery of high-quality resuscitation and postarrest care, including mechanisms to systematically evaluate resuscitation performance. Well-designed resuscitation education can encourage the delivery of high-quality CPR. In addition continuous quality improvement processes should close the feedback loop and narrow the gap between ideal and actual performance. Community-and hospitalbased resuscitation programs should systematically monitor cardiac arrests, the level of resuscitation care provided, and outcomes. The cycle of measurement, benchmarking, feedback, and change provides fundamental information necessary to optimize resuscitation care and maximize survival.This chapter reviews key educational issues that affect the quality of resuscitation performance and describes major implementation and team-related issues shown to improve outcomes. The information is organized into four major categories: willingness to perform CPR, educational design, improving resuscitation quality, and issues related to implementation and outcomes.While Willingness to PerformWithout immediate initiation of CPR, most victims of cardiac arrest will die. Bystander CPR can significantly improve survival rates from cardiac arrest, 3 but recent evidence indicates that only 15% to 30% of victims of out-of-hospital arrest receive CPR before EMS arrival. 4 Strategies to increase the incidence of bystander-ini...

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“…"high" vs. "low fidelity simulation") macht den Vergleich unterschiedlicher Studien schwierig. Simulationstraining ging ziemlich konsistent [33,125,126,127,128,129,130,131,132,133,134,135,136], aber nicht generell [137,138,139,140,141,142,143] [187], die Durchführungsfertig-keiten [188], das Selbstvertrauen [189] und die Vertrautheit mit der Umgebung [190] der ALS-Helfer verbessern sowie Fehler im System und bei den Helfern identifizieren [191,192].…”

Section: Simulation Und Training Der Realistischen Wiederbelebungunclassified