Evaluation of multidisciplinary simulation training on clinical performance and team behavior during tracheal intubation procedures in a pediatric intensive care unit

Nishisaki, Akira; Nguyen, J. M.; Colborn, Shawn; Watson, Christine; Niles, Dana; Hales, Roberta; Devale, Sujatha; Bishnoi, Ram J.; Nadkarni, Lindsay; Donoghue, Aaron; Meyer, Andrew; Brown, Calvin A.; Helfaer, Mark A.; Boulet, John R.; Berg, Robert A.; Walls, Ron M.; Nadkarni, Vinay

doi:10.1097/pcc.0b013e3181f52b2f

Cited by 78 publications

(72 citation statements)

References 36 publications

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“…Although some of these curriculum designs have achieved meaningful results, there is a lack of consensus for the ideal approach to simulation implementation into a pediatric residency program. In addition, some studies have used a multidisciplinary team to create a more realistic resuscitation environment, 20,35,37,57 but future research that assesses individual resident performance during these scenarios may help to document resident competency.…”

Section: Discussionmentioning

confidence: 99%

“…As highlighted in this review, there is great variation in the approach to the utilization of simulation and curricular design across institutions. Although the majority of pediatric studies have used simulation centers or in situ simulation programs for assessment of resident performance and procedural proficiency, 23,27,28,33,36,43,48,49,57,58 alternative tech niques such as the crea tion of a www.hospitalpediatrics.org formal mock code curriculum 24,37,41,59 and just-in-time procedural training as part of the PICU rotation 20,35 have also been performed. Although some of these curriculum designs have achieved meaningful results, there is a lack of consensus for the ideal approach to simulation implementation into a pediatric residency program.…”

Section: Discussionmentioning

confidence: 99%

“…[20][21][22][23][24][25][26] Pediatric residents have been shown to favor simulated mock resuscitation scenarios compared with didactic lectures and oral examinations, and simulation has been used as an effective adjunct to improve cognitive performance in PALS training sessions and in teaching the Neonatal Resuscitation Program. 23,27,28 Simulation has begun to gain widespread acceptance in medical training because of the safety of the environment, reproducibility/ standardization of content, and the ease of simulating critical events.…”

mentioning

confidence: 99%

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Simulation Training as a Mechanism for Procedural and Resuscitation Education for Pediatric Residents: A Systematic Review

Mills

Williams

Dobson

2013

Hospital Pediatrics

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BACKGROUND: Pediatric residents often fi nish their training lacking suffi cient procedural profi ciency and resuscitation experience in the care of critically ill children. Simulation is gaining favor in pediatric residency programs as a modality for procedural and resuscitation education. We reviewed the literature assessing simulation and its role in pediatric resident training. METHODS:We conducted a Medline and PubMed search of simulation training in pediatric resident education from January 2007 to July 2012. RESULTS:Eight studies were included and divided into simulated procedural assessments and simulated resuscitation scenario assessments. The studies varied widely in their approach and analysis, and they yielded mixed results. CONCLUSIONS:Although some studies show the merits of simulation in the procedural and resuscitation training of pediatric residents, more research is needed to assess the effectiveness of simulation as an educational tool. Goals of future simulation research should include creation of validated assessment tools and applying skills learned to patient care outcomes.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Simulation Training as a Mechanism for Procedural and Resuscitation Education for Pediatric Residents: A Systematic Review

Mills

Williams

Dobson

2013

Hospital Pediatrics

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“…Als Konsequenz daraus ist unbedingt zu fordern, dass Notfallwagen sinnvoll und übersichtlich bestückt sowie deutlich und unmissverständlich beschriftet sein müs-sen. Durch regelmäßige stationsinterne Unterweisungen muss sichergestellt werden, dass ausnahmslos alle Intensivpflegekräfte über den Aufbewahrungsort des Notfall-Equipments -v. a. den "schwierigen Atemweg" betreffend -informiert und in dessen Handhabung sowie Anreichung geübt sind. Strukturierte Trainings, im Simulator oder als "In-house course" auf der Intensivstation, können dabei helfen, technische Fähigkeiten ebenso wie die Teamarbeit unter Notfallbedingungen nachhaltig zu verbessern [13,14].…”

Section: Notfallkoniotomieunclassified

Dramatischer Atemwegsnotfall nach Operation an der Halswirbelsäule

Paul¹,

Ladra

Pillai

et al. 2011

Anaesthesist

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A 71-year-old female patient received a prothesis due to a cervical disc prolapsed and bleeding into the collar soft tissues occurred postoperatively. Following a computed tomography examination severe peracute respiratory decompensation occurred while administering topical anesthesia to the pharynx in order to perform fiber optic intubation. Endotracheal intubation using conventional laryngoscopy was unsuccessful and the patient required immediate cricothyroidotomy. As an on-site cricothyrotomy set to establish a secure airway was not available the decision was taken to perform surgical cricothyroidotomy. As a conclusion to this life-threatening event in the case of symptoms, such as dyspnea, dysphonia and dysphagia after operations of the cervical spine the airway has to be secured early and according to the local algorithm.

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“…In der Literatur finden sich mittlerweile viele Beispiele für seine erfolgreiche Implementierung in Fachrichtungen mit einer akutmedizinischen Komponente, wie z. B. der Geburtshilfe, Pädi-atrie oder auch der Intensivmedizin [20][21][22][23]. Im Folgenden möchten wir 2 Beispiele aus unserer Klinik vorstellen.…”

Section: Introductionunclassified

Simulationsbasiertes Training – Für den Notfall vorbereitet sein in Anästhesie und Notfallmedizin

Issleib

Zöllner

2014

Bundesgesundheitsbl.

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Medical expertise consists of knowledge, professional skills and individual attitudes. Training and education of this expertise starts in medical school and develops throughout the qualification process of anesthesists and emergency physicians. Medical decisions are not only rational but also intuitive. The combination of these characteristics cannot and should not be trained on patients. The implementation of modern simulation techniques offers the opportunity to train for emergency situations similar to training systems in the energy industry and aviation. Repetitive training of rare emergency situations brings routine to seldomly used procedures. In simulation training mistakes can be detected and systematically corrected. The team interactions and soft skills can also be focussed on. Video analysis gives the participant the opportunity for self-reflection and can lead to correction of individual behavior patterns. This dimension of education cannot be done in real patient care. This training goes far beyond the level of skills training. Through simulation training involves the whole team, the communication and the interaction between the team members in medically challenging situations. Crisis resource management leads to measurable improvements in patient safety and safety culture as well as personnel satisfaction.

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Evaluation of multidisciplinary simulation training on clinical performance and team behavior during tracheal intubation procedures in a pediatric intensive care unit

Cited by 78 publications

References 36 publications

Simulation Training as a Mechanism for Procedural and Resuscitation Education for Pediatric Residents: A Systematic Review

Simulation Training as a Mechanism for Procedural and Resuscitation Education for Pediatric Residents: A Systematic Review

Dramatischer Atemwegsnotfall nach Operation an der Halswirbelsäule

Simulationsbasiertes Training – Für den Notfall vorbereitet sein in Anästhesie und Notfallmedizin

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