Implementation and assessment of an anaphylaxis simulation curriculum for Boston-area allergy and immunology trainees

Barmettler, Sara; Banerji, Aleena; Chaudhary, Nivedita; Saff, Rebecca R.; Blumenthal, Kimberly G.

doi:10.1016/j.jaip.2020.07.013

Cited by 5 publications

(2 citation statements)

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“…Similar reports targeting medical and administrative personnel from the community and hospital-based allergy clinics have assessed teaching and retention of emergency management team skills using high-fidelity mannequins, standardized patients and, 10–12 months after the activity, an unexpected in situ simulation [ 1 , 15 ]. These studies showed improved team management skills in areas such as teamwork and situation awareness, as well as retention of knowledge and abilities after an initial anaphylaxis scenario workshop [ 15 ]. Similar studies focused on implementing and using an anaphylaxis and allergy-immunology emergencies simulation curriculum for allergy-immunology trainees [ 15 , 16 ].…”

Section: Resultsmentioning

confidence: 99%

“…These studies showed improved team management skills in areas such as teamwork and situation awareness, as well as retention of knowledge and abilities after an initial anaphylaxis scenario workshop [ 15 ]. Similar studies focused on implementing and using an anaphylaxis and allergy-immunology emergencies simulation curriculum for allergy-immunology trainees [ 15 , 16 ].…”

Section: Resultsmentioning

confidence: 99%

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Simulation-based education to improve management of refractory anaphylaxis in an allergy clinic

Copaescu

Graham

Nadon³

et al. 2023

Allergy Asthma Clin Immunol

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Background High-fidelity simulations based on real-life clinical scenarios have frequently been used to improve patient care, knowledge and teamwork in the acute care setting. Still, they are seldom included in the allergy-immunology curriculum or continuous medical education. Our main goal was to assess if critical care simulations in allergy improved performance in the clinical setting. Methods Advanced anaphylaxis scenarios were designed by a panel of emergency, intensive care unit, anesthesiology and allergy-immunology specialists and then adapted for the adult allergy clinic setting. This simulation activity included a first part in the high-fidelity simulation-training laboratory and a second at the adult allergy clinic involving actors and a high-fidelity mannequin. Participants filled out a questionnaire, and qualitative interviews were performed with staff after they had managed cases of refractory anaphylaxis. Results Four nurses, seven allergy-immunology fellows and six allergy/immunologists underwent the simulation. Questionnaires showed a perceived improvement in aspects of crisis and anaphylaxis management. The in-situ simulation revealed gaps in the process, which were subsequently resolved. Qualitative interviews with participants revealed a more rapid and orderly response and improved confidence in their abilities and that of their colleagues to manage anaphylaxis. Conclusion High-fidelity simulations can improve the management of anaphylaxis in the allergy clinic and team confidence. This activity was instrumental in reducing staff reluctance to perform high-risk challenges in the ambulatory setting, thus lifting a critical barrier for implementing oral immunotherapy at our adult center.

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