Pediatric resident resuscitation skills improve after “Rapid Cycle Deliberate Practice” training

Hunt, Elizabeth A.; Duval-Arnould, Jordan; Nelson-McMillan, Kristen; Bradshaw, Jamie Haggerty; Diener‐West, Marie; Perretta, Julianne S.; Shilkofski, Nicole

doi:10.1016/j.resuscitation.2014.02.025

Cited by 273 publications

(333 citation statements)

References 27 publications

Supporting

Mentioning

289

Contrasting

Unclassified

Order By: Relevance

“…22,23,[27][28][29] Practice to mastery Learners should have opportunities for repetitive performance of key skills coupled with rigorous assessment and informative feedback in a controlled setting. [30][31][32][33] This deliberate practice should be based on clearly defined objectives [34][35][36] and not time spent, to promote student development toward mastery. [37][38][39][40][41] Debriefing…”

Section: Hands-on Practicementioning

confidence: 99%

Part 14: Education

Bhanji¹,

Donoghue²,

Wolff³

et al. 2015

Circulation

238

View full text Add to dashboard Cite

Section: Hands-on Practicementioning

confidence: 99%

Part 14: Education

Bhanji¹,

Donoghue²,

Wolff³

et al. 2015

Circulation

238

View full text Add to dashboard Cite

“…Oder die sog. "Rapid Cycle Deliberate Practice", welche Verbesserungen in den CPR-Fertigkeiten bei Kinderärzten in der Ausbildung brachte [93]. Nach einem Szenario mit Debriefing ohne Unterbrechung ist das Folgeszenario kürzer und wird an vorbestimmten Punkten kurz gestoppt, um di- [140].…”

Section: Trainingsstrategien Auf Fortgeschrittenen-niveauunclassified

Ausbildung und Implementierung der Reanimation

Greif

Lockey

Conaghan

et al. 2015

Notfall Rettungsmed

View full text Add to dashboard Cite

“…The opportunity to "try again" was provided by using the Rapid Cycle Deliberate Practice approach to simulation. 18 In several instances, teams were able to better address pharmacologic treatment plans during debriefings, based on what they learned they did and did not have available to them therapeutically. Teams were able to build in "work-arounds" and improvise solutions to problems as a result of participation in successive simulations.…”

Section: Shared Cognition and Resource Awareness Through Simulation Pmentioning

confidence: 99%

Identification of Barriers to Pediatric Care in Limited-Resource Settings: A Simulation Study

Shilkofski¹,

Hunt

2015

Pediatrics

Self Cite

View full text Add to dashboard Cite

OBJECTIVES: Eighty percent of the 10 million annual deaths in children aged ,5 years in developing countries are estimated to be avoidable, with improvements in education for pediatric emergency management being a key factor. Education must take into account cultural considerations to be effective. Study objectives were: (1) to use simulation to identify factors posing barriers to patient care in limited resource settings (LRS); and (2) to understand how simulations in LRS can affect communication and decision-making processes.METHODS: A qualitative study was conducted at 17 different sites in 12 developing countries in Asia, Latin America, and Africa. Data from observations of 68 in situ simulated pediatric emergencies were coded for thematic analysis. Sixty-two different "key informants" were interviewed regarding perceived benefit of simulations.RESULTS: Coding of observations and interviews yielded common themes: impact of culture on team hierarchy, impact of communication and language barriers on situational awareness, systematic emergency procedures, role delineation, shared cognition and resource awareness through simulation, logistic barriers to patient care, and use of recognition-primed decisionmaking by experienced clinicians. Changes in clinical environments were implemented as a result of simulations.CONCLUSIONS: Ad hoc teams in LRS face challenges in caring safely for patients; these include language and cultural barriers, as well as environmental and resource constraints. Engaging teams in simulations may promote improved communication, identification of systems issues and latent threats to target for remediation. There may be a role for training novices in use of recognition-primed or algorithmic decision-making strategies to improve rapidity and efficiency of decisions in LRS. WHAT'S KNOWN ON THIS SUBJECT:Previous studies in limited resource settings have demonstrated that multidisciplinary team training in simulated trauma and newborn resuscitations improves team performance and resuscitation knowledge and, in some cases, reduces patient mortality regionally in some developing countries. WHAT THIS STUDY ADDS:In situ simulation in limited resource settings identified latent threats to effective pediatric patient care and provided a vehicle to develop shared mental models among multicultural and multidisciplinary teams, despite cultural differences in conceptualization of leadership and emergency decision-making.

show abstract

Pediatric resident resuscitation skills improve after “Rapid Cycle Deliberate Practice” training

Cited by 273 publications

References 27 publications

Part 14: Education

Part 14: Education

Ausbildung und Implementierung der Reanimation

Identification of Barriers to Pediatric Care in Limited-Resource Settings: A Simulation Study

Contact Info

Product

Resources

About