TY - JOUR
T1 - EAST multicenter trial of simulation-based team training for pediatric trauma
T2 - Resuscitation task completion is highly variable during simulated traumatic brain injury resuscitation
AU - Jensen, Aaron R.
AU - Bullaro, Francesca
AU - Falcone, Richard A.
AU - Daugherty, Margot
AU - Young, L. Caulette
AU - McLaughlin, Cory
AU - Park, Caron
AU - Lane, Christianne
AU - Prince, Jose M.
AU - Scherzer, Daniel J.
AU - Maa, Tensing
AU - Dunn, Julie
AU - Wining, Laura
AU - Hess, Joseph
AU - Santos, Mary C.
AU - O'Neill, James
AU - Katz, Eric
AU - O'Bosky, Karen
AU - Young, Timothy
AU - Christison-Lagay, Emily
AU - Ahmed, Omar
AU - Burd, Randall S.
AU - Auerbach, Marc
N1 - Publisher Copyright:
© 2019 Elsevier Inc.
PY - 2020/6
Y1 - 2020/6
N2 - BACKGROUND: Best practices for benchmarking the efficacy of simulation-based training programs are not well defined. This study sought to assess feasibility of standardized data collection with multicenter implementation of simulation-based training, and to characterize variability in pediatric trauma resuscitation task completion associated with program characteristics.METHODS: A prospective multicenter observational cohort of resuscitation teams (N = 30) was used to measure task completion and teamwork during simulated resuscitation of a child with traumatic brain injury. A survey was used to measure center-specific trauma volume and simulation-based training program characteristics among participating centers.RESULTS: No task was consistently performed across all centers. Teamwork skills were associated with faster time to computed tomography notification (r = -0.51, p < 0.01). Notification of the operating room by the resuscitation team occurred more frequently in in situ simulation than in laboratory-based simulation (13/22 versus 0/8, p < 0.01).CONCLUSIONS: Multicenter implementation of a standardized pediatric trauma resuscitation simulation scenario is feasible. Standardized data collection showed wide variability in simulated resuscitation task completion.
AB - BACKGROUND: Best practices for benchmarking the efficacy of simulation-based training programs are not well defined. This study sought to assess feasibility of standardized data collection with multicenter implementation of simulation-based training, and to characterize variability in pediatric trauma resuscitation task completion associated with program characteristics.METHODS: A prospective multicenter observational cohort of resuscitation teams (N = 30) was used to measure task completion and teamwork during simulated resuscitation of a child with traumatic brain injury. A survey was used to measure center-specific trauma volume and simulation-based training program characteristics among participating centers.RESULTS: No task was consistently performed across all centers. Teamwork skills were associated with faster time to computed tomography notification (r = -0.51, p < 0.01). Notification of the operating room by the resuscitation team occurred more frequently in in situ simulation than in laboratory-based simulation (13/22 versus 0/8, p < 0.01).CONCLUSIONS: Multicenter implementation of a standardized pediatric trauma resuscitation simulation scenario is feasible. Standardized data collection showed wide variability in simulated resuscitation task completion.
KW - Resuscitation/education
KW - Prospective Studies
KW - Simulation Training
KW - Humans
KW - Brain Injuries, Traumatic/therapy
KW - Clinical Competence/standards
KW - Feasibility Studies
UR - https://www.scopus.com/pages/publications/85070510718
UR - https://www.scopus.com/pages/publications/85070510718#tab=citedBy
UR - https://www.mendeley.com/catalogue/2c4f8c6d-1d36-3508-a76c-5027cd9944b0/
U2 - 10.1016/j.amjsurg.2019.07.037
DO - 10.1016/j.amjsurg.2019.07.037
M3 - Article
C2 - 31421895
SN - 0002-9610
VL - 219
SP - 1057
EP - 1064
JO - The American Journal of Surgery
JF - The American Journal of Surgery
IS - 6
ER -