Using screen-based simulation to improve performance during pediatric resuscitation

Kevin J. Biese, Donna Moro-Sutherland, Robert D. Furberg, Brian Downing, Larry Glickman, Alison Murphy, Cheryl L. Jackson, Graham Snyder, Cherri Hobgood

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Objectives: To assess the ability of a screen-based simulation-training program to improve emergency medicine and pediatric resident performance in critical pediatric resuscitation knowledge, confidence, and skills. Methods: A pre-post, interventional design was used. Three measures of performance were created and assessed before and after intervention: a written pre-course knowledge examination, a self-efficacy confidence score, and a skills-based high-fidelity simulation code scenario. For the high-fidelity skills assessment, independent physician raters recorded and reviewed subject performance. The intervention consisted of eight screen-based pediatric resuscitation scenarios that subjects had 4 weeks to complete. Upon completion of the scenarios, all three measures were repeated. For the confidence assessment, summary pre- and post-test summary confidence scores were compared using a t-test, and for the skills assessment, pre-scores were compared with post-test measures for each individual using McNemar's chi-square test for paired samples. Results: Twenty-six of 35 (71.3%) enrolled subjects completed the institutional review board-approved study. Increases were observed in written test scores, confidence, and some critical interventions in high-fidelity simulation. The mean improvement in cumulative confidence scores for all residents was 10.1 (SD ±4.9; range 0-19; p <0.001), with no resident feeling less confident after the intervention. Although overall performance in simulated codes did not change significantly, with average scores of 6.65 (±1.76) to 7.04 (±1.37) out of 9 possible points (p = 0.58), improvement was seen in the administering of appropriate amounts of IV fluids (59-89%, p = 0.03). Conclusions: In this study, improvements in resident knowledge, confidence, and performance of certain skills in simulated pediatric cardiac arrest scenarios suggest that screen-based simulations may be an effective way to enhance resuscitation skills of pediatric providers. These results should be confirmed using a randomized design with an appropriate control group.

Original languageEnglish (US)
JournalAcademic Emergency Medicine
Volume16
Issue numberSUPPL. 2
DOIs
StatePublished - Dec 2009
Externally publishedYes

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Resuscitation
Pediatrics
Aptitude
Research Ethics Committees
Self Efficacy
Chi-Square Distribution
Heart Arrest
Emotions
Physicians
Education
Control Groups

Keywords

  • Pediatric resuscitation
  • Screen based
  • Simulation

ASJC Scopus subject areas

  • Emergency Medicine

Cite this

Using screen-based simulation to improve performance during pediatric resuscitation. / Biese, Kevin J.; Moro-Sutherland, Donna; Furberg, Robert D.; Downing, Brian; Glickman, Larry; Murphy, Alison; Jackson, Cheryl L.; Snyder, Graham; Hobgood, Cherri.

In: Academic Emergency Medicine, Vol. 16, No. SUPPL. 2, 12.2009.

Research output: Contribution to journalArticle

Biese, KJ, Moro-Sutherland, D, Furberg, RD, Downing, B, Glickman, L, Murphy, A, Jackson, CL, Snyder, G & Hobgood, C 2009, 'Using screen-based simulation to improve performance during pediatric resuscitation', Academic Emergency Medicine, vol. 16, no. SUPPL. 2. https://doi.org/10.1111/j.1553-2712.2009.00590.x
Biese KJ, Moro-Sutherland D, Furberg RD, Downing B, Glickman L, Murphy A et al. Using screen-based simulation to improve performance during pediatric resuscitation. Academic Emergency Medicine. 2009 Dec;16(SUPPL. 2). https://doi.org/10.1111/j.1553-2712.2009.00590.x
Biese, Kevin J. ; Moro-Sutherland, Donna ; Furberg, Robert D. ; Downing, Brian ; Glickman, Larry ; Murphy, Alison ; Jackson, Cheryl L. ; Snyder, Graham ; Hobgood, Cherri. / Using screen-based simulation to improve performance during pediatric resuscitation. In: Academic Emergency Medicine. 2009 ; Vol. 16, No. SUPPL. 2.
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