[Training intervention studies with mini-tests to improve emergency medical care in a health center].

OBJECTIVE: Test effectiveness and acceptability of interventions short essay-type training in health emergency management (EM).
DESIGN: Combined case series and controlled study before and after training sessions. LOCATION: Health Center (HC). PARTICIPANTS: Team on duty, two monitors-facilitators, and a mannequin. VARIABLES: response times, staff performance, resource usage and opinion. Structure: scenarios and key messages. Instrument development: 1. Initial/final questionnaire and events. 2. Essential/non-essential times; 3. Post-test opinion questionnaire. Performance of six consecutive 15 min tests fortnightly (including corrections) and poll after each test. A month later, repeat in random order and under similar conditions. ANALYSIS: repeated measures.
RESULTS: A total of 93 (2/3) workers completed the initial survey, and 74 the final, with 46 participants (25 doctors, 7 nurses, 21 non-health completed 95 direct interventions. Matching participants > 80% between series. A reduction was seen in the "detection of collapse to first defibrillation" interval (10 to 4 min). EM events improved 2-3 fold and "sense of security during a real EM" increased from 23% to 71% among participants. The vast majority of participants said "useful corrections made by the facilitator." The proportions of those who "would like to see tests introduced" and those who said "re-training was needed in EM" were moderately increased (67.4% vs 85% in health care workers). The "would like to attempt basic life support" was unchanged.
CONCLUSION: Despite being reduced in number and duration, this model of intervention has shown positive trends in terms of use and acceptability for implementation in the HC. Copyright Â