Aaron R Jensen1, Francesca Bullaro2, Richard A Falcone3, Margot Daugherty4, L Caulette Young5, Cory McLaughlin6, Caron Park7, Christianne Lane8, Jose M Prince9, Daniel J Scherzer10, Tensing Maa11, Julie Dunn12, Laura Wining13, Joseph Hess14, Mary C Santos15, James O'Neill16, Eric Katz17, Karen O'Bosky18, Timothy Young19, Emily Christison-Lagay20, Omar Ahmed21, Randall S Burd22, Marc Auerbach23. 1. UCSF Benioff Children's Hospital Oakland, Oakland, CA, USA. Electronic address: aaron.jensen@ucsf.edu. 2. Cohen Children's Medical Center of Northwell Health, New Hyde Park, NY, USA. Electronic address: fbullaro@northwell.edu. 3. Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA. Electronic address: richard.falcone@cchmc.org. 4. Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA. Electronic address: margot.daugherty@cchmc.org. 5. Children's Hospital Los Angeles, Los Angeles, CA, USA. Electronic address: lyoung@chla.usc.edu. 6. Children's Hospital Los Angeles, Los Angeles, CA, USA. Electronic address: cory.mclaughlin@bswhealth.org. 7. Southern California Clinical and Translational Science Institute, University of Southern California, Los Angeles, CA, USA. Electronic address: caronpar@usc.edu. 8. Southern California Clinical and Translational Science Institute, University of Southern California, Los Angeles, CA, USA. Electronic address: christianne.lane@med.usc.edu. 9. Cohen Children's Medical Center of Northwell Health, New Hyde Park, NY, USA. Electronic address: jprince@northwell.edu. 10. Nationwide Children's Hospital, Columbus, OH, USA. Electronic address: daniel.scherzer@nationwidechildrens.org. 11. Nationwide Children's Hospital, Columbus, OH, USA. Electronic address: Tensing.Maa@nationwidechildrens.org. 12. University of Colorado Health-Medical Center of the Rockies, Loveland, CO, USA. Electronic address: julie.dunn@uchealth.org. 13. University of Colorado Health-Medical Center of the Rockies, Loveland, CO, USA. Electronic address: laura.wining@uchealth.org. 14. Penn State Children's Hospital, Hershey, PA, USA. Electronic address: jhess1@pennstatehealth.psu.edu. 15. Penn State Children's Hospital, Hershey, PA, USA. Electronic address: msantos2@pennstatehealth.psu.edu. 16. Wake Forest Baptist Health, Winston-Salem, NC, USA. Electronic address: joneill@wakehealth.edu. 17. Wake Forest Baptist Health, Winston-Salem, NC, USA. Electronic address: ekatz@wakehealth.edu. 18. Loma Linda University Medical Center and Children's Hospital, Loma Linda, CA, USA. Electronic address: kobosky@llu.edu. 19. Loma Linda University Medical Center and Children's Hospital, Loma Linda, CA, USA. Electronic address: tpyoung@llu.edu. 20. Yale Children's Hospital, New Haven, CT, USA. Electronic address: emily.christison-lagay@yale.edu. 21. Children's National Medical Center, Washington, DC, USA. Electronic address: oahmed3@childrensnational.org. 22. Children's National Medical Center, Washington, DC, USA. Electronic address: rburd@childrensnational.org. 23. Yale Children's Hospital, New Haven, CT, USA. Electronic address: marc.auerbach@yale.edu.
Abstract
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.
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.
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