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Updated: Jul 7, 2026

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

Published on: January 15, 2017

A simulator-based tool that assesses pediatric resident resuscitation competency.

Marisa B Brett-Fleegler¹, Robert J Vinci, Debra L Weiner

¹Division of Emergency Medicine, Main South Basement, Room CB0120, Children's Hospital Boston, 300 Longwood Ave, Boston, MA 02115, USA. marisa.brett@childrens.harvard.edu

|February 20, 2008

Summary

A new simulation tool effectively assesses pediatric resuscitation skills. The Tool for Resuscitation Assessment Using Computerized Simulation shows good reliability and preliminary validity, improving with training.

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Published on: August 5, 2020

Area of Science:

Medical Education
Simulation-Based Assessment
Pediatric Emergency Medicine

Background:

Pediatric resuscitation competency is crucial for resident training and patient care.
Current assessment methods lack a validated tool for pediatric resuscitation skills.
Accreditation bodies mandate competency assessment in this critical area.

Purpose of the Study:

To develop a simulation-based tool for assessing pediatric resuscitation competency.
To evaluate the reliability and preliminary validity of this new assessment tool.

Main Methods:

A 72-question tool, the Tool for Resuscitation Assessment Using Computerized Simulation, was developed covering 4 domains.
25 residents at 5 training levels participated in 3 standardized simulation scenarios.
Performances were videotaped and assessed by two independent expert raters.

Main Results:

The tool demonstrated good interrater reliability (ICC 0.70-0.80) across domains and overall.
Mean exact agreement between raters was 82.1%.
Scores showed a statistically significant trend of improvement with increased training.

Conclusions:

The Tool for Resuscitation Assessment Using Computerized Simulation exhibits strong interrater reliability.
Preliminary construct validity was supported by performance trends correlating with training levels.
This tool offers a reliable method for evaluating pediatric resuscitation competency.