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Related Experiment Video

Updated: Mar 12, 2026

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
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Comparative Effectiveness of Hands-on Versus Computer Simulation-Based Training for Contrast Media Reactions and

Carolyn L Wang1, Sankar Chinnugounder2, Daniel S Hippe1

  • 1Department of Radiology, University of Washington, Seattle, Washington.

Journal of the American College of Radiology : JACR
|November 6, 2016
PubMed
Summary

High-fidelity simulation training effectively prepares interprofessional teams for contrast reaction management (CR). Hands-on (HO) simulation was rated higher than computer-based (CB) training, though both may need further sessions for mastering teamwork skills (TS).

Keywords:
Interprofessional team trainingcomputer-based simulationcontrast mediacontrast reaction managementhigh-fidelity simulationteamwork skills

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Area of Science:

  • Medical Simulation
  • Interprofessional Education
  • Radiology

Background:

  • Effective management of contrast reactions (CR) and strong teamwork skills (TS) are crucial in radiology.
  • Interprofessional teams, including radiologists, technologists, and nurses, require specialized training for optimal patient care.
  • Simulation-based training offers a controlled environment to develop and assess these critical skills.

Purpose of the Study:

  • To compare the performance of interprofessional teams trained via high-fidelity hands-on (HO) simulation versus computer-based (CB) simulation.
  • To evaluate the effectiveness of both training modalities in improving contrast reaction management (CR) and teamwork skills (TS).
  • To assess participant perceptions of the educational value of HO versus CB simulation.

Main Methods:

  • Nurses, technologists, and radiology residents were organized into interprofessional teams.
  • Teams were randomized to receive either HO simulation or CB simulation training focused on CR and TS.
  • Performance was assessed through pre- and post-training written tests and a high-fidelity simulation scenario.

Main Results:

  • Both HO and CB training improved written test scores, with no significant difference between groups.
  • HO teams demonstrated a trend towards better CR performance and fewer errors in epinephrine administration during simulation.
  • Teamwork skills (TS) scores were similar between groups and lower than CR skills; HO training was rated as more effective by participants.

Conclusions:

  • High-fidelity simulation is a viable method for training and assessing interprofessional teams in CR and TS.
  • Hands-on (HO) simulation is perceived by participants as a more effective educational tool than computer-based (CB) simulation.
  • A single training session, regardless of modality, may be insufficient for complete mastery of teamwork skills (TS).