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Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
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Improving Adherence to a Pediatric Advanced Life Support Supraventricular Tachycardia Algorithm in Community

Riad Lutfi, Erin E Montgomery, Zachary J Berrens

    Journal of Continuing Education in Nursing
    |August 23, 2019
    PubMed

    Insights

    Community emergency departments improved pediatric supraventricular tachycardia (SVT) algorithm adherence by 14% after implementing a simulation-based collaborative program. This training enhanced recognition and management of critical pediatric heart rhythms.

    Area of Science:

    • Pediatric Emergency Medicine
    • Cardiology
    • Medical Simulation

    Background:

    • Pediatric dysrhythmias pose a management challenge for community emergency department (CED) providers due to infrequent exposure.
    • Effective recognition and treatment protocols are crucial for pediatric cardiac emergencies.

    Purpose of the Study:

    • To assess the impact of an in situ simulation-based collaborative program on CED adherence to the pediatric supraventricular tachycardia (SVT) algorithm.
    • To improve the quality of care for children experiencing dysrhythmias in emergency settings.

    Main Methods:

    • A prospective, interventional study design was employed.
    • Adherence to the pediatric SVT algorithm was measured pre- and post-intervention using a composite adherence score (CAS).
    • In situ simulation-based collaborative training was implemented for community emergency department teams.

    Main Results:

    • 74 multiprofessional teams (367 participants) from nine CEDs participated.
    • The mean CAS significantly improved from 57% to 71% post-intervention.
    • Key improvements were noted in identifying SVT rhythms, differentiating stable/unstable SVT, and performing synchronized cardioversion.

    Conclusions:

    • The collaborative simulation program effectively enhanced CED adherence to the pediatric SVT algorithm.
    • This simulation-based approach holds potential for improving pediatric emergency care quality.
    • Adaptable training strategies can address knowledge and skill gaps in managing pediatric dysrhythmias.
    Abstract

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