Medical Emergencies in the Primary Care Setting: An Evidence Based Practice Approach Using Simulation to Improve...

Area of Science:

• Medical Education
• Emergency Preparedness
• Primary Care Practice

Background:

• Medical emergencies are less frequent in primary care than inpatient settings.
• Primary care clinicians benefit from skill refreshment for emergency response.
• Simulation is an evidence-based strategy to improve emergency readiness.

Purpose of the Study:

• To examine the impact of a mock code program on staff competence and confidence in pediatric primary care settings.
• To assess the effectiveness of simulation as an educational tool for emergency response in primary care.

Main Methods:

• A descriptive pre- and post-survey design was employed.
• Simulation educators collaborated with nursing and medical leaders to develop a mock code program.
• Simulations were conducted across 30 primary care sites over 14 months, with staff completing pre- and post-surveys.

Main Results:

• A statistically significant increase in mean scores for both confidence and competence was observed post-simulation.
• Staff reported enhanced decision-making skills and competence in managing medical emergencies.

Conclusions:

• Simulation education effectively increased primary care office staff's competence and confidence in emergency response.
• The program fostered heightened awareness of emergency processes and the value of simulation.
• Simulation is a valuable tool for improving emergency preparedness in primary care settings.