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Interprofessional simulation training improved healthcare providers' comfort and perception of prone position ventilation (PPV) for severe acute respiratory distress syndrome. The program also identified safety concerns before implementation.

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Area of Science:

  • Critical Care Medicine
  • Medical Simulation
  • Patient Safety

Background:

  • Prone position ventilation (PPV) is recommended for severe acute respiratory distress syndrome but is underused.
  • Interprofessional simulation-based training for PPV has not been previously described.

Purpose of the Study:

  • To assess an interprofessional simulation-based training program's impact on provider perception and comfort with PPV.
  • To evaluate the program's effectiveness in identifying latent safety threats before clinical implementation.

Main Methods:

  • A prospective observational quality improvement study was conducted in an academic medical center's ICU.
  • Registered nurses, physicians, and respiratory therapists participated in didactic sessions, simulations, and debriefings.
  • Anonymous pre- and post-training surveys were used to collect data.

Main Results:

  • Post-training, perceived benefit of PPV increased across all provider groups.
  • Nurse and physician comfort with prone positioning and managing cardiac arrest significantly improved.
  • Twenty novel latent safety threats were identified during the training.

Conclusions:

  • Interprofessional simulation-based training can enhance provider comfort and perception of PPV.
  • This training approach effectively identifies potential safety issues prior to clinical application.