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The Impact of Just-in-Time Simulation Training for Healthcare Professionals on Learning and Performance Outcomes: A
Catherine Patocka1, Anjali Pandya, Erin Brennan
1From the Department of Emergency Medicine (C.P., A.P.), University of Calgary Cumming School of Medicine, Calgary, Canada; Department of Emergency Medicine (E.B.), Queen's University, Kingston, Canada ; Department of Emergency Medicine (L.L., A.K.H.), University of Ottawa, Ottawa, Canada; Department of Pediatric Emergency Medicine (I.A.), Rainbow Babies and Children's Hospital, Case Western Reserve University, Cleveland, OH; Royal College of Physicians and Surgeons of Canada (A.K.H.), Ottawa, Canada ; Libraries and Cultural Resources (H.G.), University of Calgary, Calgary, Canada.
Abstract:
Although just-in-time training (JIT) is increasingly used in simulation-based health professions education, its impact on learning, performance, and patient outcomes remains uncertain. The aim of this study was to determine whether JIT simulation training leads to improved learning and performance outcomes. We included randomized or nonrandomized interventional studies assessing the impact of JIT simulation training (training conducted in temporal or spatial proximity to performance) on learning outcomes among health professionals (trainees or practitioners). Of 4077 citations screened, 28 studies were eligible for inclusion. Just-in-time training simulation training has been evaluated for a variety of medical, resuscitation, and surgical procedures. Most JIT simulation training occurred immediately before procedures and lasted between 5 and 30 minutes. Despite the very low certainty of evidence, this systematic review suggests JIT simulation training can improve learning and performance outcomes, in particular time to complete skills. There remains limited data on better patient outcomes and collateral educational effects.
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