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Related Experiment Video

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A Customizable Digital Cognitive Aid for Neonatal Resuscitation: A Simulation-Based Randomized Controlled Trial.

Laurie Benguigui1, Solène Le Gouzouguec, Baptiste Balanca

  • 1From the Women, Mother and Children Hospital (L.B., M.B., A.B.), Departement of Neonatology, Claude Bernard University of Lyon, Bron, France; The Center for Teaching by Simulation in Health Care (B.B., A.B.), SAMSEI, Lyon, France; The Normandie Simulation Center in Health Care (NorSimS) (M.R., B.G.), Division of Neonatology, Department of Pediatrics, Caen Normandie University, Caen, France (M.R., B.G.); Fleyriat Hospital, Department of Pediatrics, Division of Pediatric Medecine, Bourg en Bresse, France (S.L.); Pierre Wertheimer Hospital, Department of Anesthesia, Intensive Care Unit, Bron, France (B.B.); and Croix-Rousse University Hospital, Department of Neonatology, Lyon, France (G.P.).

Simulation in Healthcare : Journal of the Society for Simulation in Healthcare
|April 8, 2024
PubMed
Summary

A digital cognitive aid (DCA) improved junior trainees' technical skills in neonatal resuscitation compared to a standard poster algorithm. This study highlights the DCA's effectiveness in managing critical neonatal events.

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Area of Science:

  • Medical Education
  • Neonatal Resuscitation
  • Clinical Simulation

Background:

  • Effective management of critically ill neonates relies on adherence to resuscitation algorithms.
  • The International Liaison Committee on Resuscitation (ILCOR) provides evidence-based guidelines for neonatal care.
  • Junior trainees require optimized tools to enhance performance during critical events.

Purpose of the Study:

  • To evaluate the impact of a customizable digital cognitive aid (DCA) versus a standard poster cognitive aid (SOC) on trainee performance.
  • To assess technical and nontechnical skills during a simulated neonatal birth event.
  • To compare a DCA adapted from 2020 ILCOR recommendations with the current standard of care.

Main Methods:

  • A prospective, bicentric, randomized controlled trial involving 108 junior trainees (pediatric residents and midwife students).
  • Participants were randomized into groups to use either a DCA with an ILCOR poster or only an ILCOR poster (SOC).
  • Performance was assessed via video recording of simulated neonatal cardiac arrest scenarios, scoring technical and nontechnical skills.

Main Results:

  • The DCA group demonstrated significantly higher technical scores (P < 0.001) compared to the SOC group.
  • Average technical scores were 24.0/27 for the DCA group versus 20.8/27 for the SOC group.
  • No significant difference was observed in nontechnical skills scores between the groups; trainee feedback was positive.

Conclusions:

  • A digital cognitive aid significantly enhances technical performance in junior trainees during simulated neonatal resuscitation.
  • The DCA, based on ILCOR guidelines, offers an advantage over traditional poster algorithms for critical neonatal events.
  • Further integration of digital tools in medical education may improve clinical skills acquisition.