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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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A Rapid Response Mobile Application Improves First-Year Resident Clinical Performance During Simulated Care Events: A

Alexandra C Collis1,2, A Vincent Raikhel3,4, Joseph R Bell3

  • 1University of Washington, Seattle, WA, USA. acollis@uw.edu.

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|July 22, 2024
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A mobile app significantly improved intern performance in simulated rapid response events by reducing critical medication times and boosting clinical scores. This technology enhances care quality for junior physicians in leadership roles.

Keywords:
cognitive aidgraduate medical educationmedical educationrapid response teamssimulation

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Area of Science:

  • Medical Education
  • Clinical Informatics
  • Patient Safety

Background:

  • Rapid Response Teams (RRTs) are essential for managing acute patient decompensation.
  • Junior residents often lead RRTs, potentially lacking experience.
  • Cognitive aids can support resident performance and guideline adherence.

Purpose of the Study:

  • To evaluate the impact of a mobile application on intern performance during simulated RRT events.
  • To assess the effectiveness of a digital cognitive aid in a simulated acute care setting.

Main Methods:

  • A randomized controlled trial compared intern performance with and without a rapid response mobile application.
  • Simulations involved anaphylaxis and supraventricular tachycardia (SVT) scenarios.
  • Performance was assessed by time to critical medications and checklist-based scores.

Main Results:

  • The mobile app group showed significantly reduced time to critical medications for both anaphylaxis and SVT.
  • Interns using the app achieved higher clinical performance scores in the anaphylaxis scenario.
  • The mobile application demonstrated good usability among participants.

Conclusions:

  • A rapid response mobile application effectively improved intern performance and quality of care in simulated emergencies.
  • The study supports the use of technology-based cognitive aids to enhance patient care.
  • Mobile applications can be valuable tools for training and supporting junior physicians in critical care scenarios.