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Interprofessional Simulation-Based Training to Facilitate ABCDEF Bundle Implementation.

Mikita Fuchita1, Lorel Huber2, Deena Costa3

  • 1Mikita Fuchita is an assistant professor, Department of Anesthesiology, Division of Critical Care, University of Colorado Anschutz Medical Campus, Aurora.

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Summary
This summary is machine-generated.

Interprofessional simulation training is a feasible method to improve intensive care unit (ICU) clinicians' attitudes toward the ABCDEF bundle, enhancing its implementation. This training boosts confidence in key interventions like spontaneous awakening trials and patient mobilization.

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Area of Science:

  • Critical Care Medicine
  • Medical Education
  • Patient Safety

Background:

  • The ABCDEF bundle improves intensive care unit (ICU) patient outcomes but faces low global adoption due to implementation barriers.
  • Interprofessional simulation training presents a potential strategy to overcome these barriers and facilitate bundle implementation.

Purpose of the Study:

  • To assess the feasibility and impact of an interprofessional simulation-based training program designed to promote the adoption of the ABCDEF bundle.

Main Methods:

  • A 90-minute interprofessional training program involved simulations of deeply sedated, mechanically ventilated patients.
  • Learners practiced assessing sedation and delirium, conducting spontaneous awakening trials, managing agitation, and mobilizing patients.
  • Feasibility was evaluated through participant surveys and pre/post-training attitude assessments regarding the ABCDEF bundle.

Main Results:

  • Sixteen clinicians from diverse ICU backgrounds participated in the training.
  • Participants found the simulation realistic, relevant, and beneficial for clinical performance.
  • Post-training, participants reported increased comfort and confidence in performing spontaneous awakening trials, managing delirium/agitation, and collaborating on patient mobilization.

Conclusions:

  • Interprofessional simulation training is a feasible and well-accepted method for enhancing ABCDEF bundle implementation.
  • The training positively influenced participants' attitudes and confidence in key bundle components.