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Kathleen M Waters¹, Ruth Hwu¹, Mona Kulkarni²

¹Emory University School of Medicine, Children's Healthcare of Atlanta Atlanta Georgia USA.

AEM education and training

|November 13, 2024

概括

多学科模拟培训提高了儿科急诊室小组在快速序列输管 (RSI) 中使用检查清单的表现. 这种教育方法提高了呼吸道管理和团队合作技能,从而改善了患者的护理.

科学领域:

医学教育医学教育
紧急医疗紧急医疗
患者安全患者安全

背景情况:

快速序列输管 (RSI) 检查清单旨在减少不良事件并提高儿科急诊室 (PED) 的效率.
探索多学科模拟 (SIM) 培训作为提高团队在RSI场景中的表现的教育工具.

研究的目的:

评估多学科SIM培训对RSI期间PED团队表现的影响.
评估RSI检查清单在改善气道管理和团队动态方面的有效性.

主要方法:

根据现有的PED检查清单创建了一个检查清单.
进行视频录制的SIM培训课程,与多学科PED团队一起执行RSI场景.
实施快速循环有意实践 (RCDP) 汇报,重点关注检查清单的使用和团队动态.
使用模拟团队评估工具 (STAT) 评估团队表现,重点关注气道管理和人为因素,比较干预前后的分数和调查.

主要成果:

483名学习者参加了64次SIM课程;44人被纳入分析.
观察到呼吸道管理,人为因素和整体表现的干预后得分有统计学上显著的增加 (p < 0.001).
调查表明,干预后,角色理解和使用检查清单的舒适度有所提高.

结论:

使用RCDP方法的多学科SIM培训有效地改善了PED工作人员的气道管理,团队合作和RSI检查清单的使用.
建议进行持续的维护SIM会话,以保持持续的技能熟练程度,并评估随着时间的推移技能退化.

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