Open AccessEnhancing paediatric resuscitation team performance: targeted simulation-based team leader training
Author(s) -
Ashley Keilman,
Jennifer Reid,
Anita Thomas,
Neil G. Uspal,
Kimberly Stone,
Elaine Beardsley,
Brian Burns,
Rebekah Burns
Publication year - 2020
Publication title -
bmj simulation and technology enhanced learning
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.292
H-Index - 9
ISSN - 2056-6697
DOI - 10.1136/bmjstel-2019-000578
Subject(s) - teamwork , intervention (counseling) , medicine , observational study , session (web analytics) , emergency department , resuscitation , medical emergency , emergency medicine , nursing , computer science , pathology , world wide web , political science , law
Effective team leadership is linked to improved resuscitation outcomes. Previous studies have focused primarily on trainee performance and simulation-based outcomes. We hypothesised that a targeted simulation-based educational intervention for experienced physicians focusing on specific process and communication goals would result in improved performance during actual resuscitations. We conducted an observational pilot study evaluating specific process metrics during clinical resuscitations before and after a 1-hour training intervention for paediatric emergency medicine (PEM) supervising physicians using rapid cycle deliberate practice simulation-based training. Videos of clinical resuscitations from before and after the intervention were retrospectively reviewed to assess time to patient transfer to emergency department stretcher, time to primary assessment and time to team leader summary statement. Between March and July 2018, 21/38 of PEM supervising physicians participated in a training session. After the intervention period, clinical resuscitation teams showed significant improvements in targeted process metrics: transfer of patient within 1 min (79% vs 100%, p=0.03), assessment completed within 3 min (28% vs 75%, p=0.01) and summary statement within 5 min (50% to 85%, p=0.03). Brief, focused simulation-based team leader training can improve the teamwork and communication performance of experienced clinicians during clinical resuscitations.