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Abstract

Background and aims: PAEDSIM as a pediatric simulation collaborative in German-speaking countries. Aims: We implemented an in-situ simulation training program for pediatric healthcare teams on site in children’s hospitals who otherwise would not have access to simulation training. Methods: After a 3-hour introduction, a 2-day training each with 4 hour training sessions is given to a maximum of 32 participants. Participants are a mix of physicians and nurses. In situ simulation was conducted within their home environment using intact and realistic teams as well as own equipment and work progresses. A high fidelity full-scale simulator (SimBaby™, Laerdal) which was set up in a PICU-bed or in an emergency department bed space. A mobile audio-video system with three movable cameras was installed to allow for video-based debriefing. Participants completed anonymous pre- and post-course questionnaires. Participants have signed written informed consent. Results: We performed 39 trainings in pediatric hospitals to nearly 1300 pediatric providers. All participants have consistently assessed the course to be positive (100 %) and emphasized the practical relevance of the course for each of the participant in daily clinical practice. All together 50 % of the participants from each hospital have been trained during the 2.5 days of training. Conclusions: We demonstrated that an in-situ simulation training can be implemented for paediatric hospitals without compromising technology or intended aim and also emphasizes the great potential of this novel form of training. To our knowledge this project represents the first successful implementation of a nationwide simulation-based team training course focused on pediatric emergency care in German-speaking countries.