Acute Critical Events Simulation (A.C.E.S): a Novel Program to Improve Resuscitation of the Critically Ill

Abstract

Introduction: The Acute Critical Events Simulation (ACES) Program was designed to aid acquisition of knowledge, skills, and behaviours needed to care for the critically-ill. Methods: ACES originated following identification of recurrent deficiencies with resuscitation, and incorporated peer-reviewed material and nationwide faculty. Questionnaires provided demographics and satisfaction scores. We compared results from 2002 and 2003 to assess ongoing modifications. Participant evaluation and perceived usefulness were measured using a 5point Likert-scale. Multiple-linear-regression analysis determined whether past-training influenced perceived usefulness. Results: Questionnaires showed very little prior training in resuscitation or crisis resource management (CRM). Roughly half had prior simulator experience. Evaluations showed ACES to be well received: with scores of 4.38 out of 5 in 2002, and 4.44 in 2003. Modifications were associated with a significant increase in the evaluation of simulation/CRM sessions (4.01 in 2002, versus 4.67 in 2003, p = 0.0004). Prior training had minimal effect upon the perceived usefulness. Conclusion: ACES represents a portable, modifiable, peer-reviewed program to improve care of the critically-ill. It was well reviewed by participants. Our results confirm that CRM training is lacking and that medical simulators are well received.