Evaluation of a Pilot Project to Introduce Simulation-Based Team Training to Pediatric Surgery Trauma Room Care.

Markus Lehner,Hans-Joachim Kirschner,Oliver Heinzel,Florian Hoffmann,Martina Heinrich,Ellen Heimberg

doi:10.1155/2017/9732316

Markus Lehner, Hans-Joachim Kirschner + Show 4 more

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https://doi.org/10.1155/2017/9732316

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Abstract

Introduction. Several studies in pediatric trauma care have demonstrated substantial deficits in both prehospital and emergency department management. Methods. In February 2015 the PAEDSIM collaborative conducted a one and a half day interdisciplinary, simulation based team-training course in a simulated pediatric emergency department. 14 physicians from the medical fields of pediatric surgery, pediatric intensive care and emergency medicine, and anesthesia participated, as well as four pediatric nurses. After a theoretical introduction and familiarization with the simulator, course attendees alternately participated in six simulation scenarios and debriefings. Each scenario incorporated elements of pediatric trauma management as well as Crew Resource Management (CRM) educational objectives. Participants completed anonymous pre- and postcourse questionnaires and rated the course itself as well as their own medical qualification and knowledge of CRM. Results. Participants found the course very realistic and selected scenarios highly relevant to their daily work. They reported a feeling of improved medical and nontechnical skills as well as no uncomfortable feeling during scenarios or debriefings. Conclusion. To our knowledge this pilot-project represents the first successful implementation of a simulation-based team-training course focused on pediatric trauma care in German-speaking countries with good acceptance.

Highlights

Several studies in pediatric trauma care have demonstrated substantial deficits in both prehospital and emergency department management
The faculty consisted of eight Crew Resource Management (CRM)-trained instructors from the fields of pediatric intensive care, pediatric surgery, anesthesia, and pediatric emergency medicine
Training was held in a mock trauma room in the Tuebingen Patient Safety and Simulation Center (TuPASS) of the University Hospital Tuebingen

Summary

Introduction

Participants found the course very realistic and selected scenarios highly relevant to their daily work They reported a feeling of improved medical and nontechnical skills as well as no uncomfortable feeling during scenarios or debriefings. To our knowledge this pilot-project represents the first successful implementation of a simulation-based team-training course focused on pediatric trauma care in German-speaking countries with good acceptance. Team-training concepts are increasingly being implemented in many high-risk medical fields as a tool to ensure that interdisciplinary medical care teams are best prepared for emergency situations. These courses allow medical professionals to receive training and some medical-specialty skills and learn team-oriented and behavior-oriented techniques [4]

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Results

Discussion

Conclusion