Simulation-based training for trauma resuscitation among ACS TQIP-Pediatric centers: Understanding prevalence of use, associated center characteristics, training factors, and implementation barriers.
Am J Surg
; 217(1): 180-185, 2019 01.
Article
em En
| MEDLINE
| ID: mdl-29934123
ABSTRACT
BACKGROUND:
Simulation-based training (SBT) for pediatric trauma resuscitation can improve team performance. The purpose of this study was to describe the nationwide trend in SBT use and barriers to SBT implementation.METHODS:
Trauma centers that participated in ACS TQIP Pediatric in 2016 (Nâ¯=â¯125) were surveyed about SBT use. Center characteristics and reported implementation barriers were compared between centers using and not using SBT.RESULTS:
Survey response rate was 75% (94/125) with 78% (73/94) reporting SBT use. The frequency of pediatric SBT use increased from 2014 to 2016 (median 5.5 vs 6.5 annual sessions, pâ¯<â¯0.01). Funding barriers were negatively associated with number of annual SBT sessions (râ¯≤â¯-0.34, pâ¯<â¯0.05). Centers not using SBT reported lack of technical expertise (pâ¯=â¯0.01) and lack of data supporting SBT (pâ¯=â¯0.03) as significant barriers.CONCLUSIONS:
Simulation use increased from 2014 to 2016, but significant barriers to implementation exist. Strategies to share resources and decrease costs may improve usage. LEVEL OF EVIDENCE Level 3, epidemiological.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Pediatria
/
Ressuscitação
/
Centros de Traumatologia
/
Traumatologia
/
Treinamento por Simulação
Tipo de estudo:
Observational_studies
/
Prevalence_studies
/
Risk_factors_studies
Limite:
Humans
País/Região como assunto:
America do norte
Idioma:
En
Ano de publicação:
2019
Tipo de documento:
Article