| Title | Simulation-Based Education Improves Quality of Care During Cardiac Arrest Team Responses at an Academic Teaching Hospital: A Case-Control Study. | | Author(s) | Wayne DB, Didwania A, Feinglass J, Fudala MJ, Barsuk JH, McGaghie WC | | Institution | Department of Medicine. | | Source | Chest 2007 Jun 15. | | Abstract | Background Simulation technology is widely used in medical education. Linking educational outcomes achieved in a controlled environment to patient care improvement is a constant challenge. Methods This was a retrospective case-control study of cardiac arrest team responses from January to June 2004 at a university-affiliated internal medicine residency program. Medical records of Advanced Cardiac Life Support (ACLS) events were reviewed to assess adherence to ACLS response quality indicators based upon American Heart Association (AHA) guidelines. All residents received traditional ACLS education. Second year residents (simulator trained group) also received an educational program featuring deliberate practice of ACLS scenarios using a human patient simulator. Third year residents (traditionally trained group) were not simulator trained. During the study period both simulator trained and traditionally trained residents responded to ACLS events. We evaluated the effects of simulation training on the quality of ACLS care provided. Results Simulator-trained residents showed significantly higher adherence to AHA standards (mean percent correct = 68%, sd = 20%); versus traditionally trained residents (mean percent correct = 44%, sd = 20%) p = .001. The odds ratio for an adherent ACLS response was 7.1 (95% CI = 1.8 -- 28.6) for simulator-trained residents compared to traditionally trained residents after controlling for patient age, ventilator, and telemetry status. Conclusions A simulation-based educational program significantly improved the quality of care provided by residents during actual ACLS events. There is a growing body of evidence that simulation can be a useful adjunct to traditional methods of procedural training. | | Language | ENG | | Pub Type(s) | JOURNAL ARTICLE
| | PubMed ID | 17573509 |
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