Simulation as a Research Tool for Pediatric Emergency Medicine - 08/09/16

Doi : 10.1016/j.cpem.2016.05.004

Aaron Donoghue, MD ^*,^†,^{^⁎} , Jonathan Duff, MD ^‡, Yiqun Lin, MD ^§, Adam Cheng, MD ^§
^* Division of Critical Care Medicine, Children's Hospital of Philadelphia, Philadelphia, PA
^† Department of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA
^‡ Department of Pediatrics, Stollery Children's Hospital, Edmonton, AB, Canada
^§ Department of Pediatrics, KidSIM Simulation Program, Alberta Children's Hospital, Calgary, AB, Canada

^⁎Reprint requests and correspondence: Aaron Donoghue, MD, Division of Critical Care Medicine, Children's Hospital of Philadelphia, 34th Street and Civic Center Blvd, Philadelphia, PA 19104.Division of Critical Care Medicine, Children's Hospital of Philadelphia34th Street and Civic Center BlvdPhiladelphiaPA19104

Abstract

Simulation-based research (SBR) is the term used to describe research in clinical care, education, or health care systems where simulation is incorporated into the study design. Simulation-based research has increased in prevalence and scope in the past decade, including a growing number of investigations in pediatric emergency medicine (PEM). The conduct of high-quality SBR is faced with a variety of challenges related to study design, sample size, analytic considerations, and the interpretation and/or extrapolation of experimental results to actual clinical care. This article will review the application of SBR to PEM, including a review of these methodological challenges; examples of published SBE studies in PEM will illustrate successful approaches to dealing with such challenges. In addition, future directions and recommendations for optimizing quality of ongoing SBE in PEM will be discussed.

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Keywords : pediatric emergency medicine, simulation-based research, resuscitation, cardiopulmonary resuscitation, airway management