Simulation-based training for trauma resuscitation among ACS TQIP-Pediatric centers: Understanding prevalence of use, associated center characteristics, training factors, and implementation barriers - 07/12/18
, Cory McLaughlin a , Carolyn F. Wong b, c , Katie McAuliff d , Avery B. Nathens d, e , Erica Barin a , Daniella Meeker c, f , Henri R. Ford a , Randall S. Burd g , Jeffrey S. Upperman a 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 (N = 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, p < 0.01). Funding barriers were negatively associated with number of annual SBT sessions (r ≤ −0.34, p < 0.05). Centers not using SBT reported lack of technical expertise (p = 0.01) and lack of data supporting SBT (p = 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.
Il testo completo di questo articolo è disponibile in PDF.Highlights |
• | Simulation-based training increased from 2014 to 2016 in pediatric trauma centers. |
• | University-based, non-profit institutions more commonly use simulation. |
• | Simulation training methods were heterogeneous across centers. |
• | Perceived lack of funding is the primary barrier to simulation use. |
Keywords : Pediatric trauma, Trauma resuscitation, Simulation, Simulation-based training, Implementation, Barriers
Mappa
| ☆ | This work was supported by grant #KFVS6290 from the National Institute for Child Health and Development (NICHD) and grant #KL2TR001854 from the National Center for Advancing Translational Science (NCATS) of the U.S. National Institutes of Health. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. |
| ☆☆ | Children's Hospital Los Angeles Institutional Review Board Exemption # CHLA-16-00341. |
Vol 217 - N° 1
P. 180-185 - gennaio 2019 Ritorno al numero
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