Evidence map›Paper›PMID 20300731›Full record

ArticleIntensive care medicine2010

Impact of simulation-based learning on medication error rates in critically ill patients.

Daniel G Ford, Amy L Seybert, Pamela L Smithburger, Lawrence R Kobulinsky, Joseph T Samosky, Sandra L Kane-Gill

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Intensive care medicine, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. The Canadian journal of hospital pharmacy · 2024
    Article
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  8. Review
  9. Article
  10. Article
  11. Simulation Training in Hemodynamic Monitoring and Mechanical Ventilation: An Assessment of Physician's Performance.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2020
    Article
  12. Article
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  16. Observational
  17. Article
  18. Reducing medication errors in critical care: a multimodal approach.Clinical pharmacology : advances and applications · 2014
    Review
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  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Daniel G FordDepartment of Pharmacy, NorthBay Medical Center, Fairfield, 1200 B. Gale Wilson Blvd, Fairfield, CA 94533, USA.
Amy L Seybert
Pamela L Smithburger
Lawrence R Kobulinsky
Joseph T Samosky
Sandra L Kane-Gill

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo compare medication administration error rates before and after the provision of educational sessions using either traditional didactic lecture or simulation-based training.

methodsA single-center, parallel, controlled, prospective study conducted in adult coronary critical care (CCU) and medical intensive care units (MICU). Twenty-four nurses were observed administering medications. Documentation included drug name, dose, route, time and technique during observation and active medication orders in the patient's chart. A direct observation method was completed at baseline and repeated twice after the interventions. Data obtained during observation were analyzed for medication administration error rates. Interventions were two types of educational sessions with content developed from baseline medication administration error data: simulation-based training for CCU nurses and a didactic lecture for MICU nurses. Quizzes completed before and after the interventions were used to assess knowledge.

resultsA total of 880 doses (402 CCU, 478 MICU) were observed. After the simulation-based educational intervention in the CCU, medication administration error rates decreased from 30.8 to 4.0% (p < 0.001) in the initial post-intervention observation and were sustained in the final post-intervention observation (30.8 to 6.2%; p < 0.001). The error rate in the MICU after the didactic lecture intervention was not significantly different from the baseline and increased in the final post-intervention observation from 20.8 to 36.7% (p = 0.002). Mean quiz scores were significantly improved after education sessions in both ICUs.

conclusionsSimulation-based learning provides a significant advantage to patient care through the reduction of medication administration errors compared to lecture style education.

Indexed as

Patient SimulationAdultCaliforniaCoronary Care UnitsCritical IllnessEducation, Nursing, ContinuingFemaleHumansIntensive Care UnitsMaleMedication ErrorsMedication Systems, HospitalNurse's RoleNursing Education ResearchNursing Staff, HospitalProspective Studies

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.