ArticleThe Journal of pediatrics2017
The Simulation-Based Assessment of Pediatric Rapid Response Teams.
Article in The Journal of pediatrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- External ventricular drainage management in pediatrics: a simulated scenario for rapid-cycle deliberate practice.Revista brasileira de enfermagem · 2026Article
- Exploring the provision and structure of paediatric critical care outreach teams (PCCOTs) in the UK and Ireland: a national questionnaire study.BMJ paediatrics open · 2025Article
- Reliability of simulation-based assessment for practicing physicians: performance is context-specific.BMC medical education · 2021Article
- An Advanced Boot Camp for Pediatric Anesthesiology Fellows.The journal of education in perioperative medicine : JEPMArticle
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Authors and funding
4 authors.
Funding
Abstract
objectiveTo create scenarios of simulated decompensating pediatric patients to train pediatric rapid response teams (RRTs) and to determine whether the scenario scores provide a valid assessment of RRT performance with the hypothesis that RRTs led by intensivists-in-training would be better prepared to manage the scenarios than teams led by nurse practitioners. STUDY
designA set of 10 simulated scenarios was designed for the training and assessment of pediatric RRTs. Pediatric RRTs, comprising a pediatric intensive care unit (PICU) registered nurse and respiratory therapist, led by a PICU intensivist-in-training or a pediatric nurse practitioner, managed 7 simulated acutely decompensating patients. Two raters evaluated the scenario performances and psychometric analyses of the scenarios were performed.
resultsThe teams readily managed scenarios such as supraventricular tachycardia and opioid overdose but had difficulty with more complicated scenarios such as aortic coarctation or head injury. The management of any particular scenario was reasonably predictive of overall team performance. The teams led by the PICU intensivists-in-training outperformed the teams led by the pediatric nurse practitioners.
conclusionsSimulation provides a method for RRTs to develop decision-making skills in managing decompensating pediatric patients. The multiple scenario assessment provided a moderately reliable team score. The greater scores achieved by PICU intensivist-in-training-led teams provides some evidence to support the validity of the assessment.
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