ArticleThe journal of trauma and acute care surgery2019
Simulation-based training is associated with lower risk-adjusted mortality in ACS pediatric TQIP centers.
Article in The journal of trauma and acute care surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05910515 (Improving Performance in Pediatric Trauma by Teaching Nontechnical Skills), which is not on this map. Cited by 10 papers.
What it found
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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.
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.
Improving Performance in Pediatric Trauma by Teaching Nontechnical Skills
Who cites it
10 citing papers in PubMed, 24 citations in OpenAlex.
- Leveraging Virtual Reality in Pediatric Trauma Education for Pediatric and Emergency Medicine Residents.Cureus · 2026Article
- The Case for Standardized Maternal Cardiac Arrest Simulation Training in Prehospital and Hospital-Based Settings.O&G open · 2026Article
- Improving pediatric trauma care at a level 1 pediatric trauma center through the multi-year implementation of a Pediatric Trauma Boot Camp curriculum.Advances in simulation (London, England) · 2025Article
- Improving the quality of care and patient safety in oncology, the contribution of simulation-based training: A scoping review.International journal of nursing sciences · 2024Article
- Assessment of novel electrophysiology simulator-a survey study.Advances in simulation (London, England) · 2024Article
- Multidisciplinary Simulation for Blunt and Penetrating Pediatric Trauma Utilizing Standard and Rapid Cycle Deliberate Practice Models.MedEdPORTAL : the journal of teaching and learning resources · 2024Article
- Current situation and needs analysis of medical staff first aid ability in China: a cross-sectional study.BMC emergency medicine · 2023Article
- [Fridays for future! - All days for surgery! : Thoughts of young surgeons on a modern promotion of the next generation].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2022Review
- [Use of surgical simulators in further education-A nationwide analysis in Germany].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2021Article
- Open-chest versus closed-chest cardiopulmonary resuscitation in trauma patients with signs of life upon hospital arrival: a retrospective multicenter study.Critical care (London, England) · 2020Article
Corrections and comments
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Authors and funding
10 authors at 2 institutions in 2 countries.
Funding
Abstract
backgroundAlthough use of simulation-based team training for pediatric trauma resuscitation has increased, its impact on patient outcomes has not yet been shown. The purpose of this study was to determine the association between simulation use and patient outcomes.
methodsTrauma centers that participate in the American College of Surgeons (ACS) Pediatric Trauma Quality Improvement Program (TQIP) were surveyed to determine frequency of simulation use in 2014 and 2015. Center-specific clinical data for 2016 and 2017 were abstracted from the ACS TQIP registry (n = 57,916 patients) and linked to survey responses. Center-specific risk-adjusted mortality was estimated using multivariable hierarchical logistic regression and compared across four levels of simulation-based training use: no training, low-volume training, high-volume training, and survey nonresponders (unknown training use).
resultsSurvey response rate was 75% (94/125 centers) with 78% of the responding centers (73/94) reporting simulation use. The average risk-adjusted odds of mortality was lower in centers with a high volume of training compared with centers not using simulation (odds ratio, 0.58; 95% confidence interval, 0.37-0.92). The times required for resuscitation processes, evaluations, and critical procedures (endotracheal intubation, head computed tomography, craniotomy, and surgery for hemorrhage control) were not different between centers based on levels of simulation use.
conclusionRisk-adjusted mortality is lower in TQIP-Pediatric centers using simulation-based training, but this improvement in mortality may not be mediated by a reduction in time to critical procedures. Further investigation into alternative mediators of improved mortality associated with simulation use is warranted, including assessment of resuscitation quality, improved communication, enhanced teamwork skills, and decreased errors. LEVEL OF EVIDENCE: Therapeutic/care management, Level III.
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