Evidence map›Paper›PMID 32355970›Full record

Observational studyAmerican journal of critical care : an official publication, American Association of Critical-Care Nurses2020

Implementing Automated Prone Ventilation for Acute Respiratory Distress Syndrome via Simulation-Based Training.

Armeen D Poor, Samuel O Acquah, Celia M Wells, Maria V Sevillano, Christopher G Strother, Gary G Oldenburg, S Jean Hsieh

Open access · bronzeAbstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in American journal of critical care : an official publication, American Association of Critical-Care Nurses, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 16% of its field
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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Proning During COVID-19: The Importance of Teamwork.American journal of critical care : an official publication, American Association of Critical-Care Nurses · 2020
    Article
  7. Proning during covid-19: Challenges and solutions.Heart & lung : the journal of critical care
    Article
  8. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 2 countries.

Armeen D PoorArmeen D. Poor is an assistant professor in the Division of Pulmonary and Critical Care Medicine, Department of Medicine, NYC Health+Hospitals/Metropolitan, New York Medical College, New York, New York. Samuel O. Acquah is a professor and S Jean Hsieh is an associate professor in the Division of Pulmonary, Critical Care and Sleep Medicine, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, New York. Celia M. Wells is senior director, Department of Nursing; Maria V. Sevillano is a registered nurse in the Department of Wound, Ostomy and Continence Nursing; and Gary G. Oldenburg is director, Department of Respiratory Care Services, Mount Sinai Hospital, New York, New York. Christopher G. Strother is an associate professor in the Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai.
Samuel O AcquahArmeen D. Poor is an assistant professor in the Division of Pulmonary and Critical Care Medicine, Department of Medicine, NYC Health+Hospitals/Metropolitan, New York Medical College, New York, New York. Samuel O. Acquah is a professor and S Jean Hsieh is an associate professor in the Division of Pulmonary, Critical Care and Sleep Medicine, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, New York. Celia M. Wells is senior director, Department of Nursing; Maria V. Sevillano is a registered nurse in the Department of Wound, Ostomy and Continence Nursing; and Gary G. Oldenburg is director, Department of Respiratory Care Services, Mount Sinai Hospital, New York, New York. Christopher G. Strother is an associate professor in the Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai.
Celia M WellsArmeen D. Poor is an assistant professor in the Division of Pulmonary and Critical Care Medicine, Department of Medicine, NYC Health+Hospitals/Metropolitan, New York Medical College, New York, New York. Samuel O. Acquah is a professor and S Jean Hsieh is an associate professor in the Division of Pulmonary, Critical Care and Sleep Medicine, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, New York. Celia M. Wells is senior director, Department of Nursing; Maria V. Sevillano is a registered nurse in the Department of Wound, Ostomy and Continence Nursing; and Gary G. Oldenburg is director, Department of Respiratory Care Services, Mount Sinai Hospital, New York, New York. Christopher G. Strother is an associate professor in the Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai.
Maria V SevillanoArmeen D. Poor is an assistant professor in the Division of Pulmonary and Critical Care Medicine, Department of Medicine, NYC Health+Hospitals/Metropolitan, New York Medical College, New York, New York. Samuel O. Acquah is a professor and S Jean Hsieh is an associate professor in the Division of Pulmonary, Critical Care and Sleep Medicine, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, New York. Celia M. Wells is senior director, Department of Nursing; Maria V. Sevillano is a registered nurse in the Department of Wound, Ostomy and Continence Nursing; and Gary G. Oldenburg is director, Department of Respiratory Care Services, Mount Sinai Hospital, New York, New York. Christopher G. Strother is an associate professor in the Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai.
Christopher G StrotherArmeen D. Poor is an assistant professor in the Division of Pulmonary and Critical Care Medicine, Department of Medicine, NYC Health+Hospitals/Metropolitan, New York Medical College, New York, New York. Samuel O. Acquah is a professor and S Jean Hsieh is an associate professor in the Division of Pulmonary, Critical Care and Sleep Medicine, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, New York. Celia M. Wells is senior director, Department of Nursing; Maria V. Sevillano is a registered nurse in the Department of Wound, Ostomy and Continence Nursing; and Gary G. Oldenburg is director, Department of Respiratory Care Services, Mount Sinai Hospital, New York, New York. Christopher G. Strother is an associate professor in the Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai.
Gary G OldenburgArmeen D. Poor is an assistant professor in the Division of Pulmonary and Critical Care Medicine, Department of Medicine, NYC Health+Hospitals/Metropolitan, New York Medical College, New York, New York. Samuel O. Acquah is a professor and S Jean Hsieh is an associate professor in the Division of Pulmonary, Critical Care and Sleep Medicine, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, New York. Celia M. Wells is senior director, Department of Nursing; Maria V. Sevillano is a registered nurse in the Department of Wound, Ostomy and Continence Nursing; and Gary G. Oldenburg is director, Department of Respiratory Care Services, Mount Sinai Hospital, New York, New York. Christopher G. Strother is an associate professor in the Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai.
S Jean HsiehArmeen D. Poor is an assistant professor in the Division of Pulmonary and Critical Care Medicine, Department of Medicine, NYC Health+Hospitals/Metropolitan, New York Medical College, New York, New York. Samuel O. Acquah is a professor and S Jean Hsieh is an associate professor in the Division of Pulmonary, Critical Care and Sleep Medicine, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, New York. Celia M. Wells is senior director, Department of Nursing; Maria V. Sevillano is a registered nurse in the Department of Wound, Ostomy and Continence Nursing; and Gary G. Oldenburg is director, Department of Respiratory Care Services, Mount Sinai Hospital, New York, New York. Christopher G. Strother is an associate professor in the Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai.
Icahn School of Medicine at Mount Sinai · USCollege & Association of Registered Nurses of Alberta · CAMount Sinai Hospital · USNew York City Health and Hospitals Corporation · USWells Fargo (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundProne position ventilation (PPV) is recommended for patients with severe acute respiratory distress syndrome, but it remains underused. Interprofessional simulation-based training for PPV has not been described.

objectivesTo evaluate the impact of a novel interprofessional simulation-based training program on providers' perception of and comfort with PPV and the program's ability to help identify unrecognized safety issues ("latent safety threats") before implementation.

methodsA prospective observational quality improvement study was done in the medical intensive care unit of an academic medical center. Registered nurses, physicians, and respiratory therapists were trained via a didactic session, simulations, and structured debriefings during which latent safety threats were identified. Participants completed anonymous surveys before and after training.

resultsA total of 73 providers (37 nurses, 18 physicians, 18 respiratory therapists) underwent training and completed surveys. Before training, only 39% of nurses agreed that PPV would be beneficial to patients with severe acute respiratory distress syndrome, compared with 96% of physicians and 70% of respiratory therapists (P < .001). Less than half of both nurses and physicians felt comfortable taking care of prone patients. After training, perceived benefit increased among all providers. Comfort taking care of proned patients and managing cardiac arrest increased significantly among nurses and physicians. Twenty novel latent safety threats were identified.

conclusionInterprofessional simulation-based training may improve providers' perception of and comfort with PPV and can help identify latent safety threats before implementation.

Indexed as

Prone PositionHumansIntensive Care UnitsInterprofessional EducationProspective StudiesQuality ImprovementRespiration, ArtificialRespiratory Distress SyndromeSeverity of Illness IndexSimulation Training

Identifiers

PMID32355970
OpenAlexW3023418483

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.