Evidence map›Paper›PMID 39534112›Full record

ArticleAEM education and training2024

Use of in situ simulation to improve team performance and utilization of a rapid sequence intubation checklist.

Kathleen M Waters, Ruth Hwu, Mona Kulkarni, Jeffrey Okonye, Ronine Zamor, Sofia Chaudhary, Andrew Jergel, Scott Gillespie, Abby Lewis, Rachel Krieger and 8 more

Abstract read
In one paragraph

Article in AEM education and training, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Review
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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

18 authors.

Kathleen M WatersEmory University School of Medicine, Children's Healthcare of Atlanta Atlanta Georgia USA.ORCID https://orcid.org/0009-0006-6147-9109
Ruth HwuEmory University School of Medicine, Children's Healthcare of Atlanta Atlanta Georgia USA.
Mona KulkarniPediatric Emergency Medical Association, Children's Healthcare of Atlanta Atlanta Georgia USA.
Jeffrey OkonyeEmory University School of Medicine, Children's Healthcare of Atlanta Atlanta Georgia USA.
Ronine ZamorEmory University School of Medicine, Children's Healthcare of Atlanta Atlanta Georgia USA.ORCID https://orcid.org/0000-0001-5001-2884
Sofia ChaudharyEmory University School of Medicine, Children's Healthcare of Atlanta Atlanta Georgia USA.
Andrew JergelEmory University School of Medicine, Children's Healthcare of Atlanta Atlanta Georgia USA.
Scott GillespieEmory University School of Medicine, Children's Healthcare of Atlanta Atlanta Georgia USA.
Abby LewisEmory University School of Medicine, Children's Healthcare of Atlanta Atlanta Georgia USA.
Rachel KriegerEmory University School of Medicine Atlanta Georgia USA.
Vidya MenonEmory University School of Medicine, Children's Healthcare of Atlanta Atlanta Georgia USA.
Geovonni BellEmory University School of Medicine Atlanta Georgia USA.
Jacob LevyEmory University School of Medicine, Children's Healthcare of Atlanta Atlanta Georgia USA.
Tory PrynnEmory University School of Medicine, Children's Healthcare of Atlanta Atlanta Georgia USA.
Jacqueline ReganEmory University School of Medicine, Children's Healthcare of Atlanta Atlanta Georgia USA.
Claire MathaiChildren's Healthcare of Atlanta Atlanta Georgia USA.
Nandranie GoodwinChildren's Healthcare of Atlanta Atlanta Georgia USA.
Sherita HolmesEmory University School of Medicine, Children's Healthcare of Atlanta Atlanta Georgia USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Intubation checklists have emerged as tools to reduce adverse events and improve efficiency during rapid sequence intubation (RSI) in pediatric emergency departments (PEDs). This study aimed to use multidisciplinary simulation (SIM) training as an educational tool to improve PED team performance during RSI scenarios through utilization of an RSI checklist. Methods: We created a checklist modeled after previously published PED checklists. PED multidisciplinary teams participated in video-recorded SIM training sessions involving a scenario requiring intubation three times, first without interruption then while receiving our intervention of rapid-cycle deliberate practice (RCDP) debriefing focusing on checklist utilization and team dynamics. Learners went through the scenario once more uninterrupted to apply learned skills. Team performance was evaluated via video review using the Simulation Team Assessment Tool (STAT) focusing on airway management and human factors sections. Scores were compared before and after intervention along with pre- and postintervention surveys. Results: A total of 483 learners participated in 64 SIM training sessions, 44 of whom met inclusion criteria and were included for data analysis. Scores increased postintervention for airway management, human factors and in total. Least-squares mean differences for total, airway, and human factors scores were 9.55 (95% confidence interval [CI] 7.24-11.85), 4.22 (95% CI 2.91-5.52), and 5.33 (95% CI 3.86-6.8), respectively, which was statistically significant with Conclusions: This study supports the benefit of multidisciplinary SIM training with RCDP-style methodology as an educational method for improving airway management, teamwork skills, and RSI checklist utilization for PED staff. Incorporation of additional maintenance SIM sessions for ongoing education is likely to be further beneficial and would allow evaluation of degradation of skills over time following initial training.

Identifiers

PMID39534112
PMCPMC11551624

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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.