Evidence map›Paper›PMID 39865567›Full record

ArticleJMIR medical education2025

Barriers to and Facilitators of Implementing Team-Based Extracorporeal Membrane Oxygenation Simulation Study: Exploratory Analysis.

Joan Brown, Sophia De-Oliveira, Christopher Mitchell, Rachel Carmen Cesar, Li Ding, Melissa Fix, Daniel Stemen, Krisda Yacharn, Se Fum Wong, Anahat Dhillon

Abstract read
In one paragraph

Article in JMIR medical education, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. ELSO 2025 Narrative Guideline on ECMO Training and Continuing Education.ASAIO journal (American Society for Artificial Internal Organs : 1992) · 2026
    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

10 authors.

Joan BrownDepartment of Surgery, Keck School of Medicine, University of South California, Los Angeles, CA, United States.ORCID 0000-0003-3492-2858
Sophia De-OliveiraOffice of Performance & Transformation, Keck Hospital of USC, Los Angeles, CA, United States, United States.ORCID 0009-0001-8521-8986
Christopher MitchellDepartment of Surgery, Keck School of Medicine, University of South California, Los Angeles, CA, United States.ORCID 0009-0009-8774-5083
Rachel Carmen CesarDepartment of Population and Public Health Sciences, Keck School of Medicine, University of Southern California, Los Angeles, CA, United States, United States.ORCID 0000-0002-9205-9514
Li DingDepartment of Population and Public Health Sciences, Keck School of Medicine, University of Southern California, Los Angeles, CA, United States, United States.ORCID 0000-0001-8565-430X
Melissa FixDepartment of Surgery, Keck School of Medicine, University of South California, Los Angeles, CA, United States.ORCID 0009-0006-2635-8643
Daniel StemenDeparment of Respiratory Therapy, Keck Hospital of USC, Los Angeles, CA, United States, United States.ORCID 0009-0006-9430-4938
Krisda YacharnDepartment of Surgery, Keck School of Medicine, University of South California, Los Angeles, CA, United States.ORCID 0009-0005-0054-0087
Se Fum WongDepartment of Anesthesia, Kaiser Permanante, Los Angeles, CA, United States.ORCID 0009-0003-7594-1438
Anahat DhillonDepartment of Anesthesia Critical Care Medicine, Keck School of Medicine, University of South California, Los Angeles, CA, United States, United States.ORCID 0009-0009-2753-441X

Funding

Southern California Clinical and Translational Science InstituteUL1TR001855 · NCATS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI Thomas A Buchanan, Michele D. Kipke · 2016 to 2026
$81.3M
NCATS NIH HHS UL1 TR001855
6 · The paper itself

Abstract

intro: Extracorporeal membrane oxygenation (ECMO) is a critical tool in the care of severe cardiorespiratory dysfunction. Simulation training for ECMO has become standard practice. Therefore, Keck Medicine of the University of California (USC) holds simulation-training sessions to reinforce and improve providers knowledge. Objective: This study aimed to understand the impact of simulation training approaches on interprofessional collaboration. We believed simulation-based ECMO training would improve interprofessional collaboration through increased communication and enhance teamwork. Methods: This was a single-center, mixed methods study of the Cardiac and Vascular Institute Intensive Care Unit at Keck Medicine of USC conducted from September 2021 to April 2023. Simulation training was offered for 1 hour monthly to the clinical team focused on the collaboration and decision-making needed to evaluate the initiation of ECMO therapy. Electronic surveys were distributed before, after, and 3 months post training. The survey evaluated teamwork and the effectiveness of training, and focus groups were held to understand social environment factors. Additionally, trainee and peer evaluation focus groups were held to understand socioenvironmental factors. Results: In total, 37 trainees attended the training simulation from August 2021 to August 2022. Using 27 records for exploratory factor analysis, the standardized Cronbach α was 0.717. The survey results descriptively demonstrated a positive shift in teamwork ability. Qualitative themes identified improved confidence and decision-making. Conclusions: The study design was flawed, indicating improvement opportunities for future research on simulation training in the clinical setting. The paper outlines what to avoid when designing and implementing studies that assess an educational intervention in a complex clinical setting. The hypothesis deserves further exploration and is supported by the results of this study.

Indexed as

Extracorporeal Membrane OxygenationPatient Care TeamSimulation TrainingClinical CompetenceCooperative BehaviorFemaleFocus GroupsHumansInterprofessional RelationsMaleSurveys and Questionnairescardiologycardiorespiratorycardiorespiratory dysfunctioncollaborationECMOextracorporeal membrane oxygenationheartICUintensive care unitinterprofessional collaborationlife supportlungsrespiratorysimulationsimulation trainingteam dynamicsteamwork in the ICU

Identifiers

PMID39865567
PMCPMC11788224

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.