Evidence map›Paper›PMID 41994370›Full record

ArticleMedEdPORTAL : the journal of teaching and learning resources2026

Simulation Addressing Verbal Escalation (SAVE): An Interprofessional Simulation for Pediatric Health Care Professionals.

Abigail Nolan, Mallory Cordes, Ananya Datta, Kellee Humphries, Ayushi Jain, Simmy King, Rosalyn Manuel, Laura Nicholson, Jennifer Owens, Haroon Shaukat and 4 more

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In one paragraph

Article in MedEdPORTAL : the journal of teaching and learning resources, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

14 authors.

Abigail NolanPediatric Critical Care Medicine Fellow, Children's National Hospital.ORCID https://orcid.org/0009-0005-5063-1243
Mallory CordesSimulation Education Specialist, Simulation Program, Children's National Hospital.
Ananya DattaSimulation Education Specialist, Simulation Program, Children's National Hospital.
Kellee HumphriesSimulation Operations Specialist, Simulation Program, Children's National Hospital.
Ayushi JainMedical Student, The George Washington University School of Medicine and Health Sciences.
Simmy KingDirector, Nursing Education and Professional Development, Children's National Hospital; Assistant Professor of Pediatrics, The George Washington University School of Medicine and Health Sciences.
Rosalyn ManuelSimulation Education Specialist, Simulation Program, Children's National Hospital.
Laura NicholsonSimulation Education Specialist, Simulation Program, Children's National Hospital.
Jennifer OwensExecutive Director, Clinical Learning and Simulation Skills (CLASS) Center, The George Washington University School of Medicine and Health Sciences.
Haroon ShaukatDirector of Emergency Department Simulation, Simulation Program, Children's National Hospital; Assistant Professor of Pediatrics & Emergency Medicine, The George Washington University School of Medicine and Health Sciences.
Gregory YurasekMedical Unit Director, Pediatric Cardiac Critical Care Unit; Director of ECMO, Johns Hopkins Children's Center; Associate Professor of Anesthesia and Critical Care Medicine, Johns Hopkins University.
Pavan ZaveriMedical Director, Simulation Program, Children's National Hospital; Associate Division Chief for Education, Division of Emergency Medicine, Children's National Hospital; Professor of Pediatrics & Emergency Medicine, The George Washington University School of Medicine and Health Sciences.
Simranjeet S SranDirector of Education, Simulation Program, Children's National Hospital; Director of Education, Division of Neonatology, Children's National Hospital; Assistant Professor of Pediatrics, The George Washington University School of Medicine and Health Sciences.
Heather WalshSimulation Program Manager, Children's National Hospital; Assistant Professor of Pediatrics, The George Washington University School of Medicine and Health Sciences.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Clinicians frequently encounter workplace verbal violence from patients and caregivers. We created Simulation Addressing Verbal Escalation (SAVE) training for hospital-based staff to practice managing verbal escalation in a safe learning environment while reinforcing available hospital resources. Methods: This curriculum included a 1-hour session with 2 scenarios, each involving interprofessional ad hoc teams simultaneously managing a pediatric patient (manikin) experiencing sepsis with decreased responsiveness, and a verbally escalating caregiver (standardized patient). A debriefing reinforced the BEAR (Bond, Engage, Assess, Reinforce) communication framework, sepsis management, and hospital resources for caregiver support. Training was evaluated using a checklist documenting team actions, and a learner feedback survey (4-point scale; 1 = Results: From October 2024 to April 2025, 860 clinicians participated in SAVE training. There were significant increases from scenario 1 to scenario 2 in team implementation of the full BEAR communication tool (35% to 77%, Discussion: SAVE training provided a meaningful experience for practice and discussion about emotional clinical situations. Hospital-wide training empowers staff to leverage resources to support patients' caregivers.

Indexed as

Health PersonnelInterprofessional RelationsPediatricsSimulation TrainingCommunicationCurriculumHumansPatient Care TeamSurveys and QuestionnairesCommunication SkillsInterprofessional EducationPediatricsProvider-Patient RelationshipSimulationStandardized ParticipantVerbal Escalation

Identifiers

PMID41994370
PMCPMC13080524

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.