Department of Pediatrics, Staten Island University Hospital, Northwell Health, Staten Island, NY, USA.
Biostatistics Unit, Feinstein Institute for Medical Research, Northwell Health, New York, NY, USA.
J Perinatol. 2019 May;39(5):634-639. doi: 10.1038/s41372-019-0339-4. Epub 2019 Feb 15.
To determine if simulation-based medical education could improve pediatric residents' ability to accurately assess neonatal heart rate via auscultation.
Primary outcomes included heart rate accuracy and Neonatal Resuscitation Program (NRP) group accuracy, defined as whether a heart rate estimation fell in the appropriate NRP algorithm group. Pediatric residents completed a pre-assessment and then participated in a simulation training intervention on high-fidelity manikins. Residents completed a post-assessment 1 month later.
Heart rate estimates from 21 pediatric residents showed improved overall heart rate accuracy and NRP group accuracy from 53.6 to 78.7% (p < 0.0001) and 68.3 to 80% (p = 0.0002), respectively. Residents were more likely to overestimate low heart rates and underestimate high heart rates.
Heart rate simulation-based training significantly improved residents' ability to assess heart rate on high-fidelity neonatal manikins. Providers participating in NRP may benefit by receiving heart rate skills assessment-focused training during an NRP provider course.
确定基于模拟的医学教育是否可以提高儿科住院医师通过听诊准确评估新生儿心率的能力。
主要结局包括心率准确性和新生儿复苏计划（NRP）组准确性，定义为心率估计值是否落入适当的 NRP 算法组。儿科住院医师完成预评估，然后在高保真模型上接受模拟培训干预。住院医师在 1 个月后进行了后评估。
21 名儿科住院医师的心率估计值显示，整体心率准确性和 NRP 组准确性从 53.6%提高到 78.7%（p<0.0001）和 68.3%提高到 80%（p=0.0002）。住院医师更倾向于高估低心率和低估高心率。
基于心率的模拟培训显著提高了住院医师在高保真新生儿模型上评估心率的能力。参加 NRP 的提供者在 NRP 提供者课程中接受以心率技能评估为重点的培训可能会受益。
