UCSF Benioff Children's Hospital Oakland, Oakland, CA, USA.
Cohen Children's Medical Center of Northwell Health, New Hyde Park, NY, USA.
Am J Surg. 2020 Jun;219(6):1057-1064. doi: 10.1016/j.amjsurg.2019.07.037. Epub 2019 Aug 5.
Best practices for benchmarking the efficacy of simulation-based training programs are not well defined. This study sought to assess feasibility of standardized data collection with multicenter implementation of simulation-based training, and to characterize variability in pediatric trauma resuscitation task completion associated with program characteristics.
A prospective multicenter observational cohort of resuscitation teams (N = 30) was used to measure task completion and teamwork during simulated resuscitation of a child with traumatic brain injury. A survey was used to measure center-specific trauma volume and simulation-based training program characteristics among participating centers.
No task was consistently performed across all centers. Teamwork skills were associated with faster time to computed tomography notification (r = -0.51, p < 0.01). Notification of the operating room by the resuscitation team occurred more frequently in in situ simulation than in laboratory-based simulation (13/22 versus 0/8, p < 0.01).
Multicenter implementation of a standardized pediatric trauma resuscitation simulation scenario is feasible. Standardized data collection showed wide variability in simulated resuscitation task completion.
基准模拟培训计划效果的最佳实践尚未明确界定。本研究旨在评估标准化数据收集在模拟培训的多中心实施中的可行性，并描述与计划特征相关的儿科创伤复苏任务完成的可变性。
使用前瞻性多中心复苏团队观察队列（N=30）来衡量模拟创伤性脑损伤儿童复苏期间的任务完成情况和团队合作情况。一项调查用于衡量参与中心的特定中心创伤量和基于模拟的培训计划特征。
没有一个任务在所有中心都一致完成。团队合作技能与更快的计算机断层扫描通知时间呈负相关（r=-0.51，p<0.01）。复苏团队通知手术室的情况在现场模拟中比在基于实验室的模拟中更频繁（13/22 比 0/8，p<0.01）。
标准化儿科创伤复苏模拟场景的多中心实施是可行的。标准化数据收集显示，模拟复苏任务完成情况存在广泛的可变性。
