Department of Radiology, University Hospital of Wales, Cardiff, Heath Park Way, Cardiff, UK.
Department of Anaesthetics, Intensive Care and Pain Medicine, University Hospital of Wales, Cardiff, Heath Park Way, Cardiff, UK.
Br J Radiol. 2021 Jan 1;94(1117):20200520. doi: 10.1259/bjr.20200520. Epub 2020 Oct 29.
Life-threatening emergencies are relatively uncommon in the radiology department, but when encountered, require timely intervention. With an increasing number of critically unwell patients visiting the radiology department each year for both diagnostic and interventional procedures, it is vital that radiology staff are trained to provide basic resuscitation before further assistance arrives. Simulation training is a well-validated, effective method for rehearsing low-frequency, high-acuity events in a supportive and safe environment. The aim of our study was to investigate whether the introduction of a focussed, multidisciplinary simulation course would improve healthcare professional's knowledge and confidence when managing common medical emergencies; including cardiac arrest, anaphylaxis and airway obstruction.
A multidisciplinary group of radiology staff attended a dedicated simulation teaching course. Participants completed a pre- and post-test questionnaire which assessed a range of knowledge domains and their perceived confidence with dealing with the clinical scenarios. The delegates were then asked to repeat this questionnaire 6 months after taking part in the course to assess their retention of skills and knowledge.
Knowledge scores increased by a mean difference of 4 points ( < 0.001). The mean pre- and post-course perceived confidence scores were 4.4/10 and 8/10, respectively.
This study suggests that embedding simulation training into the radiology curriculum improves healthcare professional's knowledge and perceived confidence when dealing with common medical emergencies. Although previous studies have looked at the use of simulation training for radiology trainees in the management of selected medical emergencies, to the authors' knowledge, this is the first study to demonstrate these benefits across a range of clinical scenarios, within an interprofessional environment.
危及生命的紧急情况在放射科相对较少见，但一旦发生，就需要及时干预。由于每年都有越来越多的重症患者因诊断和介入治疗而前往放射科，因此放射科工作人员必须接受培训，以便在进一步的援助到来之前提供基本的复苏。模拟培训是一种经过充分验证的、有效的方法，可以在支持和安全的环境中排练低频、高敏度事件。我们的研究旨在调查引入集中的、多学科的模拟课程是否会提高医疗保健专业人员在管理常见医疗紧急情况（包括心搏骤停、过敏反应和气道阻塞）方面的知识和信心。
一组多学科的放射科工作人员参加了专门的模拟教学课程。参与者完成了一份预测试和后测试问卷，该问卷评估了一系列知识领域，以及他们对处理临床情况的信心程度。然后，要求代表们在参加课程 6 个月后再次回答这些问卷，以评估他们对技能和知识的保留情况。
知识得分平均提高了 4 分（<0.001）。平均预、后课程的感知信心得分分别为 4.4/10 和 8/10。
这项研究表明，将模拟培训纳入放射科课程可以提高医疗保健专业人员在处理常见医疗紧急情况时的知识和感知信心。尽管之前的研究已经研究了模拟培训在放射科培训生管理选定的医疗紧急情况中的应用，但据作者所知，这是第一项在跨专业环境中展示这些优势的研究，涵盖了一系列临床场景。
