一种跨四个重症监护病房培训冠状病毒病（COVID-19）相关流程的多模式方法。
A Multimodal Approach to Training Coronavirus Disease (COVID-19) Processes Across Four Intensive Care Units.
作者信息
Moynihan Katie M, Beke Dorothy M, Imprescia Annette, Agus Michael Sd, Kleinman Monica, Hansen Anne, Bullock Kevin, Taylor Matt, Smith-Millman Marlena, Wolbrink Traci A, Weinstock Peter, Allan Catherine K
机构信息
Department of Cardiology, Division of Cardiovascular Critical Care, Boston Children's Hospital, Boston, MA, USA.
Harvard Medical School, Boston, MA, USA.
出版信息
Clin Simul Nurs. 2023 Mar;76:39-46. doi: 10.1016/j.ecns.2022.03.001. Epub 2022 Mar 14.
BACKGROUND
Coronavirus disease (COVID-19) required innovative training strategies for emergent aerosol generating procedures in intensive care units. This manuscript summarizes institutional operationalization of COVID-specific training, standardized across four intensive care units.
METHODS & RESULTS: An interdisciplinary team collaborated with the Simulator Program and OpenPediatrics refining logistics using process maps, walkthroughs and simulation. A multimodal approach to information dissemination, high-volume team training in modified resuscitation practices and technical skill acquisition included instructional videos, training superusers, small-group simulation using a flipped classroom approach with rapid cycle deliberate practice, interactive webinars, and cognitive aids. Institutional data on application of this model are presented.
CONCLUSION
Success was founded in interdisciplinary collaboration, resource availability and institutional buy in.
背景
冠状病毒病（COVID-19）需要针对重症监护病房中紧急产生气溶胶的操作制定创新的培训策略。本文总结了在四个重症监护病房实现标准化的针对COVID的特定培训的机构实施情况。
方法与结果
一个跨学科团队与模拟项目和OpenPediatrics合作，使用流程图、预演和模拟来优化后勤工作。信息传播的多模式方法、针对改良复苏实践的大容量团队培训以及技术技能获取包括教学视频、培训超级用户、采用翻转课堂方法并进行快速循环刻意练习的小组模拟、交互式网络研讨会和认知辅助工具。展示了关于该模型应用的机构数据。
结论
成功源于跨学科合作、资源可用性和机构支持。
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