Division of Pulmonary and Critical Care Medicine, Department of Medicine, Mayo Clinic, Rochester, Minnesota.
School of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy.
JAMA Netw Open. 2023 Feb 1;6(2):e230050. doi: 10.1001/jamanetworkopen.2023.0050.
The conflict in Ukraine has forced civilian hospitals with limited trauma and battlefield medicine experience to care for casualties of war, placing significant strain on the health care system. Using the Checklist for Early Recognition and Treatment of Acute Illness and Injury (CERTAIN) program, a multimodal trauma critical care knowledge-exchange platform was created for clinicians practicing in these institutions.
To describe the development and implementation of the CERTAIN for Ukraine program and to evaluate the reach of this intervention, together with participant engagement and satisfaction.
DESIGN, SETTING, AND PARTICIPANTS: This quality improvement study included clinicians caring for critically ill patients during the ongoing Ukrainian conflict who were part of a community developed using a messaging app. The program was implemented by a group of international trauma and critical care experts in collaboration with critical care leaders from the Shupyk National Healthcare University in Kyiv, Ukraine. This study evaluates data collected from the CERTAIN for Ukraine program from its launch on April 9, 2022, to August 31, 2022.
The initiative comprised a longitudinal series of interactive tele-education sessions, a webpage containing the CERTAIN approach and current trauma critical care guidelines translated into Ukrainian and Russian, and a private messaging chat for asynchronous discussion.
Participant engagement and satisfaction were tracked using multimedia analytics and a post-session survey.
Since program launch, 838 participants have joined the messaging group, and 6 tele-education sessions have been delivered, with 1835 total views. The CERTAIN website has had 3527 visits, mainly from Ukraine (1378 [39%]) and the United States (1060 [30%]). Of the 74 completed postsession surveys, 65 respondents (88%) rated the course content excellent or very good, and 73 (99%) recommended it to others.
The findings of this quality improvement study indicate that, using widely available and low-cost platforms, knowledge was shared rapidly and efficiently to a large community of clinicians practicing in a wartime environment with broad-based engagement and a high level of learner satisfaction.
乌克兰的冲突迫使仅有有限创伤和战场医学经验的民用医院照顾战争伤员，这给医疗保健系统带来了巨大压力。利用早期识别和治疗急性疾病和损伤的检查表（CERTAIN）计划，为在这些机构工作的临床医生创建了一个多模式创伤重症监护知识交流平台。
描述 CERTAIN 用于乌克兰计划的开发和实施，并评估该干预措施的覆盖范围，以及参与者的参与度和满意度。
设计、设置和参与者：这项质量改进研究包括在乌克兰持续冲突期间照顾危重症患者的临床医生，他们是使用消息应用程序建立的社区的一部分。该计划由一组国际创伤和重症监护专家与乌克兰基辅 Shupyk 国家保健大学的重症监护领导合作实施。本研究评估了 2022 年 4 月 9 日 CERTAIN 用于乌克兰计划启动至 2022 年 8 月 31 日期间收集的数据。
该倡议包括一系列纵向互动远程教育课程、一个包含 CERTAIN 方法和当前创伤重症监护指南的网页，以及一个用于异步讨论的私人消息聊天。
使用多媒体分析和课程结束后的调查来跟踪参与者的参与度和满意度。
自计划启动以来，已有 838 名参与者加入了消息组，共进行了 6 次远程教育课程，总浏览量为 1835 次。CERTAIN 网站已被访问 3527 次，主要来自乌克兰（1378 次[39%]）和美国（1060 次[30%]）。在完成的 74 份课后调查中，65 名受访者（88%）对课程内容评价优秀或非常好，73 名受访者（99%）向他人推荐了该课程。
这项质量改进研究的结果表明，通过使用广泛可用且低成本的平台，快速高效地向一个在战时环境中工作的大型临床医生社区共享知识，具有广泛的参与度和高水平的学习者满意度。
