St-Onge-St-Hilaire Alexandra, Acworth Jason, Lawton Benjamin, Williams Myfanwy, Dodson Louise, Symon Benjamin
Simulation Training Optimising Resuscitation for Kids (STORK) Statewide Simulation Service, Children's Health Queensland, South Brisbane, Queensland, Australia.
Faculty of Medicine, University of Queensland, St Lucia, Queensland, Australia.
Emerg Med Australas. 2025 Apr;37(2):e70028. doi: 10.1111/1742-6723.70028.
An outreach education service, Simulation Training Optimising Resuscitation for Kids (STORK) identified opportunities to use their course (Optimus PRIME) to understand and help optimise regional paediatric resuscitation. Our objective was to document challenges faced by healthcare providers in rural, remote, and regional (RRR) health centres in Queensland during a paediatric resuscitation course and ensure information reached stakeholders.
Using in situ simulation, participants were prompted to identify real-life challenges during paediatric resuscitation. Participants co-generated solutions to these specific challenges and identified local advocates. Summaries for stakeholders included service strengths and improvement opportunities. Site follow-up identified actions taken and supported ongoing challenges.
Between March and December 2023, 40 Optimus PRIME courses were delivered. Thirty-nine course summaries were sent. Using the safety software in infusion pumps, 60% and 81% of sites were unable to correctly administer adrenaline or phenytoin, respectively. One or more pieces of paediatric oxygenation or ventilation equipment were lacking at 65% of sites. Participants working at 81% of sites were unfamiliar with the Queensland Health paediatric guidelines.
We highlight challenges for healthcare providers across Queensland and demonstrate educational teams can contribute to their resolution. Many problems perceived as local were occurring statewide. Our findings inform further advocacy. Our report informs opportunities for system optimisation and highlights inconsistencies in three key areas: infusion pump safety software, access to paediatric resuscitation equipment, and access to information technology. Statewide consistency synergising with local expertise is needed to ensure every child in Queensland has access to optimal resuscitation.
一项外展教育服务——儿童复苏模拟培训优化（STORK）发现了利用其课程（擎天柱PRIME）来理解和帮助优化区域儿科复苏的机会。我们的目标是记录昆士兰农村、偏远和地区（RRR）医疗中心的医疗服务提供者在儿科复苏课程期间所面临的挑战，并确保信息传达给利益相关者。
通过现场模拟，促使参与者识别儿科复苏过程中的现实挑战。参与者共同生成针对这些特定挑战的解决方案，并确定当地倡导者。向利益相关者提供的总结包括服务优势和改进机会。现场跟进确定了已采取的行动，并支持应对持续存在的挑战。
在2023年3月至12月期间，共开展了40期擎天柱PRIME课程。发送了39份课程总结。使用输液泵中的安全软件时，分别有60%和81%的站点无法正确使用肾上腺素或苯妥英钠。65%的站点缺少一件或多件儿科氧合或通气设备。在81%的站点工作的参与者不熟悉昆士兰卫生部的儿科指南。
我们强调了昆士兰各地医疗服务提供者面临的挑战，并表明教育团队可以为解决这些挑战做出贡献。许多被认为是局部的问题在全州范围内都存在。我们的研究结果为进一步的宣传提供了依据。我们的报告为系统优化提供了机会，并突出了三个关键领域的不一致之处：输液泵安全软件、儿科复苏设备的获取以及信息技术的获取。需要在全州范围内实现一致性并与当地专业知识协同，以确保昆士兰的每个儿童都能获得最佳复苏。
