Can Simulation Based-Team Training Impact Bedside Teamwork in a Pediatric Intensive Care Unit?

AbstractEffective teamwork performance is essential to the delivery of high-quality and safe patient care. In this mixed methodological observational cohort study, we evaluated team performance immediately following a real medical crisis in a pediatric intensive care unit (PICU) following implementation of a simulation-based team training (SBTT) program. Comparison of teamwork skills when rated by study observers demonstrated a statistically significant improvement in 12 out of 15 composite teamwork skills during real emergency events following SBTT (p < 0.05). Pre- and post-SBTT intervention survey data demonstrated an improvement in the perception of teamwork, most notable in the area of shared mental model and situational awareness following SBTT. Study results suggest that teamwork behaviors and skills acquired during SBTT can translate into improved bedside performance in the PICU.

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Simulation-Based Team Training Improves Team Performance among Pediatric Intensive Care Unit Staff

Journal of Pediatric Intensive Care ◽

10.1055/s-0038-1676469 ◽

2018 ◽

Vol 08 (02) ◽

pp. 083-091 ◽

Cited By ~ 2

Author(s):

Nora Colman ◽

Janet Figueroa ◽

Courtney McCracken ◽

Kiran Hebbar

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Pediatric Intensive Care Unit ◽

Team Performance ◽

Pediatric Intensive Care ◽

Team Training ◽

Subspecialty Training ◽

Intensive Care Unit Staff ◽

Simulation Based ◽

The Impact

AbstractSimulation training fosters collaborative learning and improves communication among interdisciplinary teams. In this prospective observational cohort study, we evaluated the impact of interdisciplinary simulation-based team training (SBTT) on immediate learning of team performance behaviors. In a 3-month period, 30 simulation sessions were conducted and 165 staff members, including physicians, nurses, and respiratory therapists, were trained. Regression analysis showed a statistically significant improvement in team performance (p < 0.0001). Study results demonstrate that SBTT is effective in immediate acquisition of optimal team performance behaviors by multidisciplinary pediatric intensive care unit staff, including physicians with higher level subspecialty training in the simulation environment.

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Provider Use of a Novel EHR display in the Pediatric Intensive Care Unit

Applied Clinical Informatics ◽

10.4338/aci-2016-02-ra-0030 ◽

2016 ◽

Vol 07 (03) ◽

pp. 682-692 ◽

Cited By ~ 2

Author(s):

Richard Holden ◽

Kathryn Flynn ◽

Yushi Yang ◽

Laila Azam ◽

Matthew Scanlon ◽

...

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Pediatric Intensive Care Unit ◽

Nurse Practitioners ◽

New Technology ◽

Pediatric Intensive Care ◽

Next Generation ◽

Record System ◽

Novel Technologies ◽

Study Results

SummaryThe purpose of this study was to explore providers’ perspectives on the use of a novel technology, “Large Customizable Interactive Monitor” (LCIM), a novel application of the electronic health record system implemented in a Pediatric Intensive Care Unit.We employed a qualitative approach to collect and analyze data from pediatric intensive care physicians, pediatric nurse practitioners, and acute care specialists. Using semi-structured interviews, we collected data from January to April, 2015. The research team analyzed the transcripts using an iterative coding method to identify common themes.Study results highlight contextual data on providers’ use routines of the LCIM. Findings from thirty six interviews were classified into three groups: 1) providers’ familiarity with the LCIM; 2) providers’ use routines (i.e. when and how they use it); and 3) reasons why they use or do not use it.It is important to conduct baseline studies of the use of novel technologies. The importance of training and orientation affects the adoption and use patterns of this new technology. This study is notable for being the first to investigate a LCIM system, a next generation system implemented in the pediatric critical care setting. Our study revealed this next generation HIT might have great potential for family-centered rounds, team education during rounds, and family education/engagement in their child’s health in the patient room. This study also highlights the effect of training and orientation on the adoption patterns of new technology. Citation: Asan O, Holden RJ, Flynn KE, Yang Y, Azam L, Scanlon MC. Provider use of a novel EHR display in the pediatric intensive care unit: Large customizable interactive monitor (LCIM).

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