EAST multicenter trial of simulation-based team training for pediatric trauma: Resuscitation task completion is highly variable during simulated traumatic brain injury resuscitation
American Journal of Surgery
© 2019 Elsevier Inc. Background: Best practices for benchmarking the efficacy of simulation-based training programs are not well defined. This study sought to assess feasibility of standardized data collection with multicenter implementation of simulation-based training, and to characterize variability in pediatric trauma resuscitation task completion associated with program characteristics. Methods: A prospective multicenter observational cohort of resuscitation teams (N = 30) was used to measure task completion and teamwork during simulated resuscitation of a child with traumatic brain injury. A survey was used to measure center-specific trauma volume and simulation-based training program characteristics among participating centers. Results: No task was consistently performed across all centers. Teamwork skills were associated with faster time to computed tomography notification (r = −0.51, p < 0.01). Notification of the operating room by the resuscitation team occurred more frequently in in situ simulation than in laboratory-based simulation (13/22 versus 0/8, p < 0.01). Conclusions: Multicenter implementation of a standardized pediatric trauma resuscitation simulation scenario is feasible. Standardized data collection showed wide variability in simulated resuscitation task completion.
Jensen, A., Bullaro, F., Falcone, R., Daugherty, M., Young, L., McLaughlin, C., Park, C., Lane, C., Prince, J., Scherzer, D., Maa, T., Dunn, J., Wining, L., Hess, J., Santos, M., O'Neill, J., Katz, E., O'Bosky, K., Young, T., Christison-Lagay, E., Ahmed, O., Burd, R., & Auerbach, M. (2020). EAST multicenter trial of simulation-based team training for pediatric trauma: Resuscitation task completion is highly variable during simulated traumatic brain injury resuscitation. American Journal of Surgery, 219 (6). http://dx.doi.org/10.1016/j.amjsurg.2019.07.037