Zante, Bjoern; Schefold, Joerg C. (2020). Simulation training for emergency skills: effects on ICU fellows' performance and supervision levels. BMC medical education, 20(1), p. 498. BioMed Central 10.1186/s12909-020-02419-4
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2020_-_Zante_-_BMC_-_PMID_33298042.pdf - Published Version Available under License Creative Commons: Attribution (CC-BY). Download (1MB) | Preview |
BACKGROUND
The application of manual emergency skills is essential in intensive care medicine. Simulation training on cadavers may be beneficial. The aim of this study was to analyze a skill-training aiming to enhance ICU-fellows´ performance.
METHODS
A skill-training was prepared for chest tube insertion, pericardiocentesis, and cricothyroidotomy. Supervision levels (SL) for entrustable professional activities (EPA) were applied to evaluate skill performance. Pre- and post-training, SL and fellows´ self- versus consultants´ external assessment was compared. Time on skill training was compared to conventional training in the ICU-setting.
RESULTS
Comparison of pre/post external assessment showed reduced required SL for chest tube insertion, pericardiocentesis, and cricothyroidotomy. Self- and external assessed SL did not significantly correlate for pre-training/post-training pericardiocentesis and post-training cricothyroidotomy. Correlations were observed for self- and external assessment SL for chest tube insertion and pre-assessment for cricothyroidotomy. Compared to conventional training in the ICU-setting, chest tube insertion training may further be time-saving.
CONCLUSIONS
Emergency skill training separated from a daily clinical ICU-setting appeared feasible and useful to enhance skill performance in ICU fellows and may reduce respective SL. We observed that in dedicated skill-training sessions, required time resources would be somewhat reduced compared to conventional training methods.
Item Type: |
Journal Article (Original Article) |
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Division/Institute: |
04 Faculty of Medicine > Department of Intensive Care, Emergency Medicine and Anaesthesiology (DINA) > Clinic of Intensive Care |
UniBE Contributor: |
Zante, Björn, Schefold, Jörg Christian |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
1472-6920 |
Publisher: |
BioMed Central |
Language: |
English |
Submitter: |
Isabelle Arni |
Date Deposited: |
17 Dec 2020 12:02 |
Last Modified: |
05 Dec 2022 15:43 |
Publisher DOI: |
10.1186/s12909-020-02419-4 |
PubMed ID: |
33298042 |
Uncontrolled Keywords: |
Assessment Chest tube Cost effective Cricoconiotomy Critical care EPA Education Learning Pericardiocentesis Self perception |
BORIS DOI: |
10.7892/boris.149728 |
URI: |
https://boris.unibe.ch/id/eprint/149728 |
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