Simulation training for emergency skills: effects on ICU fellows' performance and supervision levels.

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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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)

Division/Institute:

04 Faculty of Medicine > Department of Intensive Care, Emergency Medicine and Anaesthesiology (DINA) > Clinic of Intensive Care

UniBE Contributor:

Zante, Björn and Schefold, Jörg Christian

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1472-6920

Publisher:

BioMed Central

Language:

English

Submitter:

Jsabelle Arni

Date Deposited:

17 Dec 2020 12:02

Last Modified:

20 Dec 2020 02:58

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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