A simulation-enhanced, spaced learning, interprofessional "code blue" curriculum improves ACLS algorithm adherence and trainee resuscitation skill confidence.

In-hospital cardiac arrest resuscitation training often happens in silos, with minimal interprofessional training. The aim of this study was to implement and evaluate a simulation-enhanced, interprofessional cardiac arrest curriculum in a university hospital. The curriculum ran monthly for 12 months...

Descripción completa

Detalles Bibliográficos
Publicado en:Journal of Interprofessional Care Vol. 37; no. 4; pp. 623 - 629
Autores principales: Toft, Lorrel E.B., Bottinor, Wendy, Cobourn, Andrew, Blount, Courtland, Tripathi, Avnish, Mehta, Ishan, Koch, Jennifer
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Jul/Aug2023
Acceso en línea:Ver este registro en EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=163976909&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 163976909
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        13561820
        57N
      jtl: Journal of Interprofessional Care
      issn: 13561820
      maglogo: Y
    pubinfo:
      dt: Jul/Aug2023
      vid: 37
      iid: 4
      pid: 377
      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
    artinfo:
      ui:
        163976909
        160169568
        163976909
        163976909
        10.1080/13561820.2022.2140130
        163976909
      ppf: 623
      ppct: 6
      formats:
        fmt:
          – @attributes:
              type: T
          – @attributes:
              type: P
      tig:
        atl: A simulation-enhanced, spaced learning, interprofessional "code blue" curriculum improves ACLS algorithm adherence and trainee resuscitation skill confidence.
      aug:
        au:
          Toft, Lorrel E.B.
          Bottinor, Wendy
          Cobourn, Andrew
          Blount, Courtland
          Tripathi, Avnish
          Mehta, Ishan
          Koch, Jennifer
        affil: University of Nevada Reno School of Medicine, Cardiology, 89557, Reno, NV USA
      sug:
        subj:
          Computer Simulation
          Learning Methods
          Advanced Cardiac Life Support Education
          Clinical Competence
          Educational Measurement
          Interprofessional Relations
          Hospitalization
          Outcomes of Education
          Algorithms
          Human
          Curriculum
          Heart Arrest
          Professional Compliance
          Descriptive Statistics
          Aged, 80 and Over
          Funding Source
          Aged, 80 & over
      ab: In-hospital cardiac arrest resuscitation training often happens in silos, with minimal interprofessional training. The aim of this study was to implement and evaluate a simulation-enhanced, interprofessional cardiac arrest curriculum in a university hospital. The curriculum ran monthly for 12 months, training interprofessional teams of internal medicine residents, nurses, respiratory therapists, and pharmacy residents. Teams participated in a 90-min high-fidelity simulation including "code blue" (30 min) followed by a 30-min debriefing and a repeat identical simulated "code blue" scenario. Teams were tested in an unannounced mock Code Blue the following month. Advanced Cardiac Life Support (ACLS) algorithm adherence was assessed using a standardized checklist. In-hospital cardiac arrest (IHCA) incidence and survival was tracked for 2 years prior, during, and 1 year after curriculum implementation. Team ACLS-algorithm adherence at baseline varied from 47% to 90% (mean of 71 ± 11%) and improved immediately following training (mean 88 ± 4%, range 80–93%, p =.011). This improvement persisted but decreased in magnitude over 1 month (mean 81 ± 7%, p =.013). Medical resident self-reported comfort levels with resuscitation skills varied widely at baseline, but improved for all skills post-curriculum. This simulation-enhanced, spaced practice, interprofessional curriculum resulted in a sustained improvement in team ACLS algorithm adherence.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N