Association of Simulation-Based Team Training Implementation with Treatment Process Optimization and Clinical Outcomes in a Chest Pain Center: A Retrospective Pre-Post Analysis of Real-World Data.
Background: Efficient multidisciplinary teams in chest pain centers are critical for ST-segment elevation myocardial infarction (STEMI) outcomes. Simulation-based team training (SBTT) may enhance team performance, but real-world clinical impacts remain under-documented. This study evaluated the asso...
| Publicado en: | Journal of Multidisciplinary Healthcare Vol. 19; pp. 1 - 13 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Dove Medical Press Ltd
Jun2026
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| 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=195722278&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 195722278 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 11782390 B06N jtl: Journal of Multidisciplinary Healthcare issn: 11782390 maglogo: N pubinfo: dt: Jun2026 vid: 19 pid: 45064 pub: Dove Medical Press Ltd place: Auckland, <Blank> artinfo: ui: 195722278 195722278 195722278 10.2147/JMDH.S586570 195722278 ppf: 1 ppct: 12 formats: tig: atl: Association of Simulation-Based Team Training Implementation with Treatment Process Optimization and Clinical Outcomes in a Chest Pain Center: A Retrospective Pre-Post Analysis of Real-World Data. aug: au: Liu, Sha Wang, Pengyu Song, Shaohua Zhang, Fan Chen, Ying Liu, Pujuan Jiang, Xinyan sug: subj: Simulations Multidisciplinary Care Team Education Treatment Outcomes ST Elevation Myocardial Infarction Therapy Human Pretest-Posttest Design Retrospective Design Record Review Tertiary Health Care China Percutaneous Coronary Intervention Interrupted Time Series Analysis Nonexperimental Studies Kaplan-Meier Estimator Log-Rank Test Funding Source Middle Age Aged Male Female Electronic Health Records Data Analysis Software Reperfusion Time Factors Guideline Adherence Descriptive Statistics T-Tests Mann-Whitney U Test Chi Square Test Fisher's Exact Test Multivariate Analysis Logistic Regression Electrocardiography Major Adverse Cardiac Events Evaluation Hospital Mortality Risk Factors Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Background: Efficient multidisciplinary teams in chest pain centers are critical for ST-segment elevation myocardial infarction (STEMI) outcomes. Simulation-based team training (SBTT) may enhance team performance, but real-world clinical impacts remain under-documented. This study evaluated the association between a systematic SBTT program and treatment processes and clinical outcomes in STEMI patients. Methods: We conducted a retrospective pre-post analysis at a tertiary center in China. Consecutive STEMI patients undergoing primary percutaneous coronary intervention (May 2020–June 2023) were included. Patients were divided into pre-intervention (May 2020–Dec 2021) and post-intervention (Jan 2022–June 2023) groups, separated by the implementation of a multidisciplinary SBTT program. Primary outcomes were door-to-balloon (D2B) and first-medical-contact-to-balloon (FMC-to-B) times. Interrupted time series (ITS) analysis assessed D2B time changes. Results: We included 260 patients (125 pre-intervention, 135 post-intervention). Post-SBTT, median D2B time decreased from 92 to 68 minutes (p < 0.001), and FMC-to-B time from 125 to 95 minutes (p < 0.001). Patients achieving D2B ≤ 90 min increased from 44.8% to 85.2% (p < 0.001). ITS analysis showed an immediate D2B time drop of 23.5 minutes (p < 0.001). In-hospital MACE rates decreased from 12.8% to 5.2% (p = 0.031). Conclusion: These findings suggest that SBTT could be a valuable quality improvement tool in chest pain centers for optimizing the timeliness of reperfusion therapy and clinical outcomes. However, further prospective, multicenter studies are needed to confirm these findings and establish definitive causality before universal adoption can be firmly recommended. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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