EAST multicenter trial of simulation-based team training for pediatric trauma: Resuscitation task completion is highly variable during simulated traumatic brain injury resuscitation

Aaron R. Jensen, Francesca Bullaro, Richard A. Falcone, Margot Daugherty, L. Caulette Young, Cory McLaughlin, Caron Park, Christianne Lane, Jose M. Prince, Daniel J. Scherzer, Tensing Maa, Julie Dunn, Laura Wining, Joseph Hess, Mary C. Santos, James O'Neill, Eric Katz, Karen O'Bosky, Timothy Young, Emily Christison-LagayOmar Ahmed, Randall S. Burd, Marc Auerbach

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish (US)
JournalAmerican Journal of Surgery
DOIs
StateAccepted/In press - Jan 1 2019

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Resuscitation
Multicenter Studies
Pediatrics
Wounds and Injuries
Education
Benchmarking
Trauma Centers
Operating Rooms
Practice Guidelines
Traumatic Brain Injury
Tomography
Simulation Training

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Jensen, Aaron R. ; Bullaro, Francesca ; Falcone, Richard A. ; Daugherty, Margot ; Young, L. Caulette ; McLaughlin, Cory ; Park, Caron ; Lane, Christianne ; Prince, Jose M. ; Scherzer, Daniel J. ; Maa, Tensing ; Dunn, Julie ; Wining, Laura ; Hess, Joseph ; Santos, Mary C. ; O'Neill, James ; Katz, Eric ; O'Bosky, Karen ; Young, Timothy ; Christison-Lagay, Emily ; Ahmed, Omar ; Burd, Randall S. ; Auerbach, Marc. / EAST multicenter trial of simulation-based team training for pediatric trauma : Resuscitation task completion is highly variable during simulated traumatic brain injury resuscitation. In: American Journal of Surgery. 2019.
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title = "EAST multicenter trial of simulation-based team training for pediatric trauma: Resuscitation task completion is highly variable during simulated traumatic brain injury resuscitation",
abstract = "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.",
author = "Jensen, {Aaron R.} and Francesca Bullaro and Falcone, {Richard A.} and Margot Daugherty and Young, {L. Caulette} and Cory McLaughlin and Caron Park and Christianne Lane and Prince, {Jose M.} and Scherzer, {Daniel J.} and Tensing Maa and Julie Dunn and Laura Wining and Joseph Hess and Santos, {Mary C.} and James O'Neill and Eric Katz and Karen O'Bosky and Timothy Young and Emily Christison-Lagay and Omar Ahmed and Burd, {Randall S.} and Marc Auerbach",
year = "2019",
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Jensen, AR, Bullaro, F, Falcone, RA, Daugherty, M, Young, LC, McLaughlin, C, Park, C, Lane, C, Prince, JM, Scherzer, DJ, Maa, T, Dunn, J, Wining, L, Hess, J, Santos, MC, O'Neill, J, Katz, E, O'Bosky, K, Young, T, Christison-Lagay, E, Ahmed, O, Burd, RS & Auerbach, M 2019, '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. https://doi.org/10.1016/j.amjsurg.2019.07.037

EAST multicenter trial of simulation-based team training for pediatric trauma : Resuscitation task completion is highly variable during simulated traumatic brain injury resuscitation. / Jensen, Aaron R.; Bullaro, Francesca; Falcone, Richard A.; Daugherty, Margot; Young, L. Caulette; McLaughlin, Cory; Park, Caron; Lane, Christianne; Prince, Jose M.; Scherzer, Daniel J.; Maa, Tensing; Dunn, Julie; Wining, Laura; Hess, Joseph; Santos, Mary C.; O'Neill, James; Katz, Eric; O'Bosky, Karen; Young, Timothy; Christison-Lagay, Emily; Ahmed, Omar; Burd, Randall S.; Auerbach, Marc.

In: American Journal of Surgery, 01.01.2019.

Research output: Contribution to journalArticle

TY - JOUR

T1 - EAST multicenter trial of simulation-based team training for pediatric trauma

T2 - Resuscitation task completion is highly variable during simulated traumatic brain injury resuscitation

AU - Jensen, Aaron R.

AU - Bullaro, Francesca

AU - Falcone, Richard A.

AU - Daugherty, Margot

AU - Young, L. Caulette

AU - McLaughlin, Cory

AU - Park, Caron

AU - Lane, Christianne

AU - Prince, Jose M.

AU - Scherzer, Daniel J.

AU - Maa, Tensing

AU - Dunn, Julie

AU - Wining, Laura

AU - Hess, Joseph

AU - Santos, Mary C.

AU - O'Neill, James

AU - Katz, Eric

AU - O'Bosky, Karen

AU - Young, Timothy

AU - Christison-Lagay, Emily

AU - Ahmed, Omar

AU - Burd, Randall S.

AU - Auerbach, Marc

PY - 2019/1/1

Y1 - 2019/1/1

N2 - 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.

AB - 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.

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