Simulation-Based Emergency Team Training in Pediatrics: A Systematic Review

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Simulation-Based Emergency Team Training in Pediatrics : A Systematic Review. / Thim, Signe; Henriksen, Tine Brink; Laursen, Henrik et al.

I: Pediatrics, Bind 149, Nr. 4, e2021054305, 04.2022.

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisReviewForskningpeer review

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Thim S, Henriksen TB, Laursen H, Schram AL, Paltved C, Lindhard MS. Simulation-Based Emergency Team Training in Pediatrics: A Systematic Review. Pediatrics. 2022 apr.;149(4):e2021054305. Epub 2022 mar. 3. doi: 10.1542/peds.2021-054305

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@article{5c76c13f33e54ae281b4a716b0431128,
title = "Simulation-Based Emergency Team Training in Pediatrics: A Systematic Review",
abstract = "OBJECTIVES: The rare event of handling critically ill children often challenge the emergency care team. Several studies have investigated effects of simulation-based team training to prepare for such events, but the body of evidence remains to be compiled. We performed a systematic review of the effects of simulation-based team training on clinical performance and patient outcome.METHODS: From a search of MEDLINE, Embase, CINAHL, and Cochrane Library, we included studies of team training in emergency pediatric settings with reported clinical performance and patient outcomes. We extracted data using a predefined template and assessed risk of bias using the Cochrane risk-of-bias tool for randomized trials 2.0 and the Newcastle Ottawa Quality Assessment Scale.RESULTS: We screened 1926 abstracts and included 79 studies. We identified 15 studies reporting clinical health care professional performance or patient outcomes. Four studies reported survival data, 5 reported time-critical clinical events, 5 reported adherence to guidelines, checklists or tasks, and 2 reported on airway management. Randomized studies revealed improved team performance in simulated reevaluations 2 to 6 months after intervention. A meta-analysis was impossible because of heterogeneous interventions and outcomes. Most included studies had significant methodological limitations.CONCLUSIONS: Pediatric simulation-based team training improves clinical performance in time-critical tasks and adherence to guidelines. Improved survival was indicated but not concluded because of high risk of bias. Team performance and technical skills improved for at least 2 to 6 months. Future research should include longer-term measures of skill retention and patient outcomes or clinical measures of treatment quality whenever possible.",
keywords = "Airway Management, Child, Delivery of Health Care, Emergency Medical Services, Humans, Pediatrics, Simulation Training",
author = "Signe Thim and Henriksen, {Tine Brink} and Henrik Laursen and Schram, {Anders Lund} and Charlotte Paltved and Lindhard, {Morten S{\o}ndergaard}",
note = "Publisher Copyright: Copyright {\textcopyright} 2022 by the American Academy of Pediatrics.",
year = "2022",
month = apr,
doi = "10.1542/peds.2021-054305",
language = "English",
volume = "149",
journal = "Pediatrics",
issn = "0031-4005",
publisher = "American Academy of Pediatrics",
number = "4",

}

RIS

TY - JOUR

T1 - Simulation-Based Emergency Team Training in Pediatrics

T2 - A Systematic Review

AU - Thim, Signe

AU - Henriksen, Tine Brink

AU - Laursen, Henrik

AU - Schram, Anders Lund

AU - Paltved, Charlotte

AU - Lindhard, Morten Søndergaard

N1 - Publisher Copyright: Copyright © 2022 by the American Academy of Pediatrics.

PY - 2022/4

Y1 - 2022/4

N2 - OBJECTIVES: The rare event of handling critically ill children often challenge the emergency care team. Several studies have investigated effects of simulation-based team training to prepare for such events, but the body of evidence remains to be compiled. We performed a systematic review of the effects of simulation-based team training on clinical performance and patient outcome.METHODS: From a search of MEDLINE, Embase, CINAHL, and Cochrane Library, we included studies of team training in emergency pediatric settings with reported clinical performance and patient outcomes. We extracted data using a predefined template and assessed risk of bias using the Cochrane risk-of-bias tool for randomized trials 2.0 and the Newcastle Ottawa Quality Assessment Scale.RESULTS: We screened 1926 abstracts and included 79 studies. We identified 15 studies reporting clinical health care professional performance or patient outcomes. Four studies reported survival data, 5 reported time-critical clinical events, 5 reported adherence to guidelines, checklists or tasks, and 2 reported on airway management. Randomized studies revealed improved team performance in simulated reevaluations 2 to 6 months after intervention. A meta-analysis was impossible because of heterogeneous interventions and outcomes. Most included studies had significant methodological limitations.CONCLUSIONS: Pediatric simulation-based team training improves clinical performance in time-critical tasks and adherence to guidelines. Improved survival was indicated but not concluded because of high risk of bias. Team performance and technical skills improved for at least 2 to 6 months. Future research should include longer-term measures of skill retention and patient outcomes or clinical measures of treatment quality whenever possible.

AB - OBJECTIVES: The rare event of handling critically ill children often challenge the emergency care team. Several studies have investigated effects of simulation-based team training to prepare for such events, but the body of evidence remains to be compiled. We performed a systematic review of the effects of simulation-based team training on clinical performance and patient outcome.METHODS: From a search of MEDLINE, Embase, CINAHL, and Cochrane Library, we included studies of team training in emergency pediatric settings with reported clinical performance and patient outcomes. We extracted data using a predefined template and assessed risk of bias using the Cochrane risk-of-bias tool for randomized trials 2.0 and the Newcastle Ottawa Quality Assessment Scale.RESULTS: We screened 1926 abstracts and included 79 studies. We identified 15 studies reporting clinical health care professional performance or patient outcomes. Four studies reported survival data, 5 reported time-critical clinical events, 5 reported adherence to guidelines, checklists or tasks, and 2 reported on airway management. Randomized studies revealed improved team performance in simulated reevaluations 2 to 6 months after intervention. A meta-analysis was impossible because of heterogeneous interventions and outcomes. Most included studies had significant methodological limitations.CONCLUSIONS: Pediatric simulation-based team training improves clinical performance in time-critical tasks and adherence to guidelines. Improved survival was indicated but not concluded because of high risk of bias. Team performance and technical skills improved for at least 2 to 6 months. Future research should include longer-term measures of skill retention and patient outcomes or clinical measures of treatment quality whenever possible.

KW - Airway Management

KW - Child

KW - Delivery of Health Care

KW - Emergency Medical Services

KW - Humans

KW - Pediatrics

KW - Simulation Training

U2 - 10.1542/peds.2021-054305

DO - 10.1542/peds.2021-054305

M3 - Review

C2 - 35237809

VL - 149

JO - Pediatrics

JF - Pediatrics

SN - 0031-4005

IS - 4

M1 - e2021054305

ER -