A Collaborative In Situ Simulation‐based Pediatric Readiness Improvement Program for Community Emergency Departments

Abulebda, Kamal; Lutfi, Riad; Whitfill, Travis; Abu‐Sultaneh, Samer; Leeper, Kellie J.; Weinstein, Elizabeth; Auerbach, Marc

doi:10.1111/acem.13329

Cited by 61 publications

(73 citation statements)

References 19 publications

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“…26,27 We highlighted the latter groups of community hospital-based learners based on epidemiologic trends of where pediatric critical illness is often initially managed, and based on our author group's and others' prior experiences using insitu simulation as a tool to gain a deeper understanding of the challenges providers face with respect to their pediatric critical care skills. [4][5][6][7][8]11,25,[28][29][30] Our goal in sharing this curriculum was for future facilitators and their learners to appreciate how the use of multiple learning modalities helps reach a wide array of learners and can fill a training gap relevant to the care of acutely ill and injured children.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Advanced Pediatric Emergency Airway Management: A Multimodality Curriculum Addressing a Rare but Critical Procedure

et al. 2020

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Introduction: Advanced airway management in pediatrics is a rare, high stakes skillset. Developing proficiency in these skills is paramount, albeit challenging. Providers require innovative approaches to address initial training and maintenance of procedural competency. To address this, we developed a multimodality curriculum. Methods: Through an interactive problem-based learning session utilizing real intubation videos, hands-on skill stations, and two simulation-based scenarios, participants advanced through educational objectives towards the goal of improving perceived comfort, knowledge, skills, and attitudes in emergency pediatric advanced airway management. Content was developed by integrating varied learning modalities under the learn, see, practice, prove, do, maintain construct. Please note the specialized equipment needed for this curriculum included pediatric airway trainers and a video laryngoscope. Results: We have conducted the curriculum in its entirety four times, reaching 131 interdisciplinary participants. Forty-nine physicians of varying training backgrounds and clinical working environments completed postparticipation evaluations. On a Likert scale ranging from 1 (strongly disagree) to 5 (strongly agree), a significant improvement in perception of comfort with managing the emergent pediatric airway was noted (2.7 to 4.6, p < .0001). Further, 94% of participants reported they strongly agreed (71%) or agreed (23%) that each station added to their perceived knowledge, skills, and attitudes of pediatric airway management. Discussion: After participating in our curriculum, participants self-reported improved comfort in managing the emergent pediatric airway. This curriculum provides educators with resources to navigate the paradigm of obtaining and maintaining competency of a rare but critical skillset.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Advanced Pediatric Emergency Airway Management: A Multimodality Curriculum Addressing a Rare but Critical Procedure

et al. 2020

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“…A multitude of ongoing initiatives (Data Supplement , available as supporting information in the online version of this paper, which is available at http://onlinelibrary.wiley.com/doi/10.1111/acem.13642/full) is making progress through the development of resources, measurement tools, standards, and requirements. In addition, collaboration has been evident in some pediatric‐specific hospitals creating programs over the past decade involving innovative models in the ED (e.g., partnership in staffing general EDs and sharing policies/procedures, health system–based networks of pediatric emergency care), educational outreach, telemedicine, and use of simulation …”

Section: Conceptual Framework and Creation Of The Research Agendamentioning

confidence: 99%

A Research Agenda to Advance Pediatric Emergency Care Through Enhanced Collaboration Across Emergency Departments

Barata

Auerbach

Badaki-Makun

et al. 2018

Academic Emergency Medicine

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This subcommittee consisting of emergency medicine, pediatric emergency medicine, and quality improvement (QI) experts, as well as a patient advocate, identified main outcome gaps in the care of children in the emergency departments (EDs) in the following areas: variations in pediatric care and outcomes, pediatric readiness, and gaps in knowledge translation. The goal for this session was to create a research agenda that facilitates collaboration and partnering of diverse stakeholders to develop a system of care across all ED settings with the aim of improving quality and increasing safe medical care for children. The following recommended research strategies emerged: explore the use of technology as well as collaborative networks for education, research, and advocacy to develop and implement patient care guidelines, pediatric knowledge generation and dissemination, and pediatric QI and prepare all EDs to care for the acutely ill and injured pediatric patients. In conclusion, collaboration between general EDs and academic pediatric centers on research, dissemination, and implementation of evidence into clinical practice is a solution to improving the quality of pediatric care across the continuum.

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“…Pediatric readiness (as measured by the weighted pediatric readiness score defined by the NPRP) improved across all sites after these simulation sessions. The investigators also noted that an additional outcome of this outreach was enhanced communication and collaboration between outlyingcommunity centers and the academic center 31.…”

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confidence: 99%

The Current State of the Pediatric Emergency Medicine Workforce and Innovations to Improve Pediatric Care

Faris

Marcin

Weinstein

2018

Clinical Pediatric Emergency Medicine

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Many hospitals and emergency departments lack resources to optimally care for ill and injured children, perpetuating risks of receiving fragmented and "uneven" care. In this article, we describe the present state of our pediatric emergency medicine workforce as well as the impact that different innovations could have on the future of pediatric emergency care. Many innovative initiatives, including physician and advanced practice provider education and training, pediatric readiness recognition programs, telemedicine and in-situ simulation outreach, and community paramedicine are being utilized to help bridge access gaps and augment the reach of the pediatric emergency medicine workforce. Advocacy for reimbursement for novel care delivery models, such as community paramedicine and telemedicine, and funding for outreach education programming is essential. Also, better understanding of our current training models for and utilization of advanced practice practitioners in pediatric emergency medicine is crucial to understanding the diversity of workforce growth and opportunity.

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A Collaborative In Situ Simulation‐based Pediatric Readiness Improvement Program for Community Emergency Departments

Abstract: Our collaborative improvement program that involved simulation was associated with improvement in pediatric readiness scores in 10 EDs participating statewide. Future work will focus on further expanding of the network and establishing a national model for pediatric readiness improvement.

Cited by 61 publications

References 19 publications

Advanced Pediatric Emergency Airway Management: A Multimodality Curriculum Addressing a Rare but Critical Procedure

Advanced Pediatric Emergency Airway Management: A Multimodality Curriculum Addressing a Rare but Critical Procedure

A Research Agenda to Advance Pediatric Emergency Care Through Enhanced Collaboration Across Emergency Departments

The Current State of the Pediatric Emergency Medicine Workforce and Innovations to Improve Pediatric Care

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