J Pediatr Intensive Care 2019; 08(02): 083-091
DOI: 10.1055/s-0038-1676469
Original Article
Georg Thieme Verlag KG Stuttgart · New York

Simulation-Based Team Training Improves Team Performance among Pediatric Intensive Care Unit Staff

Nora Colman
1   Division of Pediatric Critical Care, Emory University School of Medicine, Atlanta, Georgia, United States
2   Department of Pediatrics, Emory University School of Medicine, Atlanta, Georgia, United States
3   Division of Pediatric Critical Care, Children's Healthcare of Atlanta, Atlanta, Georgia, United States
,
Janet Figueroa
2   Department of Pediatrics, Emory University School of Medicine, Atlanta, Georgia, United States
,
Courtney McCracken
2   Department of Pediatrics, Emory University School of Medicine, Atlanta, Georgia, United States
3   Division of Pediatric Critical Care, Children's Healthcare of Atlanta, Atlanta, Georgia, United States
,
Kiran Hebbar
1   Division of Pediatric Critical Care, Emory University School of Medicine, Atlanta, Georgia, United States
2   Department of Pediatrics, Emory University School of Medicine, Atlanta, Georgia, United States
3   Division of Pediatric Critical Care, Children's Healthcare of Atlanta, Atlanta, Georgia, United States
› Author Affiliations
Further Information

Publication History

01 October 2018

17 October 2018

Publication Date:
14 December 2018 (online)

Abstract

Simulation training fosters collaborative learning and improves communication among interdisciplinary teams. In this prospective observational cohort study, we evaluated the impact of interdisciplinary simulation-based team training (SBTT) on immediate learning of team performance behaviors. In a 3-month period, 30 simulation sessions were conducted and 165 staff members, including physicians, nurses, and respiratory therapists, were trained. Regression analysis showed a statistically significant improvement in team performance (p < 0.0001). Study results demonstrate that SBTT is effective in immediate acquisition of optimal team performance behaviors by multidisciplinary pediatric intensive care unit staff, including physicians with higher level subspecialty training in the simulation environment.

Note

This study was performed in the Division of Pediatric Critical Care at Children's Healthcare of Atlanta, Emory University. There is no conflict of interest, financial or otherwise, to be disclosed by any of the above authors. The paper falls under nonhuman subject category and was approved by the Children's Healthcare of Atlanta Institutional Review Board.


Dr. Colman performed background research, designed and conceptualized the study, collected data, prepared the article, and approved the final version as submitted. She had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis. Janet Figueroa and Courtney McCracken assisted in the study methodology, performed the initial statistical analyses, developed the figures and tables, reviewed and revised the article, and have approved the article as submitted. Dr. Hebbar conceptualized and designed the study, collected data, directed analysis reviewed and revised the article, and approved the article as submitted.


 
  • References

  • 1 Reis AG, Nadkarni V, Perondi MB, Grisi S, Berg RA. A prospective investigation into the epidemiology of in-hospital pediatric cardiopulmonary resuscitation using the international Utstein reporting style. Pediatrics 2002; 109 (02) 200-209
  • 2 Meert KL, Donaldson A, Nadkarni V. , et al; Pediatric Emergency Care Applied Research Network. Multicenter cohort study of in-hospital pediatric cardiac arrest. Pediatr Crit Care Med 2009; 10 (05) 544-553
  • 3 Catchpole K, Mishra A, Handa A, McCulloch P. Teamwork and error in the operating room: analysis of skills and roles. Ann Surg 2008; 247 (04) 699-706
  • 4 Dietz AS, Pronovost PJ, Mendez-Tellez PA. , et al. A systematic review of teamwork in the intensive care unit: what do we know about teamwork, team tasks, and improvement strategies?. J Crit Care 2014; 29 (06) 908-914
  • 5 Baker DP, Amodeo AM, Krokos KJ, Slonim A, Herrera H. Assessing teamwork attitudes in healthcare: development of the TeamSTEPPS teamwork attitudes questionnaire. Qual Saf Health Care 2010; 19 (06) e49
  • 6 Cheng A, Donoghue A, Gilfoyle E, Eppich W. Simulation-based crisis resource management training for pediatric critical care medicine: a review for instructors. Pediatr Crit Care Med 2012; 13 (02) 197-203
  • 7 Weinstock P, Halamek LP. Teamwork during resuscitation. Pediatr Clin North Am 2008; 55 (04) 1011-1024 , xi–xii xi–xii
  • 8 Baker DP, Salas E, King H, Battles J, Barach P. The role of teamwork in the professional education of physicians: current status and assessment recommendations. Jt Comm J Qual Patient Saf 2005; 31 (04) 185-202
  • 9 Kennedy TJ, Regehr G, Baker GR, Lingard LA. Progressive independence in clinical training: a tradition worth defending?. Acad Med 2005; 80 (10, Suppl): S106-S111
  • 10 Dugan MC, McCracken CE, Hebbar KB. Does simulation improve recognition and management of pediatric septic shock, and if one simulation is good, is more simulation better?. Pediatr Crit Care Med 2016; 17 (07) 605-614
  • 11 Adler MD, Overly FL, Nadkarni VM. , et al; International Network for Simulation-Based Pediatric Innovation, Research and Education (INSPIRE) CPR Investigators. An approach to confederate training within the context of simulation-based research. Simul Healthc 2016; 11 (05) 357-362
  • 12 Nadkarni LD, Roskind CG, Auerbach MA, Calhoun AW, Adler MD, Kessler DO. The development and validation of a concise instrument for formative assessment of team leader performance during simulated pediatric resuscitations. Simul Healthc 2018; 13 (02) 77-82
  • 13 Guise JM, Deering SH, Kanki BG. , et al. Validation of a tool to measure and promote clinical teamwork. Simul Healthc 2008; 3 (04) 217-223
  • 14 Volk MS, Ward J, Irias N, Navedo A, Pollart J, Weinstock PH. Using medical simulation to teach crisis resource management and decision-making skills to otolaryngology housestaff. Otolaryngol Head Neck Surg 2011; 145 (01) 35-42
  • 15 Gettman MT, Pereira CW, Lipsky K. , et al. Use of high fidelity operating room simulation to assess and teach communication, teamwork and laparoscopic skills: initial experience. J Urol 2009; 181 (03) 1289-1296
  • 16 Morgan L, Hadi M, Pickering S. , et al. The effect of teamwork training on team performance and clinical outcome in elective orthopaedic surgery: a controlled interrupted time series study. BMJ Open 2015; 5 (04) e006216
  • 17 Morey JC, Simon R, Jay GD. , et al. Error reduction and performance improvement in the emergency department through formal teamwork training: evaluation results of the MedTeams project. Health Serv Res 2002; 37 (06) 1553-1581
  • 18 Gilfoyle E, Koot DA, Annear JC. , et al; Teams4Kids Investigators and the Canadian Critical Care Trials Group. Improved clinical performance and teamwork of pediatric interprofessional resuscitation teams with a simulation-based educational intervention. Pediatr Crit Care Med 2017; 18 (02) e62-e69