Can Simulation Based-Team Training Impact Bedside Teamwork in a Pediatric Intensive Care Unit?

Abstract

Effective teamwork performance is essential to the delivery of high-quality and safe patient care. In this mixed methodological observational cohort study, we evaluated team performance immediately following a real medical crisis in a pediatric intensive care unit (PICU) following implementation of a simulation-based team training (SBTT) program. Comparison of teamwork skills when rated by study observers demonstrated a statistically significant improvement in 12 out of 15 composite teamwork skills during real emergency events following SBTT (p < 0.05). Pre- and post-SBTT intervention survey data demonstrated an improvement in the perception of teamwork, most notable in the area of shared mental model and situational awareness following SBTT. Study results suggest that teamwork behaviors and skills acquired during SBTT can translate into improved bedside performance in the PICU.

Keywords

simulation - pediatric - team performance - teamwork - cardiac arrest - pediatric intensive care

Note

This study was performed in the Division of Pediatric Critical Care at Children's Healthcare of Atlanta, Emory University. The paper falls under the nonhuman subject category and was approved by the Children's Healthcare of Atlanta Institutional Review Board.

Authors' Contributions

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, carried out the initial statistical analyses, developed the figures and tables, reviewed and revised the article, and 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.

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