• Riad Lutfi, Erin E Montgomery, Zachary J Berrens, Mouhammad Yabrodi, Mathew L Yuknis, Michele L Kirby, Kellie J Pearson, Samer Abu-Sultaneh, and Kamal Abulebda.
• J Contin Educ Nurs. 2019 Sep 1; 50 (9): 404-410.

BackgroundRecognition and management of pediatric dysrhythmias is challenging for community emergency department (CED) providers, given their infrequent exposure to these cases.MethodA prospective, interventional study measured adherence of CEDs to pediatric supraventricular tachycardia (SVT) algorithm pre- and postimplementation of an in situ simulation-based collaborative program. CED teams' adherence was scored using a composite adherence score (CAS) based on the number of actions scored correctly on the performance checklist.ResultsA total of 74 multiprofessional teams from nine CEDs participated in simulated sessions. Of 367 participants, 12.3% were physicians, 62.1% were RNs, and 25.6% were other providers. The mean CAS improved from 57% to 71%. The ability to identify an SVT rhythm, stable versus unstable SVT, and the correct performance of synchronized cardioversion significantly improved.ConclusionThis study demonstrated improvement in overall adherence of CEDs to pediatric SVT algorithm following a collaborative program in simulated setting. This approach could be adapted to improve the quality of care provided to children. [J Contin Educ Nurs. 2019;50(9):404-410.].Copyright 2019, SLACK Incorporated.

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